Correction: What ’s Good About Inclusion? An Ethical Analysis of the Ideal of Social Inclusion for People with Profound Intellectual and Multiple Disabilities
(Source: Health Care Analysis)
Source: Health Care Analysis - February 2, 2024 Category: Health Management Source Type: research
Health-Oriented Environmental Categories, Individual Health Environments, and the Concept of Environment in Public Health
AbstractThe term ‘environment’ is not uniformly defined in the public health sciences, which causes crucial inconsistencies in research, health policy, and practice. As we shall indicate, this is somewhat entangled with diverging pathogenic and salutogenic perspectives (research and policy priorities) concerning environmental health. We emphasise two distinct concepts of environment in use by the World Health Organisation. One significant way these concepts differ concerns whether the social environment is included. Divergence on this matter has profound consequences for the understanding of health and dis ease, for me...
Source: Health Care Analysis - January 29, 2024 Category: Health Management Source Type: research
Premature Death as a Normative Concept
AbstractThe practical goal of preventing premature death seems uncontroversial. But the term ‘premature death’ is vague with several, sometimes conflicting definitions. This ambiguity results in several conceptions with which not all will agree. Moreover, the normative rationale behind the goal of preventing premature deaths is masked by the operational definition of existing measures. In this article, we argue that ‘premature death’ should be recognized as a normative concept. We propose that normative theories should be used to justify measures of premature death to provide them with normative validity and public...
Source: Health Care Analysis - January 26, 2024 Category: Health Management Source Type: research
Women ’s and Provider’s Moral Reasoning About the Permissibility of Coercion in Birth: A Descriptive Ethics Study
AbstractEvidence shows that during birth women frequently experience unconsented care, coercion, and a loss of autonomy. For many countries, this contradicts both the law and medical ethics guidelines, which emphasize that competent and fully informed women ’s autonomy must always be respected. To better understand this discordance, we empirically describe perinatal maternity care providers’ and women’s moral deliberation surrounding coercive measures during birth. Data were obtained from 1-on-1 interviews with providers (N = 15) and women (N = 14), and a survey of women (N = 118). Analyses focused on an...
Source: Health Care Analysis - January 23, 2024 Category: Health Management Source Type: research
System's Crisis Resilience as a Societal Crisis: Knowledge Structure and Gaze of the Finnish Health Care System
AbstractThe crisis resilience of vital social systems is currently the target of constant development efforts in Finland, as their drifting into crisis would weaken societies ’ functional abilities, safety, and security. This is also the case regarding the Finnish health care system. In an attempt to move beyond existing frameworks of crisis imagination, this article takes an unconventional stance by elucidating endogenous crisis dynamics present in the Finnish health care system. Delphi process was conducted for top experts in Finnish health care and crisis management. With a dissensus-seeking orientation, our aim was t...
Source: Health Care Analysis - January 22, 2024 Category: Health Management Source Type: research
The Doctor-Patient Relationship, Partnership Theory, and the Patient as Partner: Finding a Balance Between Domination and Partnership
AbstractIt is perhaps most useful to approach the Doctor-Patient relationship (DPR) by admitting thatit ’s complicated. We review some of the strategies that have been employed to mitigate this complexity, zeroing in on one that promises to capture the main features of the DPR without eliminating some of its more important, existential components; pieces of the puzzle that must be retained if we are to avoidoversimplification and the errors that can arise by ignoring important foundational properties. We believe that a useful way to look at the DPR and to capture essential features that must be balanced in the process is...
Source: Health Care Analysis - January 20, 2024 Category: Health Management Source Type: research
The Lifeworld of the Complex Care Hospital Doctor: A Complex Adaptive Phenomenological Study
AbstractThe ever-increasing prevalence of chronic conditions over the last half century has gradually altered the demographic of patients admitted to acute care settings; environments traditionally associated with episodic care rather than chronic and complex healthcare. In consequence, the lifeworld of the hospital medical doctor often entails healthcare for a complex, multi-morbid, patient cohort. This paper examines the experience of providing complex healthcare in the pressurised and fast-paced acute care setting. Four medical doctors from two metropolitan health services were interviewed and their data were analysed u...
Source: Health Care Analysis - January 19, 2024 Category: Health Management Source Type: research
Flourishing, Mental Health Professionals and the Role of Normative Dialogue
AbstractThis paper explores the dilemma faced by mental healthcare professionals in balancing treatment of mental disorders with promoting patient well-being and flourishing. With growing calls for a more explicit focus on patient flourishing in mental healthcare, we address two inter-related challenges: the lack of consensus on defining positive mental health and flourishing, and how professionals should respond to patients with controversial views on what is good for them. We discuss the relationship dynamics between healthcare providers and patients, proposing that ‘liberal’ approaches can provide a pragmatic framew...
Source: Health Care Analysis - January 12, 2024 Category: Health Management Source Type: research
A Qualitative Research Survey on Cardiologist ’s Ethical Stance in Cases of Moral Dilemmas in Cardiology Clinics
This study sought to determine cardiologists ’ degrees of ethical awareness and preferred courses of action for ethical dilemmas frequently encountered in clinical settings. For this evaluation, an online survey was created and sent to cardiologists affiliated with various academic posts in Ankara, Turkey. The survey included ten cases with various ethical considerations selected from our book, “Clinic Ethics with Cases from Cardiology.” Four possible action choices were defined for each case. Participants were asked to choose one or more of these preferences. In addition, a fictional change was made in each case’s...
Source: Health Care Analysis - January 3, 2024 Category: Health Management Source Type: research
An Egalitarian Perspective on Information Sharing: The Example of Health Care Priorities
AbstractIn health care, the provision of pertinent information to patients is not just a moral imperative but also a legal obligation, often articulated through the lens of obtaining informed consent. Codes of medical ethics and many national laws mandate the disclosure of basic information about diagnosis, prognosis, and treatment alternatives. However, within publicly funded health care systems, other kinds of information might also be important to patients, such as insights into the health care priorities that underlie treatment offers made. While conventional perspectives do not take this as an obligatory part of the i...
Source: Health Care Analysis - December 30, 2023 Category: Health Management Source Type: research
The Effects of Introducing a Harm Threshold for Medical Treatment Decisions for Children in the Courts of England & amp; Wales: An (Inter)National Case Law Analysis
This article directly addresses these gaps, by first analysing reported cases in England& Wales about medical treatment in the context of a S31 order, thus using a harm threshold for triage and second comparing court decisions about medical treatment for children in England& Wales based on the best interest test with Dutch and German case law using a harm threshold. The investigation found that whilst no substantial increase of parental discretion can be expected an introduction of a harm threshold for triage would change litigation. In particular, cases in which harm is limited, currently only heard when there are...
Source: Health Care Analysis - December 18, 2023 Category: Health Management Source Type: research
What ’s Good About Inclusion? An Ethical Analysis of the Ideal of Social Inclusion for People with Profound Intellectual and Multiple Disabilities
This article addresses these questions by providing an ethical analysis of the ideal of social inclusion for people with PIMD. It discusses four ethical a rguments for social inclusion and probes their relevance for people with PIMD. The article argues that none of these arguments fully convince of the value of the narrow understanding of social inclusion for people with PIMD. It ends with advocating for an ethical space for imagining a good life for people with PIMD otherwise. (Source: Health Care Analysis)
Source: Health Care Analysis - December 11, 2023 Category: Health Management Source Type: research
Balancing Intellectual Property Protection and Legal Risk Assessment in Registration of Covid-19 Vaccines in Malaysia
AbstractThe seriousness of the COVID-19 pandemic requires a look into the implementation of drug registration rules for COVID-19 vaccines. Amidst the surrounding exigencies, vaccines being a biological product, require comprehensive and continuing pre and post registration rules to ensure their safety and efficacy. The study focuses on Malaysia which has rules on drug registration that have been successfully applied to vaccines. The study shows that the rules have been tailor-made to emergency situations. At the moment, special rules have been introduced including to allow use of COVID-19 vaccines as unregistered product. ...
Source: Health Care Analysis - December 1, 2023 Category: Health Management Source Type: research
Patient Knowledge and Trust in Health Care. A Theoretical Discussion on the Relationship Between Patients ’ Knowledge and Their Trust in Health Care Personnel in High Modernity
AbstractIn this paper we aim to discuss a theoretical explanation for the positive relationship between patients ’ knowledge and their trust in healthcare personnel. Our approach is based on John Dewey’s notion of continuity. This notion entails that the individual’s experiences are interpreted as interrelated to each other, and that knowledge is related to future experience, not merely a record of the p ast. Furthermore, we apply Niklas Luhmann’s theory on trust as a way of reducing complexity and enabling action. Anthony Giddens’ description and analysis of the high modern society provides a frame for discussin...
Source: Health Care Analysis - October 9, 2023 Category: Health Management Source Type: research
Sustainability as an Intrinsic Moral Concern for Solidaristic Health Care
AbstractEnvironmental pollution and greenhouse gas emissions that contribute to climate change have adverse impacts on global health. Somewhat paradoxically, health care systems that aim to prevent and cure disease are themselves major emitters and polluters. In this paper we develop a justification for the claim that solidaristic health care systems should include sustainability as one of the criteria for determining which health interventions are made available or reimbursed – and which not. There is however a complication: most adverse health effects due to climate change do occur elsewhere in the world. If solidarity...
Source: Health Care Analysis - September 4, 2023 Category: Health Management Source Type: research
