What should clinicians do when a patient's autonomy undermines her being treated equitably? Journal Article


Authors: Scharf, A.; Voigt, L.; Vardhana, S.; Matsoukas, K.; Wall, L. M.; Arevalo, M.; Diamond, L. C.
Article Title: What should clinicians do when a patient's autonomy undermines her being treated equitably?
Abstract: Language and cultural barriers can impede communication between patients and clinicians, exacerbating health inequity. Additional complications can arise when family members, intending to protect their loved ones, ask clinicians to lie or not disclose to patients their diagnoses, prognoses, or intervention options. Clinicians must express respect for patients' and families' cultural, religious, and social norms regarding health care decision making, but they might also be ethically troubled by some decisions' effects on patients' health outcomes. This article suggests strategies for clinicians trying to overcome linguistic and cultural barriers to equitable patient care. © 2021 American Medical Association. All rights reserved.
Journal Title: AMA Journal of Ethics
Volume: 23
Issue: 2
ISSN: 2376-6980
Publisher: American Medical Association  
Date Published: 2021-02-01
Start Page: E97
End Page: E108
Language: English
DOI: 10.1001/amajethics.2021.97
PUBMED: 33635189
PROVIDER: scopus
PMCID: PMC8366686
DOI/URL:
Notes: Review -- Export Date: 1 April 2021 -- Source: Scopus
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MSK Authors
  1. Louis Pierre-Paul Voigt
    85 Voigt
  2. Lisa Cari Diamond
    73 Diamond
  3. Elisabeth M Wall
    16 Wall
  4. Santosha Adipudi Vardhana
    102 Vardhana
  5. Amy Engel Scharf
    9 Scharf