Health Care Analysis最新文献_第7页

Governing the Global Antimicrobial Commons: Introduction to Special Issue. 管理全球共同抗微生物药物:特刊导论。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-03-01 DOI: 10.1007/s10728-019-00388-4

Steven J Hoffman, Julian Savulescu, Alberto Giubilini, Claas Kirchhelle, Susan Rogers Van Katwyk, Isaac Weldon, Brooke Campus, Mark Harrison, Hannah Maslen, Angela McLean

引用次数: 3

Exploring Models for an International Legal Agreement on the Global Antimicrobial Commons: Lessons from Climate Agreements. 探索全球抗菌药物共享国际法律协议的模式：气候协议的经验教训。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-03-01 DOI: 10.1007/s10728-019-00389-3

Susan Rogers Van Katwyk, Alberto Giubilini, Claas Kirchhelle, Isaac Weldon, Mark Harrison, Angela McLean, Julian Savulescu, Steven J Hoffman

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引用次数: 31

A Principled Account of AMR Global Governance Solidarity, Subsidiarity, and Stewardship. 抗微生物药物耐药性全球治理的原则解释团结、辅助和管理。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-03-01 DOI: 10.1007/s10728-023-00456-w

Thana C de Campos-Rudinsky

引用次数: 0

More Carrots, Less Sticks: Encouraging Good Stewardship in the Global Antimicrobial Commons. 更多胡萝卜，更少大棒:鼓励全球抗微生物公域的良好管理。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-03-01 DOI: 10.1007/s10728-023-00455-x

Cristian Timmermann

引用次数: 0

Regulating the Global Antimicrobial Commons: Climate Agreements and Beyond. 调节全球抗微生物公域:气候协议及其他。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-03-01 DOI: 10.1007/s10728-023-00454-y

Philippe Cullet

引用次数: 0

Making Use of Existing International Legal Mechanisms to Manage the Global Antimicrobial Commons: Identifying Legal Hooks and Institutional Mandates. 利用现有国际法律机制管理全球抗微生物药物公域:确定法律挂钩和机构任务。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-03-01 DOI: 10.1007/s10728-020-00393-y

Susan Rogers Van Katwyk, Isaac Weldon, Alberto Giubilini, Claas Kirchhelle, Mark Harrison, Angela McLean, Julian Savulescu, Steven J Hoffman

{"title":"Making Use of Existing International Legal Mechanisms to Manage the Global Antimicrobial Commons: Identifying Legal Hooks and Institutional Mandates.","authors":"Susan Rogers Van Katwyk, Isaac Weldon, Alberto Giubilini, Claas Kirchhelle, Mark Harrison, Angela McLean, Julian Savulescu, Steven J Hoffman","doi":"10.1007/s10728-020-00393-y","DOIUrl":"https://doi.org/10.1007/s10728-020-00393-y","url":null,"abstract":"Antimicrobial resistance (AMR) is an urgent threat to global public health and development. Mitigating this threat requires substantial short-term action on key AMR priorities. While international legal agreements are the strongest mechanism for ensuring collaboration among countries, negotiating new international agreements can be a slow process. In the second article in this special issue, we consider whether harnessing existing international legal agreements offers an opportunity to increase collective action on AMR goals in the short-term. We highlight ten AMR priorities and several strategies for achieving these goals using existing \"legal hooks\" that draw on elements of international environmental, trade and health laws governing related matters that could be used as they exist or revised to include AMR. We also consider the institutional mandates of international authorities to highlight areas where additional steps could be taken on AMR without constitutional changes. Overall, we identify 37 possible mechanisms to strengthen AMR governance using the International Health Regulations, the Agreement on the Application of Sanitary and Phytosanitary Measures, the Agreement on Trade-Related Aspects of Intellectual Property Rights, the Agreement on Technical Barriers to Trade, the International Convention on the Harmonized Commodity Description and Coding System, and the Basel, Rotterdam, and Stockholm conventions. Although we identify many shorter-term opportunities for addressing AMR using existing legal hooks, none of these options are capable of comprehensively addressing all global governance challenges related to AMR, such that they should be pursued simultaneously with longer-term approaches including a dedicated international legal agreement on AMR.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"31 1","pages":"9-24"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10728-020-00393-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553169","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: 14

Altruistic Vaccination: Insights from Two Focus Group Studies. 利他主义疫苗接种：两项焦点小组研究的启示。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2022-12-01 DOI: 10.1007/s10728-022-00453-5

Steven R Kraaijeveld, Bob C Mulder

{"title":"Altruistic Vaccination: Insights from Two Focus Group Studies.","authors":"Steven R Kraaijeveld, Bob C Mulder","doi":"10.1007/s10728-022-00453-5","DOIUrl":"10.1007/s10728-022-00453-5","url":null,"abstract":"Vaccination can protect vaccinated individuals and often also prevent them from spreading disease to other people. This opens up the possibility of getting vaccinated for the sake of others. In fact, altruistic vaccination has recently been conceptualized as a kind of vaccination that is undertaken primary for the benefit of others. In order to better understand the potential role of altruistic motives in people's vaccination decisions, we conducted two focus group studies with a total of 37 participants. Study 1 included three focus groups on the subject of HPV vaccination for boys. Study 2 included three focus groups on the subject of pertussis and measles vaccination for childcare workers. We found substantial evidence of other-regarding motives across all focus groups, which suggests that altruistic motives could be an important factor when it comes to people's vaccination decisions. We address the significance of these findings for vaccination policy surrounding HPV vaccination for boys and vaccination for childcare workers. We also extend the findings to normative work on vaccination for the sake of others more generally.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 3-4","pages":"275-295"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10720450","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

The Invisible Patient: Concerns about Donor Exploitation in Stem Cell Research. 看不见的病人:对干细胞研究中供体开发的关注。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2022-12-01 DOI: 10.1007/s10728-022-00448-2

Pär Segerdahl

引用次数: 0

Doctors as Resource Stewards? Translating High-Value, Cost-Conscious Care to the Consulting Room. 医生是资源管理者?将高价值、有成本意识的护理转化为咨询室。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2022-12-01 DOI: 10.1007/s10728-022-00446-4

Marjolein Moleman, Teun Zuiderent-Jerak, Marianne Lageweg, Gianni L van den Braak, Tjerk Jan Schuitmaker-Warnaar

{"title":"Doctors as Resource Stewards? Translating High-Value, Cost-Conscious Care to the Consulting Room.","authors":"Marjolein Moleman, Teun Zuiderent-Jerak, Marianne Lageweg, Gianni L van den Braak, Tjerk Jan Schuitmaker-Warnaar","doi":"10.1007/s10728-022-00446-4","DOIUrl":"https://doi.org/10.1007/s10728-022-00446-4","url":null,"abstract":"After many policy attempts to tackle the persistent rise in the costs of health care, physicians are increasingly seen as potentially effective resource stewards. Frameworks including the quadruple aim, value-based health care and choosing wisely underline the importance of positive engagement of the health care workforce in reinventing the system-paving the way to real affordability by defining the right care. Current programmes focus on educating future doctors to provide 'high-value, cost-conscious care' (HVCCC), which proponents believe is the future of sustainable medical practice. Such programmes, which aim to extend population-level allocation concerns to interactions between an individual doctor and patient, have generated lively debates about the ethics of expanding doctors' professional accountability. To empirically ground this discussion, we conducted a qualitative interview study to examine what happens when resource stewardship responsibilities are extended to the consulting room. Attempts to deliver HVCCC were found to involve inevitable trade-offs between benefits to the individual patient and (social) costs, medical uncertainty and efficiency, and between resource stewardship and trust. Physicians reconcile this by justifying good-value care in terms of what is in the best interest of individual patients-redefining the currency of value from monetary costs to a patient's quality of life, and cost-conscious care as reflective medical practice. Micro-level resource stewardship thus becomes a matter of working reflexively and reducing wasteful forms of care, rather than of making difficult choices about resource allocation.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 3-4","pages":"215-239"},"PeriodicalIF":1.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10408769","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: 5

Epistemic Injustice in Incident Investigations: A Qualitative Study. 事件调查中的认知不公:一项质的研究。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2022-12-01 DOI: 10.1007/s10728-022-00447-3

Josje Kok, David de Kam, Ian Leistikow, Kor Grit, Roland Bal

{"title":"Epistemic Injustice in Incident Investigations: A Qualitative Study.","authors":"Josje Kok, David de Kam, Ian Leistikow, Kor Grit, Roland Bal","doi":"10.1007/s10728-022-00447-3","DOIUrl":"https://doi.org/10.1007/s10728-022-00447-3","url":null,"abstract":"Serious incident investigations-often conducted by means of Root Cause Analysis methodologies-are increasingly seen as platforms to learn from multiple perspectives and experiences: professionals, patients and their families alike. Underlying this principle of inclusiveness is the idea that healthcare staff and service users hold unique and valuable knowledge that can inform learning, as well as the notion that learning is a social process that involves people actively reflecting on shared knowledge. Despite initiatives to facilitate inclusiveness, research shows that embracing and learning from diverse perspectives is difficult. Using the concept of 'epistemic injustice', pointing at practices of someone's knowledge being unjustly disqualified or devalued, we analyze the way incident investigations are organized and executed with the aim to understand why it is difficult to embrace and learn from the multiple perspectives voiced in incident investigations. We draw from 73 semi-structured interviews with healthcare leaders, managers, healthcare professionals, incident investigators and inspectors, document analyses and ethnographic observations. Our analysis identified several structures in the incident investigation process, that can promote or hinder an actor's epistemic contribution in the process of incident investigations. Rather than repeat calls to 'involve more' and 'listen better', we encourage policy makers to be mindful of and address the structures that can cause epistemic injustice. This can improve the outcome of incident investigations and can help to do justice to the lived experiences of the involved actors in the aftermath of a serious incident.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 3-4","pages":"254-274"},"PeriodicalIF":1.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10347702","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: 3