An Ethics-informed, Policy-based Approach to the Management of Challenges Posed by Living-at-Risk, Frequent Users of Emergency Departments

Canadian Journal of Bioethics / Revue canadienne de bioéthique 6 (1):44-55 (2023)
  Copy   BIBTEX

Abstract

The complex health and social circumstances of living-at-risk, frequent users of emergency departments (aREDFUs) in the health jurisdictions of high-income countries, and the related, significant challenges posed for emergency departments and the health care providers working within them, are identified and explored in the paper. Ethical analyses of a set of relevant domains are performed, i.e., individual and relational autonomy considerations, relevant social construction and personal responsibility conceptions, patient welfare principles (beneficence, nonmaleficence, continuity of care), harm reduction methodologies and their applications, health equity, and justice considerations of the distributive, formal and social types. The outcomes of these analyses demonstrate that there are ethically compelling reasons for emergency departments to adopt an ethics-informed, policy-based approach to the longitudinal care and management of living-at-risk, frequent users of emergency departments. From a formal justice perspective, the development and uses of such an approach are justified by a demonstrable relevant difference between living-at-risk, frequent users of emergency departments and other persons and groups of patients who visit emergency departments. We propose an example of such a policy-based approach. Examples of possible, pragmatic applications of this approach, which help ensure that aREDFUs who present to the ED are managed in a fair and optimally consistent manner, are provided for the consideration of an urban emergency department’s policymaking working group.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 89,654

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Moral Responsibility for Systemic Financial Risk.Jakob Moggia - 2019 - Journal of Business Ethics 169 (3):461-473.
On the Very Idea of Risk Management: Lessons from the Space Shuttle Challenger.Robert Allinson - 2012 - In Risk Management - Current Issues and Challenges. pp. 133-154.
The Mismarriage of Personal Responsibility and Health.Greg Bognar - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (2):196-204.
Risk Management, Real Options, Corporate Social Responsibility.Bryan W. Husted - 2005 - Journal of Business Ethics 60 (2):175-183.

Analytics

Added to PP
2023-04-20

Downloads
7 (#1,189,325)

6 months
7 (#173,494)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references