Evidence map›Paper›PMID 31560623›Full record

ArticleThe Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics2019

Prenatal Care for Undocumented Immigrants: Professional Norms, Ethical Tensions, and Practical Workarounds.

Rachel E Fabi, Holly A Taylor

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Rachel E FabiRachel E. Fabi, Ph.D., is an Assistant Professor at the Center for Bioethics and Humanities at SUNY Upstate Medical University in Syracuse, NY. She received her B.A. from Yale University in New Haven, CT, and her Ph.D. in health policy and management with a concentration in bioethics from the Johns Hopkins Bloomberg School of Public Health in Baltimore, MD. Dr. Fabi works at the intersection of bioethics and public health policy, and her research focuses on access to health care for non-citizens. Holly A. Taylor, Ph.D., M.P.H., was Associate Professor in the Department of Health Policy and Management (HPM), Bloomberg School of Public Health and Core Faculty member of the Johns Hopkins Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD when this work was completed. Dr. Taylor received her B.A. from Stanford University, her M.P.H. from the School of Public Health at the University of Michigan and her Ph.D. in health policy with a concentration in bioethics from the Bloomberg School of Public Health, Johns Hopkins University. Dr. Taylor is trained as a social scientist and uses both qualitative and quantitative methods to explore topics in the ethics of human subject research and ethical considerations in public health approaches to infectious disease.
Holly A TaylorRachel E. Fabi, Ph.D., is an Assistant Professor at the Center for Bioethics and Humanities at SUNY Upstate Medical University in Syracuse, NY. She received her B.A. from Yale University in New Haven, CT, and her Ph.D. in health policy and management with a concentration in bioethics from the Johns Hopkins Bloomberg School of Public Health in Baltimore, MD. Dr. Fabi works at the intersection of bioethics and public health policy, and her research focuses on access to health care for non-citizens. Holly A. Taylor, Ph.D., M.P.H., was Associate Professor in the Department of Health Policy and Management (HPM), Bloomberg School of Public Health and Core Faculty member of the Johns Hopkins Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD when this work was completed. Dr. Taylor received her B.A. from Stanford University, her M.P.H. from the School of Public Health at the University of Michigan and her Ph.D. in health policy with a concentration in bioethics from the Bloomberg School of Public Health, Johns Hopkins University. Dr. Taylor is trained as a social scientist and uses both qualitative and quantitative methods to explore topics in the ethics of human subject research and ethical considerations in public health approaches to infectious disease.
Johns Hopkins Berman Institute of Bioethics · US

Funding

Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

This paper examines the practice implications of various state policies that provide publicly funded prenatal care to undocumented immigrants for health care workers who see undocumented patients. Data were collected through in-depth interviews with purposively sampled health care workers at safety net clinics in California, Maryland, Nebraska, and New York. Health care workers were asked about the process through which undocumented patients receive prenatal care in their health center and the ethical tensions and frustrations they encounter when providing or facilitating this care under policy restrictions. Respondents discussed several professional practice norms as well as the ethical tensions they encountered when policy or institutional constraints prevented them from living up to professional norms. Using Nancy Berlinger's "workarounds" framework, this paper examines health care workers' responses to the misalignment of their professional norms and the policy restrictions in their state. These findings suggest that the prenatal policies in each state raise ethical and professional challenges for the health care workers who implement them.

Indexed as

AdultCaliforniaFemaleFinancing, GovernmentHealth PersonnelHealth PolicyHumansMaleMarylandMiddle AgedNebraskaNew YorkPregnancyPrenatal CareSafety-net ProvidersState Government

Identifiers

PMID31560623
PMCPMC10119784
OpenAlexW2976084623

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.