Department of Pediatrics, Emory University, Atlanta, Georgia, USA; Pediatric Palliative Care, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Department of Family and Preventative Medicine, Emory University, Atlanta, Georgia, USA.
J Pain Symptom Manage. 2020 Nov;60(5):e11-e14. doi: 10.1016/j.jpainsymman.2020.08.036. Epub 2020 Sep 2.
The coronavirus disease 2019 (COVID-19) pandemic has refocused our attention on health care disparities affecting patients of color, with a growing body of literature focused on the etiology of these disparities and strategies to eliminate their effects. In considering the unique impact COVID-19 is having on African American communities, added measure must be given to ensure for sensitivity, empathy, and supportive guidance in medical decision making among African American patients faced with critical illness secondary to COVID-19. In this article, we explore the applications of cultural humility over cultural competency in optimizing the care we provide to African American patients faced with critical health care decisions during this pandemic. In turn, we charge one another as health care providers to consider how ethical principles and guidance can be applied to honor African American patients' unique stories and experiences.
新型冠状病毒病 2019（COVID-19）大流行重新引起了我们对影响有色人种患者的医疗保健差异的关注，越来越多的文献集中在这些差异的病因以及消除其影响的策略上。在考虑 COVID-19 对非裔美国人社区的独特影响时，必须采取额外措施，以确保在面临 COVID-19 导致的重病的非裔美国患者的医疗决策中保持敏感性、同理心和支持性指导。在本文中，我们探讨了在大流行期间为面临重大医疗保健决策的非裔美国患者提供最佳护理时，文化谦逊相对于文化能力的应用。反过来，我们要求彼此作为医疗保健提供者，考虑如何应用道德原则和指导方针来尊重非裔美国患者的独特故事和经历。
