We Can Work it Out: The Importance of Rupture and Repair Processes in Infancy and Adult Life for Flourishing
Abstract
This paper argues that insights into infant emotional development, particularly the capacity to engage with rupture and repair, can be applied to the understanding and promotion of flourishing in later life, individually and socially. Starting with the Queen’s visit to the Republic of Ireland as an example of successful social repair after rupture that enables flourishing, the paper goes on to outline some relevant psychological theory that undergirds this. It then considers some of the practical relevance and problems that apply to rupture and repair in the contemporary world, particularly the...
Source: Health Care Analysis - February 5, 2016 Category: Health Management Source Type: research
Flourishing in Health Care
Abstract
The purpose of this paper is to offer an account of ‘flourishing’ that is relevant to health care provision, both in terms of the flourishing of the individual patient and carer, and in terms of the flourishing of the caring institution. It is argued that, unlike related concepts such as ‘happiness’, ‘well-being’ or ‘quality of life’, ‘flourishing’ uniquely has the power to capture the importance of the vulnerability of human being. Drawing on the likes of Heidegger and Nussbaum, it is argued that humans are at once beings who are autonomous and thereby capable of making sense...
Source: Health Care Analysis - February 4, 2016 Category: Health Management Source Type: research
Bioethics as a Governance Practice
Abstract
Bioethics can be considered as a topic, an academic discipline (or combination of disciplines), a field of study, an enterprise in persuasion. The historical specificity of the forms bioethics takes is significant, and raises questions about some of these approaches. Bioethics can also be considered as a governance practice, with distinctive institutions and structures. The forms this practice takes are also to a degree country specific, as the paper illustrates by drawing on the author’s UK experience. However, the UNESCO Universal Declaration on Bioethics can provide a starting point for comp...
Source: Health Care Analysis - January 7, 2016 Category: Health Management Source Type: research
Editorial: Advancing Debates in Health Care Analysis
(Source: Health Care Analysis)
Source: Health Care Analysis - January 6, 2016 Category: Health Management Source Type: research
How Medical Tourism Enables Preferential Access to Care: Four Patterns from the Canadian Context
Abstract
Medical tourism is the practice of traveling across international borders with the intention of accessing medical care, paid for out-of-pocket. This practice has implications for preferential access to medical care for Canadians both through inbound and outbound medical tourism. In this paper, we identify four patterns of medical tourism with implications for preferential access to care by Canadians: (1) Inbound medical tourism to Canada’s public hospitals; (2) Inbound medical tourism to a First Nations reserve; (3) Canadian patients opting to go abroad for medical tourism; and (4) Canadian pat...
Source: Health Care Analysis - January 2, 2016 Category: Health Management Source Type: research
Implantable Smart Technologies (IST): Defining the ‘Sting’ in Data and Device
Abstract
In a world surrounded by smart objects from sensors to automated medical devices, the ubiquity of ‘smart’ seems matched only by its lack of clarity. In this article, we use our discussions with expert stakeholders working in areas of implantable medical devices such as cochlear implants, implantable cardiac defibrillators, deep brain stimulators and in vivo biosensors to interrogate the difference facets of smart in ‘implantable smart technologies’, considering also whether regulation needs to respond to the autonomy that such artefacts carry within them. We discover that when smart techn...
Source: Health Care Analysis - December 8, 2015 Category: Health Management Source Type: research
Imagining Global Health with Justice: In Defense of the Right to Health
Abstract
The singular message in Global Health Law is that we must strive to achieve global health with justice—improved population health, with a fairer distribution of benefits of good health. Global health entails ensuring the conditions of good health—public health, universal health coverage, and the social determinants of health—while justice requires closing today’s vast domestic and global health inequities. These conditions for good health should be incorporated into public policy, supplemented by specific actions to overcome barriers to equity. A new global health treaty grounded in the r...
Source: Health Care Analysis - October 24, 2015 Category: Health Management Source Type: research
Genetic Transmission of Disease: A Legal Harm?
Abstract
This paper considers whether existing law could potentially be used to criminalize the transmission of genetic disease. The paper argues that even if an offence could be made out, the criminal law should not be involved in this context for many reasons, including the need to protect reproductive liberty and pregnant women’s rights. The paper also examines whether there might be scope for civil claims between reproductive partners for a ‘failure to warn’ of potential genetic harm and argues there are strong policy grounds for resisting such claims. If such a duty were to exist, there might, ...
Source: Health Care Analysis - October 23, 2015 Category: Health Management Source Type: research
Achieving Global Health and Justice: Practical and Philosophical Challenges
(Source: Health Care Analysis)
Source: Health Care Analysis - October 23, 2015 Category: Health Management Source Type: research
Towards Establishing Fiscal Legitimacy Through Settled Fiscal Principles in Global Health Financing
Abstract
Scholarship on international health law is currently pushing the boundaries while taking stock of achievements made over the past few decades. However despite the forward thinking approach of scholars working in the field of global health one area remains a stumbling block in the path to achieving the right to health universally: the financing of heath. This paper uses the book Global Health Law by Larry Gostin to reflect and take stock of the fiscal support provided to the right to health from both a global and an African perspective. It then sets out the key fiscal challenges facing global and ...
Source: Health Care Analysis - September 4, 2015 Category: Health Management Source Type: research
Potential International Approaches to Ownership/Control of Human Genetic Resources
Abstract
In its governance activities for genetic resources, the international community has adopted various approaches to their ownership, including: free access; common heritage of mankind; intellectual property rights; and state sovereign rights. They have also created systems which combine elements of these approaches. While governance of plant and animal genetic resources is well-established internationally, there has not yet been a clear approach selected for human genetic resources. Based on assessment of the goals which international governance of human genetic resources ought to serve, and...
Source: Health Care Analysis - August 22, 2015 Category: Health Management Source Type: research
Active Solidarity and Its Discontents
This article discusses the implications of deinstitutionalization for distributive justice. It is argued that the weakest among the weak and fragile stand to lose from this operation. For able bodied citizens deinstitutionalization entails a move from passive to active solidarity. Rather than just pay taxes they have to actively care for and help the needy themselves. The move from passive to active solidarity tends to take advantage of benevolent citizens and burden the socioeconomically disadvantaged. This may be a reason to reconsider the policy move toward deinstitutionalization. (Source: Health Care Analysis)
Source: Health Care Analysis - August 20, 2015 Category: Health Management Source Type: research
The Potential of the Imitation Game Method in Exploring Healthcare Professionals’ Understanding of the Lived Experiences and Practical Challenges of Chronically Ill Patients
Abstract
This paper explores the potential and relevance of an innovative sociological research method known as the Imitation Game for research in health care. Whilst this method and its potential have until recently only been explored within sociology, there are many interesting and promising facets that may render this approach fruitful within the health care field, most notably to questions about the experiential knowledge or ‘expertise’ of chronically ill patients (and the extent to which different health care professionals are able to understand this experiential knowledge). The Imitation Game ...
Source: Health Care Analysis - August 20, 2015 Category: Health Management Source Type: research
Patient Participation in Hospital Care: How Equal is the Voice of the Client Council?
Abstract
Patient participation in healthcare is highly promoted for democratic reasons. Older patients make up a large part of the hospital population but their voices are less easily heard by most patient participation instruments. The client council can be seen as an important medium to represent the interests of this increasing group of patients. Every Dutch healthcare institution is obliged to have a client council and its rights are legally established. This paper reports on a case study of a client council in a hospital and shows how equality as the core democratic value manifests itself in...
Source: Health Care Analysis - August 20, 2015 Category: Health Management Source Type: research
What is Patient-Centered Care? A Typology of Models and Missions
Abstract
Recently adopted health care practices and policies describe themselves as “patient-centered care.” The meaning of the term, however, remains contested and obscure. This paper offers a typology of “patient-centered care” models that aims to contribute to greater clarity about, continuing discussion of, and further advances in patient-centered care. The paper imposes an original analytic framework on extensive material covering mostly US health care and health policy topics over several decades. It finds that four models of patient-centered care emphasize: patients versus their parts; pa...
Source: Health Care Analysis - August 20, 2015 Category: Health Management Source Type: research
