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Related Experiment Video

Updated: Jul 9, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Applying a Health Equity Lens to Better Understand End-of-Life Prognostication.

Newsha Nikzad1, Joelle Robertson-Preidler2, Faith E Fletcher3

  • 1Internal medicine resident at the University of Chicago Medicine in Chicago, Illinois.

AMA Journal of Ethics
|October 3, 2024
PubMed
Summary

Racial and ethnic inequities impact end-of-life (EOL) care, with minority patients often receiving overly optimistic prognoses. This hinders informed decision-making and equitable EOL planning for patients of color.

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Area of Science:

  • Medical Ethics
  • Health Equity Research
  • Geriatric Medicine

Background:

  • Racial and ethnic disparities persist across the lifespan, significantly affecting end-of-life (EOL) care.
  • Underrepresented minority populations frequently encounter overly optimistic prognoses, complicating EOL planning.
  • This situation exacerbates existing health inequities by limiting access to crucial information for informed patient decisions.

Purpose of the Study:

  • To apply a health equity lens to end-of-life (EOL) care for patients of color.
  • To improve ethical and clinical understanding of equitable EOL care provision.
  • To address disparities in prognostication and its impact on minority patients.

Main Methods:

  • Qualitative analysis of existing literature on health equity and EOL care.
  • Application of a health equity framework to clinical decision-making.
  • Ethical review of prognostication practices in diverse patient populations.

Main Results:

  • Overly optimistic prognoses for minority patients are a significant barrier to equitable EOL care.
  • Lack of transparent communication about prognosis deprives patients of agency in EOL planning.
  • A health equity approach is crucial for addressing these disparities.

Conclusions:

  • Equitable EOL care requires addressing racial and ethnic disparities in prognostication.
  • Ethical frameworks must guide clinicians in providing accurate and sensitive EOL information.
  • Proactive application of a health equity lens can improve care for patients of color at the end of life.