Health Care Analysis最新文献_第7页

Development of the Inclination Toward Conscientious Objection Scale for Physicians. 医师良心拒服兵役倾向量表的编制。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-06-01 DOI: 10.1007/s10728-022-00452-6

Şükrü Keleş, Osman Dağ, Murat Aksu, Gizem Gülpinar, Neyyire Yasemin Yalım

{"title":"Development of the Inclination Toward Conscientious Objection Scale for Physicians.","authors":"Şükrü Keleş, Osman Dağ, Murat Aksu, Gizem Gülpinar, Neyyire Yasemin Yalım","doi":"10.1007/s10728-022-00452-6","DOIUrl":"https://doi.org/10.1007/s10728-022-00452-6","url":null,"abstract":"This study aims to develop a valid and reliable scale to assess whether a physician is inclined to take conscientious objection when asked to perform medical services that clash with his/her personal beliefs. The scale, named the Inclination toward Conscientious Objection Scale, was developed for physicians in Turkey. Face validity, content validity, criterion-related validity, and construct validity of the scale were evaluated in the development process. While measuring criterion-related validity, Student's t-test was used to identify the groups that did and did not show inclination toward conscientious objection. There were 126 items in the initial item pool, which reduced to 42 after content validity evaluation by five experts. After necessary adjustments, the scale was administered to 224 participants. Both exploratory and confirmatory factor analyses were performed to investigate factor structure. The split-half method was employed to assess scale reliability, and the Spearman-Brown coefficient was calculated. Cronbach's alpha reliability coefficient was used to estimate the internal consistency of the scale items. The distinctiveness of the items was evaluated using Student's t-test. The lower and upper 27% groups were compared to assess the distinctiveness of the scale. The items were loaded on four factors that explained 85.46% of the variance: \"Conscientious Objection - Medical Profession Relationship,\" \"Conscientious Objection in Medical Education and Medical Practice,\" \"Conscientious Objection with regard to the Concept of Rights\" and \"Conscientious Objection - Physician's Professional Identity and Role.\" The final scale has 40 items, and was found to be valid and reliable with high internal consistency.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"31 2","pages":"81-98"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9402383","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

Policy Narratives on Palliative Care in Sweden 1974-2018. 1974-2018年瑞典姑息治疗政策叙述。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-06-01 DOI: 10.1007/s10728-022-00449-1

Axel Ågren, Barbro Krevers, Elisabet Cedersund, Ann-Charlotte Nedlund

{"title":"Policy Narratives on Palliative Care in Sweden 1974-2018.","authors":"Axel Ågren, Barbro Krevers, Elisabet Cedersund, Ann-Charlotte Nedlund","doi":"10.1007/s10728-022-00449-1","DOIUrl":"https://doi.org/10.1007/s10728-022-00449-1","url":null,"abstract":"In Sweden, efforts to govern end-of-life care through policies have been ongoing since the 1970s. The aim of this study is to analyse how policy narratives on palliative care in Sweden have been formulated and have changed over time since the 1970s up to 2018. We have analysed 65 different policy-documents. After having analysed the empirical material, three policy episodes were identified. In Episode 1, focus was on the need for norms, standards and a psychological end-of-life care with the main goal of solving the alleged deficiencies within end-of-life care in hospital settings. Episode 2 was characterised by an emphasis on prioritising end-of-life care and dying at home, and on the fact that the hospice care philosophy should serve as inspiration. In Episode 3, the need for a palliative care philosophy that transcended all palliative care and the importance of systematic follow-ups and indicators was endorsed. Furthermore, human value and freedom of choice were emphasised. In conclusion, the increase of policy-documents produced by the welfare-state illustrate that death and dying have become matters of public concern and responsibility. Furthermore, significant shifts in policy narratives display how notions of good palliative care change, which in turn may affect both the practice and the content of care at the end of life.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"31 2","pages":"99-113"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356183","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: 1

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

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2023-06-01 Epub Date: 2023-03-14 DOI: 10.1007/s10728-023-00457-9

Philippe Cullet

引用次数: 0

Shared Decision Making in Psychiatry: Dissolving the Responsibility Problem. 精神病学中的共同决策:解决责任问题。

IF 1.9 3区哲学

Health Care Analysis Pub Date : 2023-06-01 DOI: 10.1007/s10728-022-00451-7

Leila El-Alti

引用次数: 0

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

{"title":"Exploring Models for an International Legal Agreement on the Global Antimicrobial Commons: Lessons from Climate Agreements.","authors":"Susan Rogers Van Katwyk, Alberto Giubilini, Claas Kirchhelle, Isaac Weldon, Mark Harrison, Angela McLean, Julian Savulescu, Steven J Hoffman","doi":"10.1007/s10728-019-00389-3","DOIUrl":"10.1007/s10728-019-00389-3","url":null,"abstract":"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 consider the similarities and differences between the Paris Climate Agreement and current governance structures for AMR, and identify the merits and challenges associated with different international forums for developing a long-term international agreement on AMR. To be effective, fair, and feasible, an enduring legal agreement on AMR will require a combination of universal, differentiated, and individualized requirements, nationally determined contributions that are regularly reviewed and ratcheted up in level of ambition, a regular independent scientific stocktake to support evidence informed policymaking, and a concrete global goal to rally support.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"31 1","pages":"25-46"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10728-019-00389-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9198731","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: 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