Results for ' Healthcare'

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  1. The limits of empowerment: how to reframe the role of mHealth tools in the healthcare ecosystem.Jessica Morley & Luciano Floridi - 2020 - Science and Engineering Ethics 26 (3):1159-1183.
    This article highlights the limitations of the tendency to frame health- and wellbeing-related digital tools (mHealth technologies) as empowering devices, especially as they play an increasingly important role in the National Health Service (NHS) in the UK. It argues that mHealth technologies should instead be framed as digital companions. This shift from empowerment to companionship is advocated by showing the conceptual, ethical, and methodological issues challenging the narrative of empowerment, and by arguing that such challenges, as well as the risk (...)
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  2. Empowerment or Engagement? Digital Health Technologies for Mental Healthcare.Christopher Burr & Jessica Morley - 2020 - In Christopher Burr & Silvia Milano (eds.), The 2019 Yearbook of the Digital Ethics Lab. Springer Nature. pp. 67-88.
    We argue that while digital health technologies (e.g. artificial intelligence, smartphones, and virtual reality) present significant opportunities for improving the delivery of healthcare, key concepts that are used to evaluate and understand their impact can obscure significant ethical issues related to patient engagement and experience. Specifically, we focus on the concept of empowerment and ask whether it is adequate for addressing some significant ethical concerns that relate to digital health technologies for mental healthcare. We frame these concerns using (...)
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  3.  31
    Green bioethics, patient autonomy and informed consent in healthcare.David B. Resnik & Jonathan Pugh - 2024 - Journal of Medical Ethics 50 (7):489-493.
    Green bioethics is an area of research and scholarship that examines the impact of healthcare practices and policies on the environment and emphasises environmental values, such as ecological sustainability and stewardship. Some green bioethicists have argued that healthcare providers should inform patients about the environmental impacts of treatments and advocate for options that minimise adverse impacts. While disclosure of information pertaining to the environmental impacts of treatments could facilitate autonomous decision-making and strengthen the patient–provider relationship in situations where (...)
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  4.  23
    Rationing, Responsibility and Blameworthiness: An Ethical Evaluation of Responsibility-Sensitive Policies for Healthcare Rationing.Xavier Symons & Reginald Chua - 2021 - Kennedy Institute of Ethics Journal 31 (1):53-76.
    Several ethicists have defended the use of responsibility-based criteria in healthcare rationing. Yet in this article we outline two challenges to the implementation of responsibility-based healthcare rationing policies. These two challenges are, namely, that responsibility for past behavior can diminish as an agent changes, and that blame can come apart from responsibility. These challenges suggest that it is more difficult to hold someone responsible for health related actions than proponents of responsibility-sensitive healthcare policies suggest. We close by (...)
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  5.  41
    Automated opioid risk scores: a case for machine learning-induced epistemic injustice in healthcare.Giorgia Pozzi - 2023 - Ethics and Information Technology 25 (1):1-12.
    Artificial intelligence-based (AI) technologies such as machine learning (ML) systems are playing an increasingly relevant role in medicine and healthcare, bringing about novel ethical and epistemological issues that need to be timely addressed. Even though ethical questions connected to epistemic concerns have been at the center of the debate, it is going unnoticed how epistemic forms of injustice can be ML-induced, specifically in healthcare. I analyze the shortcomings of an ML system currently deployed in the USA to predict (...)
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  6.  53
    Hope and Patients’ Expectations in Deep Brain Stimulation: Healthcare Providers’ Perspectives and Approaches.Emily Bell, Bruce Maxwell, Mary Pat McAndrews, Abbas Sadikot & Eric Racine - 2010 - Journal of Clinical Ethics 21 (2):112-124.
    In this article we report relevant data that shed light on the topic of hope and patients’ expectations in the use of DBS, for standard, approved, and established indications, based on a broader qualitative study on the ethical and social challenges that healthcare providers face in the field of DBS.
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  7.  11
    Health Literacy, Health Inequality and a Just Healthcare System.Angelo E. Volandes - 2007 - American Journal of Bioethics 7 (11):5-10.
    Limited health literacy is a pervasive and independent risk factor for poor health outcomes. Despite decades of reports exhibiting that the healthcare system is overly complex, unneeded complexity remains commonplace and endangers the lives of patients, especially those with limited health literacy. In this article, we define health literacy and describe the empirical evidence associating health literacy and poor health outcomes. We recast the issue of poor health literacy from within the ethical perspective of the least well-off and argue (...)
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  8. What Counts as “Clinical Data” in Machine Learning Healthcare Applications?Joshua August Skorburg - 2020 - American Journal of Bioethics 20 (11):27-30.
    Peer commentary on Char, Abràmoff & Feudtner (2020) target article: "Identifying Ethical Considerations for Machine Learning Healthcare Applications" .
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  9.  50
    Ethical challenges when using coercion in mental healthcare: A systematic literature review.Marit Helene Hem, Elisabeth Gjerberg, Tonje Lossius Husum & Reidar Pedersen - 2018 - Nursing Ethics 25 (1):92-110.
    Background:To better understand the kinds of ethical challenges that emerge when using coercion in mental healthcare, and the importance of these ethical challenges, this article presents a systematic review of scientific literature.Methods:A systematic search in the databases MEDLINE, PsychInfo, Cinahl, Sociologicals and Web of Knowledge was carried out. The search terms derived from the population, intervention, comparison/setting and outcome. A total of 22 studies were included.Ethical considerations:The review is conducted according to the Vancouver Protocol.Results:There are few studies that study (...)
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  10.  19
    Multi Scale Ethics—Why We Need to Consider the Ethics of AI in Healthcare at Different Scales.Melanie Smallman - 2022 - Science and Engineering Ethics 28 (6):1-17.
    Many researchers have documented how AI and data driven technologies have the potential to have profound effects on our lives—in ways that make these technologies stand out from those that went before. Around the world, we are seeing a significant growth in interest and investment in AI in healthcare. This has been coupled with rising concerns about the ethical implications of these technologies and an array of ethical guidelines for the use of AI and data in healthcare has (...)
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  11.  24
    The limited impact of indeterminacy for healthcare rationing: how indeterminacy problems show the need for a hybrid theory, but nothing more.Anders Herlitz - 2016 - Journal of Medical Ethics 42 (1):22-25.
    A notorious debate in the ethics of healthcare rationing concerns whether to address rationing decisions with substantial principles or with a procedural approach. One major argument in favour of procedural approaches is that substantial principles are indeterminate so that we can reasonably disagree about how to apply them. To deal with indeterminacy, we need a just decision process. In this paper I argue that it is a mistake to abandon substantial principles just because they are indeterminate. It is true (...)
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  12.  34
    Legal Briefing: The Unbefriended: Making Healthcare Decisions for Patients Without Surrogates (Part 2).Thaddeus Pope & Tanya Sellers - 2012 - Journal of Clinical Ethics 23 (2):177-192.
    This issue’s “Legal Briefing” column continues coverage of recent legal developments involving medical decision making for unbefriended patients. These patients have neither decision-making capacity nor a reasonably available surrogate to make healthcare decisions on their behalf. This topic has been the subject of recent articles in JCE. It has been the subject of major policy reports. Indeed, caring for the unbefriended has even been described as the “single greatest category of problems” encountered in bioethics consultation. Moreover, the scope of (...)
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  13.  57
    Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):28-36.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was (...)
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  14.  28
    The importance of being pregnant: On the healthcare need for uterus transplantation.Lars Sandman - 2018 - Bioethics 32 (8):519-526.
    Researchers have recently provided proof of concept for uterus transplantation, giving rise to a discussion about priority setting. This article analyses whether absolute uterine‐factor infertility (AUFI), the main indication for uterus transplantation, gives rise to a healthcare need and the extent to which such a need places justified claims on public funding in a needs‐based welfare system. It is argued that, regardless of the concept of health to which one subscribes, there is a healthcare need for uterus transplantation (...)
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  15.  36
    Epistemic solidarity in medicine and healthcare.Mirjam Pot - 2022 - Medicine, Health Care and Philosophy 25 (4):681-692.
    In this article, I apply the concept of solidarity to collective knowledge practices in healthcare. Generally, solidarity acknowledges that people are dependent on each other in many respects, and it captures those support practices that people engage in out of concern for others in whom they recognise a relevant similarity. Drawing on the rich literature on solidarity in bioethics and beyond, this article specifically discusses the role that epistemic solidarity can play in healthcare. It thus focuses, in particular, (...)
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  16.  62
    The Intensity and Frequency of Moral Distress Among Different Healthcare Disciplines.S. Houston, M. A. Casanova, M. Leveille, K. L. Schmidt, S. A. Barnes, K. R. Trungale & R. L. Fine - 2013 - Journal of Clinical Ethics 24 (2):98-112.
    IntroductionThe objectives of this study are to assess and compare differences in the intensity, frequency, and overall severity of moral distress among a diverse group of healthcare professionals.MethodsParticipants from within Baylor Health Care System completed an online seven-point Likert scale (range, 0 to 6) moral distress survey containing nine core clinical scenarios and additional scenarios specific to each participant’s discipline. Higher scores reflected greater intensity and/or frequency of moral distress.ResultsMore than 2,700 healthcare professionals responded to the survey (response (...)
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  17.  35
    A clear case for conscience in healthcare practice.Giles Birchley - 2012 - Journal of Medical Ethics 38 (1):13-17.
    The value of conscience in healthcare ethics is widely debated. While some sources present it as an unquestionably positive attribute, others question both the veracity of its decisions and the effect of conscientious objection on patient access to health care. This paper argues that the right to object conscientiously should be broadened, subject to certain previsos, as there are many benefits to healthcare practice in the development of the consciences of practitioners. While effects such as the preservation of (...)
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  18.  23
    Patients' participation in decision‐making in the medical field – ‘projectification’ of patients in a neoliberal framed healthcare system.Stinne Glasdam, Christine Oeye & Lars Thrysoee - 2015 - Nursing Philosophy 16 (4):226-238.
    This article focuses on patients' participation in decision‐making in meetings with healthcare professionals in a healthcare system, based on neoliberal regulations and ideas. Drawing on two constructed empirical cases, primarily from the perspective of patients, this article analyses and discusses the clinical practice around decision‐making meetings within a Foucauldian perspective. Patients' participation in decision‐making can be seen as an offshoot of respect for patient autonomy. A treatment must be chosen, when patients consult physicians. From the perspective of patients, (...)
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  19.  45
    When must a patient seek healthcare? Bringing the perspectives of islamic jurists and clinicians into dialogue.Omar Qureshi & Aasim I. Padela - 2016 - Zygon 51 (3):592-625.
    Muslim physicians and Islamic jurists analyze the moral dimensions of biomedicine using different tools and processes. While the deliberations of these two classes of experts involve judgments about the deliverables of the other's respective fields, Islamic jurists and Muslim physicians rarely engage in discussions about the constructs and epistemic frameworks that motivate their analyses. The lack of dialogue creates gaps in knowledge and leads to imprecise guidance. In order to address these discursive and conceptual gaps we describe the sources of (...)
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  20.  81
    Business Ethics, Stakeholder Theory, and the Ethics of Healthcare Organizations.Patricia H. Werhane - 2000 - Cambridge Quarterly of Healthcare Ethics 9 (2):169-181.
    Until recently, business issues in healthcare organizations were relatively insulated from clinical issues, for several reasons. The hospital at earlier stages of its development operated on a combination of charitable and equitable premises, allowing for providing care to be separated from financial support. Physicians, who were primarily responsible for clinical care, constituted an independent power nexus within the hospital and were governed by their own professional codes of ethics. In exchange for a great deal of control over their conditions (...)
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  21.  71
    Vulnerability, Harm, and Compromised Ethics Revealed by the Experiences of Queer Birthing Women in Rural Healthcare.Sylvia Burrow, Lisa Goldberg, Jennifer Searle & Megan Aston - 2018 - Journal of Bioethical Inquiry 15 (4):511-524.
    Phenomenological interviews with queer women in rural Nova Scotia reveal significant forms of trauma experienced during labour and birth. Situating the accounts of participants within both phenomenological and intersectional analyses reveals harms enabled by structurally embedded heteronormative and homophobic healthcare practices and policies. Our account illustrates the breadth and depth of harm experienced and outlines how these violate core ethical principles and values in healthcare.
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  22.  75
    Medical Information Commons to Support Learning Healthcare Systems: Examples From Canada.Tania Bubela, Shelagh K. Genuis, Naveed Z. Janjua, Mel Krajden, Nicole Mittmann, Katerina Podolak & Lawrence W. Svenson - 2019 - Journal of Law, Medicine and Ethics 47 (1):97-105.
    We explore how principles predicting the success of a medical information commons advantaged or disadvantaged three MIC initiatives in three Canadian provinces. Our MIC case examples demonstrate that practices and policies to promote access to and use of health information can help improve individual healthcare and inform a learning health system. MICs were constrained by heterogenous health information protection laws across jurisdictions and risk-averse institutional cultures. A networked approach to MICs would unlock even more potential for national and international (...)
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  23.  44
    Acceptable attitudes and the limits of tolerance: Understanding public attitudes to conscientious objection in healthcare.Astrid Haaland Barlaup, Åse Elise Landsverk, Bjørn Kåre Myskja, Magne Supphellen & Morten Magelssen - 2019 - Clinical Ethics 14 (3):115-121.
    BackgroundThe public’s attitudes to conscientious objection are likely to influence political decisions about CO and trust towards healthcare systems and providers. Few studies examine the pub...
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  24.  27
    Ethical and moral considerations of (patient) centredness in nursing and healthcare: Navigating uncharted waters.Deanne J. O'Rourke, Genevieve N. Thompson & Diana E. McMillan - 2019 - Nursing Inquiry 26 (3):e12284.
    This discussion paper aims to explore potential ethical and moral implications of (patient) centredness in nursing and healthcare. Healthcare is experiencing a philosophical shift from a perspective where the health professional is positioned as the expert to one that re‐centres care and service provision central to the needs and desires of the persons served. This centred approach to healthcare delivery has gained a moral authority as the right thing to do. However, little attention has been given to (...)
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  25.  26
    The chiaroscuro of accountability in the second edition of the Core Competencies for Healthcare Ethics Consultation.Lisa Rasmussen - 2013 - Journal of Clinical Ethics 24 (1):32-40.
    “Chiaroscuro” is a art technique that makes use of light and shade to suggest depth and solidity on a flat surface. I argue that the standards regarding accountability in the second edition of the Core Competencies for Healthcare Ethics Consultation , are chiaroscuro, because, despite the offered lists of competencies, it is very difficult to imagine how consultants might be held accountable to such standards. It is not clear to which of the many suggested standards a consultant should be (...)
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  26.  43
    The Ethics of Algorithms in Healthcare.Christina Oxholm, Anne-Marie S. Christensen & Anette S. Nielsen - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (1):119-130.
    The amount of data available to healthcare practitioners is growing, and the rapid increase in available patient data is becoming a problem for healthcare practitioners, as they are often unable to fully survey and process the data relevant for the treatment or care of a patient. Consequently, there are currently several efforts to develop systems that can aid healthcare practitioners with reading and processing patient data and, in this way, provide them with a better foundation for decision-making (...)
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  27.  42
    Robot use self-efficacy in healthcare work : development and validation of a new measure.Tuuli Turja, Teemu Rantanen & Atte Oksanen - 2019 - AI and Society 34 (1):137-143.
    The aim of this study was to develop and validate a measure of robot use self-efficacy in healthcare work based on social cognitive theory and the theory of planned behavior. This article provides a briefing on technology-specific self-efficacy and discusses the development, validation, and implementation of an instrument that measures care workers’ self-efficacy in working with robots. The validity evaluation of the Finnish-language measure was based on representative survey samples gathered in 2016. The respondents included practical and registered nurses, (...)
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  28.  35
    Relational Capacity: Broadening the Notion of Decision-Making Capacity in Paediatric Healthcare.Bernice Elger, Tenzin Wangmo, Eva Clercq & Katharina Ruhe - 2016 - Journal of Bioethical Inquiry 13 (4):515-524.
    Problems arise when applying the current procedural conceptualization of decision-making capacity to paediatric healthcare: Its emphasis on content-neutrality and rational cognition as well as its implicit assumption that capacity is an ability that resides within a person jeopardizes children’s position in decision-making. The purpose of the paper is to challenge this dominant account of capacity and provide an alternative for how capacity should be understood in paediatric care. First, the influence of developmental psychologist Jean Piaget upon the notion of (...)
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  29.  71
    Patient autonomy and choice in healthcare: self-testing devices as a case in point.Anna-Marie Greaney, Dónal P. O’Mathúna & P. Anne Scott - 2012 - Medicine, Health Care and Philosophy 15 (4):383-395.
    This paper aims to critique the phenomenon of advanced patient autonomy and choice in healthcare within the specific context of self-testing devices. A growing number of self-testing medical devices are currently available for home use. The premise underpinning many of these devices is that they assist individuals to be more autonomous in the assessment and management of their health. Increased patient autonomy is assumed to be a good thing. We take issue with this assumption and argue that self-testing provides (...)
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  30.  38
    Classical Distributive Justice and the European Healthcare System: Rethinking the Foundations of European Health Care in an Age of Crises.Stéphane Bauzon - 2015 - Journal of Medicine and Philosophy 40 (2):190-200.
    The state subvention and distribution of health care not only jeopardize the financial sustainability of the state, but also restrict without a conclusive rational basis the freedom of patients to decide how much health care and of what quality is worth what price. The dominant biopolitics of European health care supports a healthcare monopoly in the hands of the state and the medical profession, which health care should be opened to the patient’s authority to deal directly for better basic (...)
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  31. ‘In the future, as robots become more widespread’. A phenomenological approach to imaginary technologies in healthcare organisations.Jaana Parviainen & Anne Koski - 2023 - In François-Xavier de Vaujany, Jeremy Aroles & Mar Pérezts (eds.), The Oxford Handbook of Phenomenologies and Organization Studies. Oxford: Oxford University Press. pp. 277–296.
    This chapter discusses imaginary technologies that do not exist yet but are expected to be implemented in clinical work in the near future. Adopting a phenomenological view on the politics of organizational time, we illuminate how the rhetoric of futurity and protentional anticipation dominate managerial acts in healthcare organizations. This future-oriented management includes strategies of risk assessment, investments in emerging technologies, and other actions to reduce external uncertainty and move towards an enhanced capacity to cope with potential challenges. However, (...)
     
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  32.  25
    Are patients receiving enough information about healthcare rationing? A qualitative study.A. Owen-Smith, J. Coast & J. Donovan - 2010 - Journal of Medical Ethics 36 (2):88-92.
    Background There is broad international agreement from clinicians and academics that healthcare rationing should be undertaken as explicitly as possible, and the BMA have publicly supported the call for more accountable priority setting for some time. However, studies in the UK and elsewhere suggest that clinicians experience a number of barriers to rationing openly, and the information needs of patients at the point of provision are largely unknown. Methodology In-depth interviews were undertaken with NHS professionals working at the community (...)
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  33.  33
    Levinas's ethics as a basis of healthcare – challenges and dilemmas.Birgit Nordtug - 2015 - Nursing Philosophy 16 (1):51-63.
    Levinas's ethics has in the last decades exerted a significant influence on Nursing and Caring Science. The core of Levinas's ethics – his analyses of how our subjectivity is established in the ethical encounter with our neighbour or the Other – is applied both to healthcare practice and in the project of building an identity of Nursing and Caring Science. Levinas's analyses are highly abstract and metaphysical, and also non‐normative. Thus, his analyses cannot be applied directly to practical problems (...)
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  34.  17
    FlexPersonas: flexible design of IoT-based home healthcare systems targeted at the older adults.Vinícius P. Gonçalves, Geraldo P. R. Filho, Leandro Y. Mano & Rodrigo Bonacin - forthcoming - AI and Society:1-19.
    The advance in Internet of Things technology has increased the opportunities for a healthcare system design, which is an urgent need owing to the growth in population among the older adults in many countries. This requires giving thought to the kind of innovative technological design methods that can find suitable solutions for home care. The application of Health Smart Homes by means of the technologies of the Internet of Things, can be used to support rehabilitation treatment and help the (...)
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  35.  24
    Well‐being and dignity in innovative digitally‐led healthcare for aged adults.Moonika Raja & Lisbeth Uhrenfeldt - 2024 - Nursing Philosophy 25 (2):e12479.
    Dignity is a central value in care for aged adults, and it must be protected and respected. With demographic changes leading to an aging population, health ministries are increasingly investing in digitalization. However, using unfamiliar digital technology can be challenging and thus impact aged adults' dignity and well‐being. The INNOVATEDIGNITY project aims to research new, dignified ways of engaging with aged adults to shape digital developments in care delivery. This qualitative study aimed to explore how innovative digitally‐led healthcare have (...)
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  36.  25
    Self‐care as care left undone? The ethics of the self‐care agenda in contemporary healthcare policy.Anna-Marie Greaney & Sinead Flaherty - 2020 - Nursing Philosophy 21 (1):e12291.
    Self‐care, or self‐management, is presented in healthcare policy as a precursor to patient empowerment and improved patient outcomes. Alternatively, critiques of the self‐care agenda suggest that it represents an over‐reliance on individual autonomy and responsibility, without adequate support, whereby ‘self‐care’ is potentially unachievable and becomes ‘care left undone’. In this sense, self‐care contributes to a blame culture where ill‐health is attributed to personal behaviours or lack thereof. Furthermore, self‐care may represent a covert form of rationing, as the fiscal means (...)
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  37. Argumentation and risk communication about genetic testing: Challenges for healthcare consumers and implications for computer systems.Nancy L. Green - 2012 - Journal of Argumentation in Context 1 (1):113-129.
    As genetic testing for the presence of potentially health-affecting mutations becomes available for more genetic conditions, many people will soon be faced with the decision of whether or not to have a genetic test. Making an informed decision requires an understanding and evaluation of the arguments for and against having the test. As a case in point, this paper considers argumentation involving the decision of whether to have a BRCA gene test, one of the first commercially available genetic tests. First, (...)
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  38.  15
    Ethical Aspects of Machine Listening in Healthcare.Austin M. Stroud, Joel E. Pacyna & Richard R. Sharp - 2023 - American Journal of Bioethics 23 (5):1-3.
    Good listening is an essential element in the provision of quality healthcare (Attree 2001). Good listening also supports accurate diagnosis, patient adherence to medical recommendations, and stron...
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  39.  37
    Austerity and Professionalism: Being a Good Healthcare Professional in Bad Conditions.John Owens, Guddi Singh & Alan Cribb - 2019 - Health Care Analysis 27 (3):157-170.
    In this paper we argue that austerity creates working conditions that can undermine professionalism in healthcare. We characterise austerity in terms of overlapping economic, social and ethical dimensions and explain how these can pose significant challenges for healthcare professionals. Amongst other things, austerity is detrimental to healthcare practice because it creates shortages of material and staff resources, negatively affects relationships and institutional cultures, and creates increased burdens and pressures for staff, not least as a result of deteriorating (...)
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  40.  12
    Die Another Day: The Obstacles Facing Fat People in Accessing Quality Healthcare.Cat Pausé - 2014 - Narrative Inquiry in Bioethics 4 (2):135-141.
    In this issue of Narrative Inquiries in Bioethics, fat individuals share their healthcare experiences. Through reading the narratives, it becomes clear that access to proper healthcare is often blocked for fat patients by a variety of things, including shame and fat stigma. From physical spaces in which they do not fit, to doctors who diagnose all of their problems as ‘fat’, similar themes are echoed across the stories. And common are the refrains for better treatment, less shame, and (...)
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  41.  24
    Personal factors affecting ethical performance in healthcare workers during disasters and mass casualty incidents in Iran: a qualitative study.Mehrzad Kiani, Mohsen Fadavi, Hamidreza Khankeh & Fariba Borhani - 2017 - Medicine, Health Care and Philosophy 20 (3):343-351.
    In emergencies and disasters, ethics are affected by both personal and organizational factors. Given the lack of organizational ethical guidelines in the disaster management system in Iran, the present study was conducted to explain the personal factors affecting ethics and ethical behaviors among disaster healthcare workers. The present qualitative inquiry was conducted using conventional content analysis to analyze the data collected from 21 in-depth unstructured interviews with healthcare workers with an experience of attending one or more fields of (...)
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  42.  67
    Nursing strikes: An ethical perspective on the US healthcare community.Paul Neiman - 2011 - Nursing Ethics 18 (4):596-605.
    Recent labor disputes between registered nurses and hospitals in Minnesota, California, and Pennsylvania raise moral questions about nurses’ professional obligations, nurses’ right to collectively bargain to preserve or improve wages, benefits, and working conditions, and patients’ right to medical care. Deontology and consequentialism focus too narrowly on nurses and patients, and thus ignore the nature of the healthcare community as a system of competing interests. When considered in this context, nurses’ strikes are shown to be consistent with this system (...)
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  43.  12
    Being a patient among other patients: Refugees' political inclusion through the Austrian solidarity‐based healthcare system.Wanda Spahl - 2022 - Bioethics 37 (2):120-129.
    This paper is an empirical study of what solidarity in a Western European healthcare system means today. Drawing upon empirical research on the 2015 refugee cohort's health needs and their health-seeking behaviour, it unites claims from the literature on solidarity in the fields of migration and healthcare. I argue that the Austrian healthcare system not only is an example of ‘civic solidarity’ in the form of institutionalised obligations to citizens but that it also enacts political forms of (...)
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  44.  15
    Reflective disequilibrium: a critical evaluation of the complete lives framework for healthcare rationing.Xavier Symons - 2021 - Journal of Medical Ethics 47 (2):108-112.
    One prominent view in recent literature on resource allocation is Persad, Emanuel and Wertheimer’s complete lives framework for the rationing of lifesaving healthcare interventions (CLF). CLF states that we should prioritise the needs of individuals who have had less opportunity to experience the events that characterise a complete life. Persadet alargue that their system is the product of a successful process of reflective equilibrium—a philosophical methodology whereby theories, principles and considered judgements are balanced with each other and revised until (...)
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  45.  32
    Respect for persons and the allocation of lifesaving healthcare resources.Xavier Symons - 2021 - Bioethics 35 (5):392-399.
    Many ethicists argue that we should respect persons when we distribute resources. Yet it is unclear what this means in practice. For some, the idea of respect for persons is synonymous with the idea of respect for autonomy. Yet a principle of respect for autonomy provides limited guidance for how we should distribute scarce medical interventions. In this article, however, I sketch an alternative conception of respect for persons—one that is based on an ethic of mutual accountability. I draw in (...)
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  46.  9
    Why conscience matters: a defence of conscientious objection in healthcare.Xavier Symons - 2022 - New York: Routledge, Taylor & Francis Group.
    The book provides a detailed introduction to a major debate in bioethics, as well as a rigorous account of the role of conscience in professional decision-making. Exploring the role of conscience in healthcare practice, this book offers fresh counterpoints to recent calls to ban or severely restrict conscience objection. It provides a detailed philosophical account of the nature and moral import of conscience, and defends a prima facie right to conscientious objection for healthcare professionals. The book also has (...)
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  47.  20
    An Evaluation of the Pipeline Framework for Ethical Considerations in Machine Learning Healthcare Applications: The Case of Prediction from Functional Neuroimaging Data.Dawson J. Overton - 2020 - American Journal of Bioethics 20 (11):56-58.
    The pipeline framework for identifying ethical issues in machine learning healthcare applications outlined by Char et al. is a very useful starting point for the systematic consideration...
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  48.  21
    Implementation challenges for an ethical introduction of noninvasive prenatal testing: a qualitative study of healthcare professionals’ views from Lebanon and Quebec.Vardit Ravitsky, Labib Ghulmiyyah, Gilles Bibeau, Anne-Marie Laberge, Meredith Vanstone & Hazar Haidar - 2020 - BMC Medical Ethics 21 (1):1-11.
    BackgroundThe clinical introduction of non-invasive prenatal testing for fetal aneuploidies is currently transforming the landscape of prenatal screening in many countries. Since it is noninvasive, safe and allows the early detection of abnormalities, NIPT expanded rapidly and the test is currently commercially available in most of the world. As NIPT is being introduced globally, its clinical implementation should consider various challenges, including the role of the surrounding social and cultural contexts. We conducted a qualitative study with healthcare professionals in (...)
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  49.  25
    Children's Competence to Participate in Healthcare Decisions.Susan M. Beidler & Susan B. Dickey - 2001 - Jona's Healthcare Law, Ethics, and Regulation 3 (3):80-87.
    ponsibilities compounds these challenges. This article presents an overview of research and standards of practice regarding children's participation in research and healthcare decisions. Further research on children's competence to participate in healthcare decisions is recommended. Reasons for and against children's increased involvement in healthcare decisions are included. There is a preponderance of support for involving children in the process, and a dearth of well-articulated reasons to exclude them....
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  50.  57
    Tailor-made finance versus tailor-made care. Can the state strengthen consumer choice in healthcare by reforming the financial structure of long-term care?K. Grit & A. de Bont - 2010 - Journal of Medical Ethics 36 (2):79-83.
    Background Policy instruments based on the working of markets have been introduced to empower consumers of healthcare. However, it is still not easy to become a critical consumer of healthcare. Objectives The aim of this study is to analyse the possibilities of the state to strengthen the position of patients with the aid of a new financial regime, such as personal health budgets. Methods Data were collected through in-depth interviews with executives, managers, professionals and client representatives of six (...)
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