Colorblind Algorithms: Racism in the Era of COVID-19
This commentary offers a critique of the recent policy document issued by White et al. (2020) to guide critical care resource (e.g. ventilators) allocation during public health emergencies such as COVID-19. We argue that, if disseminated widely, this criteria would result in a racially inequitable r...
Gespeichert in:
Veröffentlicht in: | Journal of the National Medical Association 2020-10, Vol.112 (5), p.550-552 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 552 |
---|---|
container_issue | 5 |
container_start_page | 550 |
container_title | Journal of the National Medical Association |
container_volume | 112 |
creator | Williams, J. Corey Anderson, Nientara Mathis, Myra Sanford, Ezelle Eugene, Jeffrey Isom, Jessica |
description | This commentary offers a critique of the recent policy document issued by White et al. (2020) to guide critical care resource (e.g. ventilators) allocation during public health emergencies such as COVID-19. We argue that, if disseminated widely, this criteria would result in a racially inequitable resource distribution in the current COVID-19 crisis. We link the White et al. (2020) resource distribution protocol to other “colorblind” healthcare algorithms that have relied on seemingly objective but fundamentally biased data, thereby reinforcing and exacerbating pre-existing racial health disparities. We suggest a health equity framework to ensure unbiased distribution of critical care resources during COVID-19 and in general practice |
doi_str_mv | 10.1016/j.jnma.2020.05.010 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2415834165</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0027968420301085</els_id><sourcerecordid>2415834165</sourcerecordid><originalsourceid>FETCH-LOGICAL-c428t-317f15eb921a656d05503a90692d99a3f9245e8987b858477b16577bc194d6883</originalsourceid><addsrcrecordid>eNp9kMtKxDAUhoMoOl5ewIUU3LhpPbk2ETfDeAVBEHUb0jbVlLbRpCP49mYYdeHCTc7m-_-T8yF0iKHAgMVpV3TjYAoCBArgBWDYQDOsGM2ZUHQTzQBImSsh2Q7ajbEDAKk430Y7lHBBhSxniC1870PVu7HJ5v2LD256HeJZ9mBqF4fMjdn0arPLYDLfZov759uLHKt9tNWaPtqD77mHnq4uHxc3-d399e1ifpfXjMgpp7hsMbeVItgILhrgHKhRIBRplDK0VYRxK5UsK8klK8sKC57eOt3QCCnpHjpZ974F_760cdKDi7XtezNav4yaMMwlZSmV0OM_aOeXYUy_00SytINLIhJF1lQdfIzBtvotuMGET41Br5zqTq-c6pVTDVwnpyl09F29rAbb_EZ-JCbgfA3Y5OLD2aBj7exY28YFW0-68e6__i_1roJ7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2848985826</pqid></control><display><type>article</type><title>Colorblind Algorithms: Racism in the Era of COVID-19</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Williams, J. Corey ; Anderson, Nientara ; Mathis, Myra ; Sanford, Ezelle ; Eugene, Jeffrey ; Isom, Jessica</creator><creatorcontrib>Williams, J. Corey ; Anderson, Nientara ; Mathis, Myra ; Sanford, Ezelle ; Eugene, Jeffrey ; Isom, Jessica</creatorcontrib><description>This commentary offers a critique of the recent policy document issued by White et al. (2020) to guide critical care resource (e.g. ventilators) allocation during public health emergencies such as COVID-19. We argue that, if disseminated widely, this criteria would result in a racially inequitable resource distribution in the current COVID-19 crisis. We link the White et al. (2020) resource distribution protocol to other “colorblind” healthcare algorithms that have relied on seemingly objective but fundamentally biased data, thereby reinforcing and exacerbating pre-existing racial health disparities. We suggest a health equity framework to ensure unbiased distribution of critical care resources during COVID-19 and in general practice</description><identifier>ISSN: 0027-9684</identifier><identifier>EISSN: 1943-4693</identifier><identifier>DOI: 10.1016/j.jnma.2020.05.010</identifier><identifier>PMID: 32563687</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Algorithms ; Continental Population Groups ; COVID-19 ; Critical care ; Decision making ; Health care access ; Health care policy ; Health disparities ; Health policy ; Hospitals ; Humans ; Kidneys ; Life expectancy ; Medical prognosis ; Patients ; Public health ; Race ; Race/ethnicity ; Racism ; SARS-CoV-2 ; Ventilators</subject><ispartof>Journal of the National Medical Association, 2020-10, Vol.112 (5), p.550-552</ispartof><rights>2020 National Medical Association</rights><rights>Copyright © 2020 National Medical Association. Published by Elsevier Inc. All rights reserved.</rights><rights>2020. National Medical Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-317f15eb921a656d05503a90692d99a3f9245e8987b858477b16577bc194d6883</citedby><cites>FETCH-LOGICAL-c428t-317f15eb921a656d05503a90692d99a3f9245e8987b858477b16577bc194d6883</cites><orcidid>0000-0002-6113-6863</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32563687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, J. Corey</creatorcontrib><creatorcontrib>Anderson, Nientara</creatorcontrib><creatorcontrib>Mathis, Myra</creatorcontrib><creatorcontrib>Sanford, Ezelle</creatorcontrib><creatorcontrib>Eugene, Jeffrey</creatorcontrib><creatorcontrib>Isom, Jessica</creatorcontrib><title>Colorblind Algorithms: Racism in the Era of COVID-19</title><title>Journal of the National Medical Association</title><addtitle>J Natl Med Assoc</addtitle><description>This commentary offers a critique of the recent policy document issued by White et al. (2020) to guide critical care resource (e.g. ventilators) allocation during public health emergencies such as COVID-19. We argue that, if disseminated widely, this criteria would result in a racially inequitable resource distribution in the current COVID-19 crisis. We link the White et al. (2020) resource distribution protocol to other “colorblind” healthcare algorithms that have relied on seemingly objective but fundamentally biased data, thereby reinforcing and exacerbating pre-existing racial health disparities. We suggest a health equity framework to ensure unbiased distribution of critical care resources during COVID-19 and in general practice</description><subject>Algorithms</subject><subject>Continental Population Groups</subject><subject>COVID-19</subject><subject>Critical care</subject><subject>Decision making</subject><subject>Health care access</subject><subject>Health care policy</subject><subject>Health disparities</subject><subject>Health policy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Kidneys</subject><subject>Life expectancy</subject><subject>Medical prognosis</subject><subject>Patients</subject><subject>Public health</subject><subject>Race</subject><subject>Race/ethnicity</subject><subject>Racism</subject><subject>SARS-CoV-2</subject><subject>Ventilators</subject><issn>0027-9684</issn><issn>1943-4693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMoOl5ewIUU3LhpPbk2ETfDeAVBEHUb0jbVlLbRpCP49mYYdeHCTc7m-_-T8yF0iKHAgMVpV3TjYAoCBArgBWDYQDOsGM2ZUHQTzQBImSsh2Q7ajbEDAKk430Y7lHBBhSxniC1870PVu7HJ5v2LD256HeJZ9mBqF4fMjdn0arPLYDLfZov759uLHKt9tNWaPtqD77mHnq4uHxc3-d399e1ifpfXjMgpp7hsMbeVItgILhrgHKhRIBRplDK0VYRxK5UsK8klK8sKC57eOt3QCCnpHjpZ974F_760cdKDi7XtezNav4yaMMwlZSmV0OM_aOeXYUy_00SytINLIhJF1lQdfIzBtvotuMGET41Br5zqTq-c6pVTDVwnpyl09F29rAbb_EZ-JCbgfA3Y5OLD2aBj7exY28YFW0-68e6__i_1roJ7</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Williams, J. Corey</creator><creator>Anderson, Nientara</creator><creator>Mathis, Myra</creator><creator>Sanford, Ezelle</creator><creator>Eugene, Jeffrey</creator><creator>Isom, Jessica</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>4U-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6113-6863</orcidid></search><sort><creationdate>202010</creationdate><title>Colorblind Algorithms: Racism in the Era of COVID-19</title><author>Williams, J. Corey ; Anderson, Nientara ; Mathis, Myra ; Sanford, Ezelle ; Eugene, Jeffrey ; Isom, Jessica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-317f15eb921a656d05503a90692d99a3f9245e8987b858477b16577bc194d6883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Algorithms</topic><topic>Continental Population Groups</topic><topic>COVID-19</topic><topic>Critical care</topic><topic>Decision making</topic><topic>Health care access</topic><topic>Health care policy</topic><topic>Health disparities</topic><topic>Health policy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Kidneys</topic><topic>Life expectancy</topic><topic>Medical prognosis</topic><topic>Patients</topic><topic>Public health</topic><topic>Race</topic><topic>Race/ethnicity</topic><topic>Racism</topic><topic>SARS-CoV-2</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, J. Corey</creatorcontrib><creatorcontrib>Anderson, Nientara</creatorcontrib><creatorcontrib>Mathis, Myra</creatorcontrib><creatorcontrib>Sanford, Ezelle</creatorcontrib><creatorcontrib>Eugene, Jeffrey</creatorcontrib><creatorcontrib>Isom, Jessica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the National Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, J. Corey</au><au>Anderson, Nientara</au><au>Mathis, Myra</au><au>Sanford, Ezelle</au><au>Eugene, Jeffrey</au><au>Isom, Jessica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colorblind Algorithms: Racism in the Era of COVID-19</atitle><jtitle>Journal of the National Medical Association</jtitle><addtitle>J Natl Med Assoc</addtitle><date>2020-10</date><risdate>2020</risdate><volume>112</volume><issue>5</issue><spage>550</spage><epage>552</epage><pages>550-552</pages><issn>0027-9684</issn><eissn>1943-4693</eissn><abstract>This commentary offers a critique of the recent policy document issued by White et al. (2020) to guide critical care resource (e.g. ventilators) allocation during public health emergencies such as COVID-19. We argue that, if disseminated widely, this criteria would result in a racially inequitable resource distribution in the current COVID-19 crisis. We link the White et al. (2020) resource distribution protocol to other “colorblind” healthcare algorithms that have relied on seemingly objective but fundamentally biased data, thereby reinforcing and exacerbating pre-existing racial health disparities. We suggest a health equity framework to ensure unbiased distribution of critical care resources during COVID-19 and in general practice</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32563687</pmid><doi>10.1016/j.jnma.2020.05.010</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-6113-6863</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0027-9684 |
ispartof | Journal of the National Medical Association, 2020-10, Vol.112 (5), p.550-552 |
issn | 0027-9684 1943-4693 |
language | eng |
recordid | cdi_proquest_miscellaneous_2415834165 |
source | MEDLINE; Alma/SFX Local Collection |
subjects | Algorithms Continental Population Groups COVID-19 Critical care Decision making Health care access Health care policy Health disparities Health policy Hospitals Humans Kidneys Life expectancy Medical prognosis Patients Public health Race Race/ethnicity Racism SARS-CoV-2 Ventilators |
title | Colorblind Algorithms: Racism in the Era of COVID-19 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T22%3A54%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Colorblind%20Algorithms:%20Racism%20in%20the%20Era%20of%20COVID-19&rft.jtitle=Journal%20of%20the%20National%20Medical%20Association&rft.au=Williams,%20J.%20Corey&rft.date=2020-10&rft.volume=112&rft.issue=5&rft.spage=550&rft.epage=552&rft.pages=550-552&rft.issn=0027-9684&rft.eissn=1943-4693&rft_id=info:doi/10.1016/j.jnma.2020.05.010&rft_dat=%3Cproquest_cross%3E2415834165%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2848985826&rft_id=info:pmid/32563687&rft_els_id=S0027968420301085&rfr_iscdi=true |