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"When Appearances Matter: A Taxonomy and Ethics for Demographic-Based Provider Requests".

Carrie C Wu¹, Jacob M Appel²

¹Harvard Medical School, Adult Psychosocial Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees

|January 9, 2023

Summary

Patient requests for healthcare providers of specific demographics present ethical challenges. This paper offers a taxonomy and guidance for institutions to address these requests equitably and consistently, navigating diverse motivations.

Keywords:

challenges demographic backgrounds equityethical justice prejudices taxonomy

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Area of Science:

Medical Ethics
Healthcare Management
Sociology in Medicine

Background:

Patient requests for providers of specific demographic backgrounds are a complex issue in healthcare.
Motivations behind these requests vary widely, ranging from valid concerns to societal prejudices.
Existing frameworks for addressing such requests are often inconsistent and inequitable.

Purpose of the Study:

To propose a novel taxonomy for classifying patient requests based on provider demographics.
To analyze the ethical and logistical challenges associated with fulfilling or denying these requests.
To provide guidance for healthcare institutions in managing patient demographic preferences.

Main Methods:

Development of a classification system (taxonomy) for patient demographic requests.
Review of ethical principles related to patient autonomy, non-discrimination, and justice.
Analysis of logistical considerations in healthcare provider assignment.
Synthesis of existing literature and ethical frameworks.

Main Results:

The proposed taxonomy categorizes requests, aiding in consistent evaluation.
Identifies key ethical dilemmas, including potential discrimination and patient trust.
Highlights logistical hurdles in matching patient preferences with provider availability and institutional policies.
Outlines potential biases influencing request motivations.

Conclusions:

Healthcare institutions require structured approaches to manage patient demographic requests.
Balancing patient preferences with principles of equity and justice is crucial.
The proposed taxonomy and guidance can foster fairer and more consistent responses.
Addressing these requests necessitates careful consideration of ethical, societal, and operational factors.