肿瘤学公平的伦理必要性:从2020年吸取的教训和前进的道路。

Jonathan M Marron, Marjory Charlot, Jacquelyne Gaddy, Abby R Rosenberg
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引用次数: 7

摘要

2019冠状病毒病大流行以及同时对美国各地结构性种族主义和种族/民族差异的日益关注,揭示了美国医疗保健领域的明显不平等,无论是在肿瘤领域还是在更广泛的领域。在这篇文章中,我们描述了如何,通过基本伦理原则的镜头,一个道德的必要性存在于肿瘤社区克服这些不公平的癌症护理,研究,和肿瘤工作人员。我们首先解释为什么这是一项道德要求,重点讨论2020年的经验教训。我们继续描述ASCO和其他相关专业医疗组织正在进行的以股权为重点的努力。最后,我们呼吁行动起来,肿瘤学社区的所有成员都有道德责任采取措施解决临床和学术工作中的不公平问题,并为希望在研究和临床实践中优化公平的执业肿瘤学家提供指导。
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The Ethical Imperative of Equity in Oncology: Lessons Learned From 2020 and a Path Forward.

The COVID-19 pandemic and the simultaneous increased focus on structural racism and racial/ethnic disparities across the United States have shed light on glaring inequities in U.S. health care, both in oncology and more generally. In this article, we describe how, through the lens of fundamental ethical principles, an ethical imperative exists for the oncology community to overcome these inequities in cancer care, research, and the oncology workforce. We first explain why this is an ethical imperative, centering the discussion on lessons learned during 2020. We continue by describing ongoing equity-focused efforts by ASCO and other related professional medical organizations. We end with a call to action-all members of the oncology community have an ethical responsibility to take steps to address inequities in their clinical and academic work-and with guidance to practicing oncologists looking to optimize equity in their research and clinical practice.

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期刊介绍: The Ed Book is a National Library of Medicine–indexed collection of articles written by ASCO Annual Meeting faculty and invited leaders in oncology. Ed Book was launched in 1985 to highlight standards of care and inspire future therapeutic possibilities in oncology. Published annually, each volume highlights the most compelling research and developments across the multidisciplinary fields of oncology and serves as an enduring scholarly resource for all members of the cancer care team long after the Meeting concludes. These articles address issues in the following areas, among others: Immuno-oncology, Surgical, radiation, and medical oncology, Clinical informatics and quality of care, Global health, Survivorship.
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