A Public Health Ethics Framework for Populations with Limited English Proficiency.

IF 17 1区 哲学 Q1 ETHICS American Journal of Bioethics Pub Date : 2024-11-01 Epub Date: 2023-06-28 DOI:10.1080/15265161.2023.2224263
Samantha A Chipman, Karen Meagher, Amelia K Barwise
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Abstract

25.6 Million people in the United States have Limited English Proficiency (LEP), defined as insufficient ability to read, write, or understand English. We will (1) Delineate the merits of approaching language as a social determinant of health, (2) highlight pertinent public health values and guidelines which are most relevant to the plight of populations with LEP and (3) Use the COVID-19 pandemic as an example of how a breakdown in public health ethics values created harm for populations and patients with LEP. We define a framework to tease out public health responsibilities given some populations' limited proficiency in a society's predominant language. The American Public Health Association (APHA) public health ethics core values serve as a framework to interrogate current practices. We use the COVID-19 case to illustrate gaps between health policy and healthcare disparities experienced by populations with LEP.

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针对英语水平有限人群的公共卫生伦理框架。
美国有 2 560 万人英语水平有限(LEP),其定义是读写或理解英语的能力不足。我们将:(1) 阐述将语言作为健康的社会决定因素的优点;(2) 强调与 LEP 人口的困境最相关的公共卫生价值观和指导方针;(3) 以 COVID-19 大流行为例,说明公共卫生伦理价值观的崩溃如何对 LEP 人口和患者造成伤害。鉴于某些人群对社会主要语言的熟练程度有限,我们定义了一个框架来明确公共卫生责任。美国公共卫生协会(APHA)的公共卫生伦理核心价值观可作为审视当前实践的框架。我们利用 COVID-19 案例来说明卫生政策与 LEP 人口所经历的医疗保健差异之间的差距。
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来源期刊
American Journal of Bioethics
American Journal of Bioethics 社会科学-科学史与科学哲学
CiteScore
12.30
自引率
26.90%
发文量
250
审稿时长
6-12 weeks
期刊介绍: The American Journal of Bioethics (AJOB) is a renowned global publication focused on bioethics. It tackles pressing ethical challenges in the realm of health sciences. With a commitment to the original vision of bioethics, AJOB explores the social consequences of advancements in biomedicine. It sparks meaningful discussions that have proved invaluable to a wide range of professionals, including judges, senators, journalists, scholars, and educators. AJOB covers various areas of interest, such as the ethical implications of clinical research, ensuring access to healthcare services, and the responsible handling of medical records and data. The journal welcomes contributions in the form of target articles presenting original research, open peer commentaries facilitating a dialogue, book reviews, and responses to open peer commentaries. By presenting insightful and authoritative content, AJOB continues to shape the field of bioethics and engage diverse stakeholders in crucial conversations about the intersection of medicine, ethics, and society.
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