15. Bioethical Challenges: Understanding Cultural Differences and Reducing Health Disparities

  1. Luigi Grassi4,5 and
  2. Michelle Riba6,7
  1. Antonella Surbone1,2,3

Published Online: 30 MAY 2012

DOI: 10.1002/9781119941101.ch15

Clinical Psycho-Oncology: An International Perspective

Clinical Psycho-Oncology: An International Perspective

How to Cite

Surbone, A. (2012) Bioethical Challenges: Understanding Cultural Differences and Reducing Health Disparities, in Clinical Psycho-Oncology: An International Perspective (eds L. Grassi and M. Riba), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119941101.ch15

Editor Information

  1. 4

    Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, Italy

  2. 5

    Clinical & Emergency Psychiatry Unit, Department of Mental Health & Drug Abuse, Ferrara, Italy

  3. 6

    Department of Psychiatry, University of Michigan Medical School, USA

  4. 7

    University of Michigan Comprehensive Cancer Center, MI, USA

Author Information

  1. 1

    Department of Medicine, New York University Medical School, New York, NY, USA

  2. 2

    Interpersonal Communication & Relationship Enhancement Program (I*CARE), M.D. Anderson Cancer Center, Houston, TX, USA

  3. 3

    Lecturer in Clinical Bioethics and Palliative Care, Italy

Publication History

  1. Published Online: 30 MAY 2012
  2. Published Print: 15 JUN 2012

ISBN Information

Print ISBN: 9780470974322

Online ISBN: 9781119941101

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Keywords:

  • bioethical challenges, cultural differences and health disparities;
  • ethics of principles and ethics of care theories;
  • oncology treatment and progress, paralleled by ethical issues;
  • medicine, ethics of principles in, autonomy, beneficence, non-maleficence and justice;
  • trust and vulnerability, ethical issues and patient–doctor relationship;
  • cultural factors, and inequities in minority patients' access;
  • non-Western families' shielding of patient from the painful truth;
  • poor cross-cultural communication, undermining patient, family trust;
  • ethical challenge of cultural differences, in palliative and end-of-life care;
  • patient/family-centred, cultural competence as key to oncology practice

Summary

This chapter contains sections titled:

  • Introduction: culture as a bioethical challenge

  • Culture and oncology

  • Culture, health and illness

  • Cross-cultural communication and its impact on decision-making: a global challenge

  • The ethical challenge of cultural differences in palliative and end-of-life care

  • The ethical challenge to understand cultural differences in survivorship care

  • The ethical challenge of cultural differences includes family caregiving

  • The ethical challenge includes overcoming language and cultural barriers

  • The ethical duty to acquire cultural competence in oncology

  • Practical suggestions are needed for an ethical psycho-oncology practice in a global perspective

  • Conclusion

  • Suggested further reading

  • References