05/01/26

Diagnostic injustice. What is it, what are its sources, and what can we do about it?

Hofmann, Bjørn. Diagnosis (Berl).

Summary

Diagnostic excellence requires equitable diagnosis, yet unfairness in diagnostic processes remains comparatively underexamined. This ethical analysis and narrative review conceptualizes diagnostic injustice across five dimensions. Factors contributing to diagnostic injustice include uncertainty, prejudice, and biomedical dominance. The framework positions equity as a fundamental dimension of diagnostic excellence rather than a separate quality objective.
Hofmann B. Diagnostic injustice. What is it, what are its sources, and what can we do about it? Diagnosis (Berl). 2026;13(2):243-254.