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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Matching patients with therapists in culturally diverse rehabilitation services during civil unrest
Stuart B Kamenetsky1, Vanessa Chen2, Eyal Heled3,4
1Department of Psychology, Institute for the Study of University Pedagogy, University of Toronto Mississauga, 3359 Mississauga Rd, L5L 1C6, Mississauga, ON, Canada. stuart.kamenetsky@utoronto.ca.
Abstract:
A primary consideration in rehabilitation is the compatibility between clinicians and patients, where cultural diversity is a defining feature for both. The intricacies of cultural considerations in patient-clinician matching are heightened in areas of conflict and civil unrest. This paper presents three perspectives of the significance of cultural considerations in such assignments: patient-centred approach - prioritizing patients' preferences; professional-centred approach - clinicians' safety, social-emotional, and training needs; and utilitarian approach - what is best for the majority. A case study from an Israeli rehabilitation clinic is presented to exhibit the multifaceted considerations in patient-clinician matching within areas of conflict and civil unrest. The reconciliation of these three approaches in the context of cultural diversity is discussed, suggesting the benefit of a case-by-case strategy involving combinations of the three. Further research could examine how this might feasibly and beneficially optimize outcomes for all in culturally diverse societies in times of unrest.
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