Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective
- 1Robert Wood Johnson Foundation Clinical Scholars Program, Department of General Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
- 2Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA
- 3Division of Medical Ethics, Weill Medical College of Cornell University in Qatar, Doha, Qatar
- Correspondence to Dr Aasim I Padela, Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, 6312 Med Sci Bldg I, 1150 W. Med Center Dr, Ann Arbor, MI 48109-5604, USA;
- Received 1 June 2010
- Revised 3 September 2010
- Accepted 17 September 2010
- Published Online First 1 November 2010
As physicians encounter an increasingly diverse patient population, socioeconomic circumstances, religious values and cultural practices may present barriers to the delivery of quality care. Increasing cultural competence is often cited as a way to reduce healthcare disparities arising from value and cultural differences between patients and providers. Cultural competence entails not only a knowledge base of cultural practices of disparate patient populations, but also an attitude of adapting one's practice style to meet patient needs and values. Gender roles, relationship dynamics and boundaries are culture specific, and are frequently shaped by religious teachings. Consequently, religion may be conceptualised as a cultural repertoire, or dynamic tool-kit, by which members of a faith adapt and negotiate their identity in multicultural societies. The manner in which Islamic beliefs and values inform Muslim healthcare behaviours is relatively under-investigated. In an effort to explore the impact of Islam on the relationship between patients and providers, we present an Islamic bioethical perspective on cross-gender relations in the patient-doctor relationship. We will begin with a clinical scenario highlighting three areas of gender interaction that bear clinical relevance: dress code, seclusion of members of the opposite sex and physical contact. Next, we provide a brief overview of the foundations of Islamic law and ethical deliberation and then proceed to develop ethicolegal guidelines pertaining to gender relations within the medical context. At the end of this reflection, we offer some practice recommendations that are attuned to the cultural sensitivities of Muslim patient populations.
- gender relations
- religious ethics
- education for health care professionals
- moral and religious aspects
Funding Dr Padela's initial research for this work was funded by a travel grant through the International Medical Education Office at Weill Medical College of Cornell University. Subsequent time-effort was funded by the Robert Wood Johnson Foundation Clinical Scholars Program.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.