Is risk stratification ever the same as 'profiling'?

Journal of Medical Ethics
R Scott BraithwaiteArthur Caplan

Abstract

Physicians engage in risk stratification as a normative part of their professional duties. Risk stratification has the potential to be beneficial in many ways, and implicit recognition of this potential benefit underlies its acceptance as a cornerstone of the medical profession. However, risk stratification also has the potential to be harmful. We argue that 'profiling' is a term that corresponds to risk stratification strategies in which there is concern that ethical harms exceed likely or proven benefits. In the case of risk stratification for health goals, this would occur most frequently if benefits were obtained by threats to justice, autonomy or privacy. We discuss implications of the potential overlap between risk stratification and profiling for researchers and for clinicians, and we consider whether there are salient characteristics that make a particular risk stratification algorithm more or less likely to overlap with profiling, such as whether the risk stratification algorithm is based on voluntary versus non-voluntary characteristics, based on causal versus non-causal characteristics, or based on signifiers of historical disadvantage. We also discuss the ethical challenges created when a risk stratification scheme ...Continue Reading

References

Jan 1, 1993·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·W Knaus
Feb 7, 2001·Annual Review of Psychology·C N Macrae, G V Bodenhausen
Mar 14, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Marshall H Chin, Catherine A Humikowski
Jul 18, 2002·Nature Reviews. Drug Discovery·Amalia M Issa
Apr 8, 2003·The Journal of Bone and Joint Surgery. British Volume·Ann M MøllerAnne Munksgaard
Sep 10, 2003·Archives of Internal Medicine·David D Douglas
Feb 3, 2009·Lancet·Govind PersadEzekiel J Emanuel
Mar 17, 2009·American Journal of Preventive Medicine·Lionel S LimUNKNOWN ACPM Prevention Practice Committee
Apr 10, 2010·The American Journal of Bioethics : AJOB·John McMillan, Tony Hope
Nov 26, 2010·Circulation·Philip GreenlandUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Apr 16, 2011·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Yehuda HandelsmanUNKNOWN AACE Task Force for Developing Diabetes Comprehensive Care Plan
Jul 22, 2011·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians-Gynecologists
Jan 15, 2013·CA: a Cancer Journal for Clinicians·Richard WenderRobert A Smith
Sep 27, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Leah C BurnsGilbert L'italien
Jul 8, 2015·Journal of Social Work in Disability & Rehabilitation·Suzanne L Cross, Angelique G Day

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Citations

Feb 28, 2016·Journal of Medical Ethics·Kasper Lippert-Rasmussen
Jul 30, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·C J SampsonS P Harding
Oct 27, 2017·Healthcare·Rachel L RossDavid A Dorr
Nov 12, 2019·Frontiers in Big Data·Murat Sariyar, Irene Schlünder

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