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08:24
The Joint Effect of Social Comparison and Social Distance on Evaluation of Intertemporal Choice Outcomes in Event-related Potential Studies
Published on: August 25, 2023
740
Decision-Making Across Cultures.
Alan Elbaum1, Lucia Kinsey2, Jeffrey Mariano3
1University of California San Francisco, San Francisco, USA. alan.elbaum@ucsf.edu.
Cancer Treatment and Research
|October 18, 2023
Summary
This chapter explores culturally humble approaches to end-of-life care decision-making. It aims to empower medical providers to achieve goal-concordant care with diverse patients by fostering shared decision-making.
Area of Science:
- Medical Ethics
- Cross-Cultural Healthcare
- Palliative Care
Background:
- Cultural competency is crucial in end-of-life care.
- Provider and patient cultural values can conflict, especially regarding the "good death" and treatment futility.
- Existing approaches may lead to confrontational paradigms.
Purpose of the Study:
- To articulate an approach to end-of-life care rooted in cultural humility and structural competency.
- To empower medical providers in decision-making with culturally diverse patients.
- To move away from confrontational paradigms in cross-cultural end-of-life care.
Main Methods:
- Survey of decision-making orientations and clinical scenarios in end-of-life care.
- Analysis of cultural competency literature.
- Case study analysis of cross-cultural decision-making in two scenarios.
Main Results:
- Identifies common clinical scenarios and considerations for culturally diverse patients.
- Highlights potential conflicts arising from differing cultural values and visions of a "good death".
- Demonstrates how value-based shared decision-making can lead to goal-concordant care.
Conclusions:
- Cultural humility and structural competency are essential for effective end-of-life care.
- Shared decision-making, informed by cultural understanding, can resolve conflicts and improve patient outcomes.
- Providers can be empowered to engage in value-based decision-making for goal-concordant care.
Keywords:
Cultural competencyCultural humilityHealth disparitiesImplicit biasShared decision-makingStructural competencyTrauma-informed careTrustMore Related Videos
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