Healthcare Inequality, Cross-Cultural Training, and Bioethics: Principles and Applications
To promote so-called cultural competence in work of direct-care providers and other health professionals among diverse peoples, cross-cultural training (CCT) is now widely advised. However, in ethically assessing aims and content of CCT, and surrounding issues and concerns, what should guide us? And...
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description | To promote so-called cultural competence in work of direct-care providers and other health professionals among diverse peoples, cross-cultural training (CCT) is now widely advised. However, in ethically assessing aims and content of CCT, and surrounding issues and concerns, what should guide us? And if we can elaborate satisfactory moral touchstones, what do they imply for healthcare professionals, overarching structures, and bioethicists? Building on prior work, this paper tries to help answer these questions.Work in this paper is indebted to discussions with Annette Dula, Insoo Hyun, Muhjah Shakir, Melanie Tervalon, and colleagues at Tuskegee University and the Tuskegee University National Center for Bioethics in Research and Healthcare. Erika Blacksher, Leonard Ortmann, and Madison Powers provided useful comments about earlier drafts. This work was supported by CDC Cooperative Agreement Number P76/CCP424229-2. |
doi_str_mv | 10.1017/S0963180108080249 |
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However, in ethically assessing aims and content of CCT, and surrounding issues and concerns, what should guide us? And if we can elaborate satisfactory moral touchstones, what do they imply for healthcare professionals, overarching structures, and bioethicists? Building on prior work, this paper tries to help answer these questions.Work in this paper is indebted to discussions with Annette Dula, Insoo Hyun, Muhjah Shakir, Melanie Tervalon, and colleagues at Tuskegee University and the Tuskegee University National Center for Bioethics in Research and Healthcare. Erika Blacksher, Leonard Ortmann, and Madison Powers provided useful comments about earlier drafts. 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education</topic><topic>Cultural Competency - ethics</topic><topic>Culture</topic><topic>Equal rights</topic><topic>Equality</topic><topic>Ethical Theory</topic><topic>Ethics</topic><topic>Ethnicity</topic><topic>Health care</topic><topic>Health inequalities</topic><topic>Healthcare Disparities - ethics</topic><topic>Human rights</topic><topic>Humans</topic><topic>Minority & ethnic groups</topic><topic>Moral Obligations</topic><topic>Patient Advocacy</topic><topic>Personal Autonomy</topic><topic>Principles</topic><topic>Professional training</topic><topic>Professional-Patient Relations - ethics</topic><topic>Professionals</topic><topic>Race</topic><topic>Social Justice</topic><topic>SPECIAL SECTION: ILLUMINATING CULTURE, HEALTH, AND ETHICS: BEYOND EQUALITY AND JUSTICE</topic><topic>Training</topic><topic>Value of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STONE, JOHN R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>PAIS Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>Philosophy Collection</collection><collection>Philosophy Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Arts Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Art, Design & Architecture Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Politics Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Arts & Humanities Database</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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subjects | Bioethics Crosscultural communication Cultural Characteristics Cultural competence Cultural Competency - education Cultural Competency - ethics Culture Equal rights Equality Ethical Theory Ethics Ethnicity Health care Health inequalities Healthcare Disparities - ethics Human rights Humans Minority & ethnic groups Moral Obligations Patient Advocacy Personal Autonomy Principles Professional training Professional-Patient Relations - ethics Professionals Race Social Justice SPECIAL SECTION: ILLUMINATING CULTURE, HEALTH, AND ETHICS: BEYOND EQUALITY AND JUSTICE Training Value of Life |
title | Healthcare Inequality, Cross-Cultural Training, and Bioethics: Principles and Applications |
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