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Ethical issues in the access to emergency care for undocumented immigrants

Patients who are undocumented immigrants (UIs) frequently present to emergency departments in the United States, especially in communities with large immigrant populations. Emergency physicians confront important ethical issues when providing care for these patients. This article examines those ethi...

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Autores principales: Brenner, Jay M., Blutinger, Erik, Ricke, Brandon, Vearrier, Laura, Kluesner, Nicholas H., Moskop, John C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8164497/
https://www.ncbi.nlm.nih.gov/pubmed/34095898
http://dx.doi.org/10.1002/emp2.12461
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author Brenner, Jay M.
Blutinger, Erik
Ricke, Brandon
Vearrier, Laura
Kluesner, Nicholas H.
Moskop, John C.
author_facet Brenner, Jay M.
Blutinger, Erik
Ricke, Brandon
Vearrier, Laura
Kluesner, Nicholas H.
Moskop, John C.
author_sort Brenner, Jay M.
collection PubMed
description Patients who are undocumented immigrants (UIs) frequently present to emergency departments in the United States, especially in communities with large immigrant populations. Emergency physicians confront important ethical issues when providing care for these patients. This article examines those ethical issues and recommends best practices in emergency care for UIs. After a brief introduction and description of the UI population, the article proposes central principles of emergency medical ethics as a framework for emergency physician decisions and actions. It then considers the role of law and public policy in health care for UIs, including the Emergency Medical Treatment and Labor Act, the Patient Protection and Affordable Care Act, and current practices of the US Immigration and Customs Enforcement agency. The article concludes with discussion of the scope of emergency physician practice and with recommendations regarding best practices in ED care for UIs.
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spelling pubmed-81644972021-06-04 Ethical issues in the access to emergency care for undocumented immigrants Brenner, Jay M. Blutinger, Erik Ricke, Brandon Vearrier, Laura Kluesner, Nicholas H. Moskop, John C. J Am Coll Emerg Physicians Open Ethics Patients who are undocumented immigrants (UIs) frequently present to emergency departments in the United States, especially in communities with large immigrant populations. Emergency physicians confront important ethical issues when providing care for these patients. This article examines those ethical issues and recommends best practices in emergency care for UIs. After a brief introduction and description of the UI population, the article proposes central principles of emergency medical ethics as a framework for emergency physician decisions and actions. It then considers the role of law and public policy in health care for UIs, including the Emergency Medical Treatment and Labor Act, the Patient Protection and Affordable Care Act, and current practices of the US Immigration and Customs Enforcement agency. The article concludes with discussion of the scope of emergency physician practice and with recommendations regarding best practices in ED care for UIs. John Wiley and Sons Inc. 2021-05-29 /pmc/articles/PMC8164497/ /pubmed/34095898 http://dx.doi.org/10.1002/emp2.12461 Text en © 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Ethics
Brenner, Jay M.
Blutinger, Erik
Ricke, Brandon
Vearrier, Laura
Kluesner, Nicholas H.
Moskop, John C.
Ethical issues in the access to emergency care for undocumented immigrants
title Ethical issues in the access to emergency care for undocumented immigrants
title_full Ethical issues in the access to emergency care for undocumented immigrants
title_fullStr Ethical issues in the access to emergency care for undocumented immigrants
title_full_unstemmed Ethical issues in the access to emergency care for undocumented immigrants
title_short Ethical issues in the access to emergency care for undocumented immigrants
title_sort ethical issues in the access to emergency care for undocumented immigrants
topic Ethics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8164497/
https://www.ncbi.nlm.nih.gov/pubmed/34095898
http://dx.doi.org/10.1002/emp2.12461
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