Health Care Analysis最新文献_第6页

Moral Distress and Nursing Education: Curricular and Pedagogical Strategies for a Complex Phenomenon. 道德压力与护理教育：针对复杂现象的课程和教学策略》。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-03-01 Epub Date: 2023-09-04 DOI: 10.1007/s10728-023-00468-6

Sadie Deschenes, Cathryn van Kessel

引用次数: 0

The Ethics of Population Policy for the Two Worlds of Population Conditions. 两个世界人口状况下的人口政策伦理。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-03-01 Epub Date: 2023-07-21 DOI: 10.1007/s10728-023-00462-y

Ming-Jui Yeh, Po-Han Lee

引用次数: 0

Why Health-enhancing Nudges Fail. 为什么促进健康的建议会失败？

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-03-01 Epub Date: 2023-07-21 DOI: 10.1007/s10728-023-00459-7

Thomas Schramme

引用次数: 0

Consent for Medical Treatment: What is 'Reasonable'? 同意接受治疗：什么是 "合理"？

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-03-01 Epub Date: 2023-08-19 DOI: 10.1007/s10728-023-00466-8

Abeezar Ismail Sarela

{"title":"Consent for Medical Treatment: What is 'Reasonable'?","authors":"Abeezar Ismail Sarela","doi":"10.1007/s10728-023-00466-8","DOIUrl":"10.1007/s10728-023-00466-8","url":null,"abstract":"The General Medical Council (GMC) instructs doctors to act 'reasonably' in obtaining consent from patients. However, the GMC does not explain what it means to be reasonable: it is left to doctors to figure out the substance of this instruction. The GMC relies on the Supreme Court's judgment in Montgomery v Lanarkshire Health Board; and it can be assumed that the judges' idea of reasonability is adopted. The aim of this paper is to flesh out this idea of reasonability. This idea is commonly personified as the audience that has to be satisfied by the doctor's justification for offering, or withholding, certain treatments and related information. In case law, this audience shifted from a reasonable doctor to a 'reasonable person in the patient's position'; and Montgomery expands the audience to include 'particular' patients, too. Senior judges have clarified that the reasonable person is a normative ideal, and not a sociological construct; but they do not set out the characteristics of this ideal. John Rawls has conceived the reasonable person-ideal as one that pursues fair terms of co-operation with other members of society. An alternative ideal can be inferred from the feminist ethic of care. However, the reasonable patient from Montgomery does not align with either theoretical ideal; but, instead, is an entirely rational being. Such a conception conflicts with both real-life constraints on rationality and the doctor's duty to care for the patient, and it challenges the practice of medicine.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"47-62"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10662169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gendering the Pandemic: Women's Health Disparities From a Human Rights Perspective. 大流行病的性别化：从人权角度看妇女的健康差异。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-03-01 Epub Date: 2023-07-21 DOI: 10.1007/s10728-023-00463-x

JhuCin Rita Jhang, Po-Han Lee

{"title":"Gendering the Pandemic: Women's Health Disparities From a Human Rights Perspective.","authors":"JhuCin Rita Jhang, Po-Han Lee","doi":"10.1007/s10728-023-00463-x","DOIUrl":"10.1007/s10728-023-00463-x","url":null,"abstract":"As COVID-19 keeps impacting the world, its impact is felt differently by people of different sexes and genders. International guidelines and research on gender inequalities and women's rights during the pandemic have been published. However, data from Taiwan is lacking. This study aims to fill the gap to increase our knowledge regarding this issue and provide policy recommendations. This study is part of a more extensive project in response to the fourth state report concerning the implementation of the Convention on the Elimination of All Forms of Discrimination against Women in Taiwan in 2022. We have drawn on the guidelines and documents published by the United Nations human rights bodies, conducted interviews with advocacy and professional practitioners, and hosted a study group comprising students and teachers from the National Taiwan University College of Public Health to supplement the interview data. The data were analyzed thematically. The results include five themes: (1) particular health risks to carers (primarily women); (2) COVID-related measures' impact on women's health and health behaviors; (3) highly gendered psychological maladjustment; (4) increase in gender-based violence and domestic violence; and (5) mental health inequities and intersectionality. The study has global implications for societies of similar sociopolitical contexts and developmental statuses. To truly live up to the standard of CEDAW and other international human rights principles, we ask that central and local government be more aware of these lived experiences and adjust their policies accordingly, accounting for gender sensitivity.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"15-32"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9851392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

System's Crisis Resilience as a Societal Crisis: Knowledge Structure and Gaze of the Finnish Health Care System. 作为社会危机的系统危机复原力：芬兰医疗保健系统的知识结构与目光。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-01-22 DOI: 10.1007/s10728-023-00479-3

Matias Heikkilä, Ossi Heino, Pauli Rautiainen

{"title":"System's Crisis Resilience as a Societal Crisis: Knowledge Structure and Gaze of the Finnish Health Care System.","authors":"Matias Heikkilä, Ossi Heino, Pauli Rautiainen","doi":"10.1007/s10728-023-00479-3","DOIUrl":"https://doi.org/10.1007/s10728-023-00479-3","url":null,"abstract":"The 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 to fertilize disagreements among panelists to reveal key vulnerabilities in the health system. Despite our efforts to evoke dissensus, the panelists ended up generating a consensus that aims to protect the underlying assumptions of the health system's knowledge structure. Through inductive analysis of expert discourses, the data was analyzed through our research question \"what constitutes a crisis-proof health system and a crisis-prone health system\". What is framed as a strength of the system by our panelists, namely the ability to maintain legitimacy, improve efficiency, and guarantee continuity, can still have questionable implications that are left ungrasped. A system's theory approach illustrates how such effects can develop and escalate beyond the reach of social interventions, and thus be predisposed to cause objectionable yet concealed social crises. The discussion illustrates how these endogenous crisis dynamics could be seen to materialize in real-life cases.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Doctor-Patient Relationship, Partnership Theory, and the Patient as Partner: Finding a Balance Between Domination and Partnership 医患关系、伙伴关系理论和作为合作伙伴的患者：在支配与合作之间寻求平衡

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-01-20 DOI: 10.1007/s10728-023-00473-9

Charles J. Kowalski, Richard W. Redman, Adam J. Mrdjenovich

引用次数: 0

The Lifeworld of the Complex Care Hospital Doctor: A Complex Adaptive Phenomenological Study. 复杂护理医院医生的生活世界：复杂适应现象学研究》。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-01-19 DOI: 10.1007/s10728-023-00474-8

Felice Borghmans, Stella Laletas, Harvey Newnham, Venesser Fernandes

{"title":"The Lifeworld of the Complex Care Hospital Doctor: A Complex Adaptive Phenomenological Study.","authors":"Felice Borghmans, Stella Laletas, Harvey Newnham, Venesser Fernandes","doi":"10.1007/s10728-023-00474-8","DOIUrl":"https://doi.org/10.1007/s10728-023-00474-8","url":null,"abstract":"The 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 using a combinatorial framework of phenomenology and complexity theory. The horizon of complex care revealed itself as dynamic, expansive, immersive, and relational, entailing a specialised kind of practice that is now common in acute care settings. Yet this practice has made inroads largely without heralding the unique nature and potential of its ground. Herein lies opportunity for complex care clinicians to expand notions of health and illness, and to shape research, practice, and system design, for a future in which care for health complexity is optimised, irrespective of care settings.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Flourishing, Mental Health Professionals and the Role of Normative Dialogue. 幸福、心理健康专业人员和规范性对话的作用。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-01-12 DOI: 10.1007/s10728-023-00478-4

Hazem Zohny, Julian Savulescu, Gin S Malhi, Ilina Singh

引用次数: 0

A Qualitative Research Survey on Cardiologist’s Ethical Stance in Cases of Moral Dilemmas in Cardiology Clinics 关于心脏病医生在心脏病诊所道德困境中的伦理立场的定性研究调查

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2024-01-03 DOI: 10.1007/s10728-023-00476-6

Banu Buruk, Perihan Elif Ekmekci, Aksüyek Savaş Çelebi, Begüm Güneş

{"title":"A Qualitative Research Survey on Cardiologist’s Ethical Stance in Cases of Moral Dilemmas in Cardiology Clinics","authors":"Banu Buruk, Perihan Elif Ekmekci, Aksüyek Savaş Çelebi, Begüm Güneş","doi":"10.1007/s10728-023-00476-6","DOIUrl":"https://doi.org/10.1007/s10728-023-00476-6","url":null,"abstract":"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 context without changing the original ethical issue, and participants were asked whether an attitude different from the first chosen one was preferred. The participation ratio was 49/185 (26%), consent ratio 47/185 (25,4%), and completion ratio 44/185 (23,7%). Nine of the ten scenario changes did not change participants’ preferred action. For most questions, action preferences were concentrated between the two options. Although legal regulations did not reduce ethical dilemmas, they clarified physicians’ action preferences. Similarly, as an obscure moral issue gained prominence, physicians were forced to draw clearer lines in their actions. External factors such as healthcare emergencies can change physicians’ ethical dilemma-solving attitudes.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"3 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139082851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0