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Health Care Analysis
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#1Susan Rogers Van Katwyk (York University)H-Index: 4
#2Alberto Giubilini (University of Oxford)H-Index: 7
Last.Steven J. Hoffman (York University)H-Index: 19
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An international legal agreement governing the global antimicrobial commons would represent the strongest commitment mechanism for achieving collective action on antimicrobial resistance (AMR). Since AMR has important similarities to climate change—both are common pool resource challenges that require massive, long-term political commitments—the first article in this special issue draws lessons from various climate agreements that could be applicable for developing a grand bargain on AMR. We con...
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In the United Kingdom the law and medical guidance is supportive of women making choices in childbirth. NICE guidelines are explicit that a competent woman’s informed request for MRCS (elective caesarean in the absence of any clinical indications) should be respected. However, in reality pregnant women are routinely denied MRCS. In this paper I consider whether there is sufficient justification for restricting MRCS. The physical and emotive significance of childbirth as an event in a woman’s lif...
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#1Greg Stapleton (UM: Maastricht University)H-Index: 4
#2Wybo Dondorp (UM: Maastricht University)H-Index: 27
Last.Guido de Wert (UM: Maastricht University)H-Index: 25
view all 4 authors...
International guidelines recommend that prenatal screening for fetal abnormalities should only be offered within a non-directive framework aimed at enabling women in making meaningful reproductive choices. Whilst this position is widely endorsed, developments in cell-free fetal DNA based Non-Invasive Prenatal Testing are now raising questions about its continued suitability for guiding screening policy and practice. This issue is most apparent within debates on the scope of the screening offer. ...
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#1Nathan Gerard (LBSU: California State University, Long Beach)H-Index: 2
This paper critically examines efforts to “professionalize” the field of healthcare management and its corresponding costs. Drawing upon the scholarly critiques of professionalization in medicine and the broader field of management, this paper seeks to explore the symbolic role professionalization might play in the psyche of its constituents, and specifically its function as a defense against uncertainty and anxiety. This psychodynamic heuristic is then deployed to put forth the hypothesis that ...
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#1Wendy A. Rogers (Macquarie University)H-Index: 26
#2Vikki Entwistle (NUS: National University of Singapore)H-Index: 46
Last.Stacy M Carter (UOW: University of Wollongong)H-Index: 26
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Many healthcare practices expose people to risks of harmful outcomes. However, the major theories of moral philosophy struggle to assess whether, when and why it is ethically justifiable to expose individuals to risks, as opposed to actually harming them. Sven Ove Hansson has proposed an approach to the ethical assessment of risk imposition that encourages attention to factors including questions of justice in the distribution of advantage and risk, people’s acceptance or otherwise of risks, and...
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#1Susan Hawthorne (St. Catherine University)H-Index: 3
#2Anne Williams-Wengerd (St. Catherine University)
The term “effective,” on its own, is honorific but vague. Interventions against serious mental illness may be “effective” at goals as diverse as reducing “apparent sadness” or providing housing. Underexamined use of “effective” and other success terms often obfuscates differences and incompatibilities in interventions, degrees of effectiveness, key omissions in effectiveness standards, and values involved in determining what counts as “effective.” Yet vague use of such success terms is common in...
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#1Glen E. Randall (McMaster University)H-Index: 9
#2Patricia A. Wakefield (McMaster University)H-Index: 4
Last.Lynda A. van Dreumel (McMaster University)
view all 4 authors...
The philosophy of patient-centred care has become widely embraced but its implementation is dependent on interrelated factors. A factor that has received limited attention is the role of policy tools. In Ontario, one method government can use to promote healthcare priorities is through health regulatory colleges, which set the standard of practice for health professionals. The degree to which government policy in support of patient-centered care has influenced the direction provided by health re...
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#2Andries Baart (NWU: North-West University)H-Index: 3
Last.Frans Vosman (University of Humanistic Studies)H-Index: 4
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Recent publications have argued that practical wisdom is increasingly important for medical practices, particularly in complex contexts, to stay focused on giving good care in a moral sense to each individual patient. Our empirical investigation into an ordinary medical practice was aimed at exploring whether the practice would reveal practical wisdom, or, instead, adherence to conventional frames such as guidelines, routines and the dominant professional discourse. We performed a thematic analy...
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#1Emma Cave (Durham University)H-Index: 6
Professional control in the selection of treatment options for patients is changing. In light of social and legal developments emphasising patient choice and autonomy, and restricting medical paternalism and judicial deference, this article examines how far patients and families can demand NHS treatment in England and Wales. It considers situations where the patient is an adult with capacity, an adult lacking capacity and a child. In all three cases, there is judicial support for professional au...
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#1John Owens (National Center for Public Policy Research)H-Index: 11
#2Guddi Vijaya Rani Singh ('KCL': King's College London)H-Index: 1
Last.Alan Cribb (National Center for Public Policy Research)H-Index: 23
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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 increa...
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