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An “Oath” and a Responsibility

  • Gregory L. Hall
Chapter

Abstract

This final chapter examines the foundations of medical ethics and ties an age-old oath to modern day responsibilities. It looks at misunderstandings from both the clinician and patient standpoint and suggests ways to avoid them. Barriers to quality care are reviewed. The chapter also looks at the progress that clinicians have made in providing equitable care, extending life expectancy, and improving the lives of everyone. By showing what clinicians have already accomplished through clinical interventions and nuanced approaches to care, and aligning these positive outcomes with the Hippocratic oath and Florence Nightingale pledge, the reader will be further motivated to internalize and implement these important differences in the clinical care of African Americans.

References

  1. 1.
    Clark S. The impact of the Hippocratic Oath in 2018: the conflict of the ideal of the physician, the knowledgeable humanitarian, versus the corporate medical allegiance to financial models contributes to burnout. Cureus. 2018;10(7):e3076.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Miles SH. Hippocrates and informed consent. Lancet. 2009;374:1322–3.CrossRefGoogle Scholar
  3. 3.
    Antoniou SA, Antoniou GA, Granderath FA, et al. Reflections of the Hippocratic oath in modern medicine. World J Surg. 2010;34(12):3075–9.CrossRefGoogle Scholar
  4. 4.
    Jotterand F. The Hippocratic Oath and contemporary medicine: dialectic between past ideals and present reality? J Med Philos. 2005;30(1):107–28.CrossRefGoogle Scholar
  5. 5.
    Sessanna L. Incorporating Florence Nightingale’s theory of nursing into teaching a group of preadolescent children about the negative peer pressure. J Pediatr Nurs. 2004;19(3):225–31.CrossRefGoogle Scholar
  6. 6.
    Beauchamp T, Childress J. Principles of biomedical ethics. 6th ed. New York: Oxford University Press; 2008.Google Scholar
  7. 7.
    Kuczmarski M, Adams E, Cotugna N, et al. Health literacy and education predict nutrient quality of diet of socioeconomically diverse, urban adults. J Epidemiol Prev Med. 2016;2(1):13000115.CrossRefGoogle Scholar
  8. 8.
    Hoover DS, Vidrine JI, Shete S, et al. Health literacy, smoking, and health indicators in African American adults. J Health Commun. 2015;20(Suppl 2):24–33.CrossRefGoogle Scholar
  9. 9.
    Baker DW, Parker RM, Williams MV, et al. The relationship of patient reading ability to self-reported health and use of health services. Am J Public Health. 1997;87(6):1027–30.CrossRefGoogle Scholar
  10. 10.
    Bennett IM, Chen J, Soroui JS, White S. The contribution of health literacy to disparities in self-rated health status and preventive health behaviors in older adults. Ann Fam Med. 2009;7(3):204–11.CrossRefGoogle Scholar
  11. 11.
    Berkman ND, Sheridan SL, Donahue KE, et al. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97–107.CrossRefGoogle Scholar
  12. 12.
    Berkman ND, Sheridan SL, Donahue KE, et al. Health literacy interventions and outcomes: an updated systematic review. Rockville: Agency for Healthcare Research and Quality; 2011.Google Scholar
  13. 13.
    Stewart DW, Vidrine JI, Shete S, et al. Health literacy, smoking, and health indicators in African American adults. J Health Commun. 2015;20(0 2):24–33.Google Scholar
  14. 14.
    Ogedegbe G, Harrison M, Robbins L, et al. Barriers and facilitators of medication adherence in hypertensive African Americans: a qualitative study. Ethn Dis. 2004;14(1):3–12.Google Scholar
  15. 15.
    Wilson RP, Freeman A, Kazda MJ, et al. Lay beliefs about high blood pressure in a low- to middle-income urban African-American community: an opportunity for improving hypertension control. Am J Med. 2002;112(1):26–30.CrossRefGoogle Scholar
  16. 16.
    Dutta M, Sastry S, Dillard S, et al. Narratives of stress in health meanings of African Americans in Lake County, Indiana. Health Commun. 2017;32(10):1241–51.CrossRefGoogle Scholar
  17. 17.
    Dubbin L, McLemore M, Shim JK. Illness narratives of African Americans living with coronary heart disease: a critical interactionist analysis. Qual Health Res. 2017;27(4):497–508.CrossRefGoogle Scholar
  18. 18.
    Atreja A, Bellam N, Levy SR. Strategies to enhance patient adherence: making it simple. MedGenMed. 2005;7(1):4.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Rampersaud GC, Pereira MA, Girard BL, et al. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc. 2005;105(5):743–60.CrossRefGoogle Scholar
  20. 20.
    Fai EK, Anderson C, Ferreros V. Role of attitudes and intentions in predicting adherence to oral diabetes medications. Endocr Connect. 2017;6(2):63–70.CrossRefGoogle Scholar
  21. 21.
    Rimando PM. Perceived barriers to and facilitators of hypertension management among underserved African American older adults. Ethn Dis. 2015;25(3):329.CrossRefGoogle Scholar
  22. 22.
    Hardy ST, Loehr LR, Butler KR, et al. Reducing the blood pressure–related burden of cardiovascular disease: impact of achievable improvements in blood pressure prevention and control. J Am Heart Assoc. 2015;4(10):e002276.CrossRefGoogle Scholar
  23. 23.
    Zhao W, Katzmarzyk PT, Horswell R, et al. HbA1c and coronary heart disease risk among diabetic patients. Diabetes Care. 2013;37(2):428–35.CrossRefGoogle Scholar
  24. 24.
    Zhao W, Katzmarzyk PT, Horswell R, et al. HbA1c and lower-extremity amputation risk in low-income patients with diabetes. Diabetes Care. 2013;36(11):3591–8.CrossRefGoogle Scholar
  25. 25.
    Woolf SH, Johnson RE, Fryer GE, et al. The health impact of resolving racial disparities: an analysis of US mortality data. Am J Public Health. 2004;94:2078–81.CrossRefGoogle Scholar
  26. 26.
    Health Status & Life Expectancy. Black demographics. http://blackdemographics.com/health-2/health/. Accessed 25 May 2019.
  27. 27.
    African American Health. Centers for Disease Control and Prevention. 2017. https://www.cdc.gov/vitalsigns/aahealth/index.html. Accessed 25 may 2019.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Gregory L. Hall
    • 1
  1. 1.Partnerships for Urban HealthCleveland State UniversityClevelandUSA

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