Table 1.

Intersectional fact collection

Suggestion I – Intersectional fact collection

The collection of relevant clinical, social and legal facts is part of every CEC. Vo and Campelia [54] suggest noting how structural factors may play a role in each of these categories of facts to facilitate awareness of the pertinence of structural discrimination. Clinical ethics consultants may, as part of the standard procedure, ask questions such as  1. What role does the user’s social identity play?  2. Which power structures and systems of oppression are involved?  3. (How) may the conflict be related to structural discrimination? If possible, these questions may be considered together with the user, for example, with tools such as the Structural Vulnerability Assessment Tool, a tool recommended by MacDuffie and colleagues [59]. This assessment tool includes questions to assess the user’s financial security, residence, risk environments, food access, social network, legal status, education and previous experiences of discrimination. Another tool which allows to gather aspects of intersectional discrimination is the Intersectional Discrimination Index [60].