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...

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Veröffentlicht in:Journal of the National Medical Association 2020-10, Vol.112 (5), p.550-552
Hauptverfasser: Williams, J. Corey, Anderson, Nientara, Mathis, Myra, Sanford, Ezelle, Eugene, Jeffrey, Isom, Jessica
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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
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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
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