Health Care Analysis最新文献

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Taming Wickedness: Towards an Implementation Framework for Medical Ethics. 驯服邪恶:医学伦理学的实施框架。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-12-01 DOI: 10.1007/s10728-022-00445-5
Erin Taylor
{"title":"Taming Wickedness: Towards an Implementation Framework for Medical Ethics.","authors":"Erin Taylor","doi":"10.1007/s10728-022-00445-5","DOIUrl":"https://doi.org/10.1007/s10728-022-00445-5","url":null,"abstract":"<p><p>\"Wicked\" problems are characterized by intractable complexity, uncertainty, and conflict between individuals or institutions, and they inhabit almost every corner of medical ethics. Despite wide acceptance of the same ethical principles, we nevertheless disagree about how to formulate such problems, how to solve them, what would count as solving them, or even what the possible solutions are. That is, we don't always know how best to implement ethical ideals in messy real-world contexts. I sketch an implementation framework for medical ethics that can help clarify wicked problems and organize further ethics research toward their resolutions. This framework describes the procedural variables that work alongside substantive ethical ideals to deliver ethical decisions in complex real-world situations. Using controversial GM mosquito research as an example, I illustrate how the generalizable relationships between the variables clarify emerging ethical guidelines of research governance and provide a pathway to extend these guidelines in a way consistent with our ethical intuitions across a wide range of research and public health ethics.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 3-4","pages":"197-214"},"PeriodicalIF":1.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10696763","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: 1
Should Digital Contact Tracing Technologies be used to Control COVID-19? Perspectives from an Australian Public Deliberation. 是否应使用数字接触追踪技术控制 COVID-19?来自澳大利亚公众讨论的观点。
IF 1.8 3区 哲学
Health Care Analysis Pub Date : 2022-06-01 Epub Date: 2021-10-26 DOI: 10.1007/s10728-021-00441-1
Chris Degeling, Julie Hall, Jane Johnson, Roba Abbas, Shopna Bag, Gwendolyn L Gilbert
{"title":"Should Digital Contact Tracing Technologies be used to Control COVID-19? Perspectives from an Australian Public Deliberation.","authors":"Chris Degeling, Julie Hall, Jane Johnson, Roba Abbas, Shopna Bag, Gwendolyn L Gilbert","doi":"10.1007/s10728-021-00441-1","DOIUrl":"10.1007/s10728-021-00441-1","url":null,"abstract":"<p><p>Mobile phone-based applications (apps) can promote faster targeted actions to control COVID-19. However, digital contact tracing systems raise concerns about data security, system effectiveness, and their potential to normalise privacy-invasive surveillance technologies. In the absence of mandates, public uptake depends on the acceptability and perceived legitimacy of using technologies that log interactions between individuals to build public health capacity. We report on six online deliberative workshops convened in New South Wales to consider the appropriateness of using the COVIDSafe app to enhance Australian contact tracing systems. All groups took the position (by majority) that the protections enacted in the app design and supporting legislation were appropriate. This support is contingent on several system attributes including: the voluntariness of the COVIDSafe app; that the system relies on proximity rather than location tracking; and, that data access is restricted to local public health practitioners undertaking contact tracing. Despite sustained scepticism in media coverage, there was an underlying willingness to trust Australian governing institutions such that in principle acceptance of the new contact tracing technology was easy to obtain. However, tensions between the need to prove system effectiveness through operational transparency and requirements for privacy protections could be limiting public uptake. Our study shows that informed citizens are willing to trade their privacy for common goods such as COVID-19 suppression. But low case numbers and cautionary public discourses can make trustworthiness difficult to establish because some will only do so when it can be demonstrated that the benefits justify the costs to individuals.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 2","pages":"97-114"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39559047","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
Ethical Guidance for Hard Decisions: A Critical Review of Early International COVID-19 ICU Triage Guidelines. 艰难决策的伦理指导:对早期国际COVID-19 ICU分诊指南的批判性回顾。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-06-01 Epub Date: 2021-10-26 DOI: 10.1007/s10728-021-00442-0
Yves Saint James Aquino, Wendy A Rogers, Jackie Leach Scully, Farah Magrabi, Stacy M Carter
{"title":"Ethical Guidance for Hard Decisions: A Critical Review of Early International COVID-19 ICU Triage Guidelines.","authors":"Yves Saint James Aquino,&nbsp;Wendy A Rogers,&nbsp;Jackie Leach Scully,&nbsp;Farah Magrabi,&nbsp;Stacy M Carter","doi":"10.1007/s10728-021-00442-0","DOIUrl":"https://doi.org/10.1007/s10728-021-00442-0","url":null,"abstract":"<p><p>This article provides a critical comparative analysis of the substantive and procedural values and ethical concepts articulated in guidelines for allocating scarce resources in the COVID-19 pandemic. We identified 21 local and national guidelines written in English, Spanish, German and French; applicable to specific and identifiable jurisdictions; and providing guidance to clinicians for decision making when allocating critical care resources during the COVID-19 pandemic. US guidelines were not included, as these had recently been reviewed elsewhere. Information was extracted from each guideline on: 1) the development process; 2) the presence and nature of ethical, medical and social criteria for allocating critical care resources; and 3) the membership of and decision-making procedure of any triage committees. Results of our analysis show the majority appealed primarily to consequentialist reasoning in making allocation decisions, tempered by a largely pluralistic approach to other substantive and procedural values and ethical concepts. Medical and social criteria included medical need, co-morbidities, prognosis, age, disability and other factors, with a focus on seemingly objective medical criteria. There was little or no guidance on how to reconcile competing criteria, and little attention to internal contradictions within individual guidelines. Our analysis reveals the challenges in developing sound ethical guidance for allocating scarce medical resources, highlighting problems in operationalising ethical concepts and principles, divergence between guidelines, unresolved contradictions within the same guideline, and use of naïve objectivism in employing widely used medical criteria for allocating ICU resources.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 2","pages":"163-195"},"PeriodicalIF":1.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39561781","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: 9
Justice, Transparency and the Guiding Principles of the UK's National Institute for Health and Care Excellence. 公正、透明和英国国家健康与护理卓越研究所的指导原则。
IF 1.8 3区 哲学
Health Care Analysis Pub Date : 2022-06-01 Epub Date: 2021-11-08 DOI: 10.1007/s10728-021-00444-y
Victoria Charlton
{"title":"Justice, Transparency and the Guiding Principles of the UK's National Institute for Health and Care Excellence.","authors":"Victoria Charlton","doi":"10.1007/s10728-021-00444-y","DOIUrl":"10.1007/s10728-021-00444-y","url":null,"abstract":"<p><p>The National Institute for Health and Care Excellence (NICE) is the UK's primary healthcare priority-setting body, responsible for advising the National Health Service in England on which technologies to fund and which to reject. Until recently, the normative approach underlying this advice was described in a 2008 document entitled 'Social value judgements: Principles for the development of NICE guidance' (SVJ). In January 2020, however, NICE replaced SVJ with a new articulation of its guiding principles. Given the significant evolution of NICE's methods between 2008 and 2020, this study examines whether this new document ('Principles') offers a transparent account of NICE's current normative approach. It finds that it does not, deriving much of its content directly from SVJ and failing to fully acknowledge or explain how and why NICE's approach has since changed. In particular, Principles is found to offer a largely procedural account of NICE decision-making, despite evidence of the increasing reliance of NICE's methods on substantive decision-rules and 'modifiers' that cannot be justified in purely procedural terms. Thus, while Principles tells NICE's stakeholders much about how the organisation goes about the process of decision-making, it tells them little about the substantive grounds on which its decisions are now based. It is therefore argued that Principles does not offer a transparent account of NICE's normative approach (either alone, or alongside other documents) and that, given NICE's reliance on transparency as a requirement of procedural justice, NICE does not in this respect satisfy its own specification of a just decision-maker.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 2","pages":"115-145"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602004","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
Pandemic Risk and Standpoint Epistemology: A Matter of Solidarity. 流行病风险与立场认识论:团结问题。
IF 1.8 3区 哲学
Health Care Analysis Pub Date : 2022-06-01 Epub Date: 2021-10-25 DOI: 10.1007/s10728-021-00443-z
Katrien Schaubroeck, Kristien Hens
{"title":"Pandemic Risk and Standpoint Epistemology: A Matter of Solidarity.","authors":"Katrien Schaubroeck, Kristien Hens","doi":"10.1007/s10728-021-00443-z","DOIUrl":"10.1007/s10728-021-00443-z","url":null,"abstract":"<p><p>Current and past pandemics have several aspects in common. It is expected that all members of society contribute to beat it. But it is also clear that the risks associated with the pandemic are different for different groups. This makes that appeals to solidarity based on technocratic risk calculations are only partially successful. Objective 'risks of transmission' may, for example, be trumped by risks of letting down people in need of help or by missing out certain opportunities in life. In this paper we argue that a rapprochement of the insights of standpoint epistemology with pandemic science and pandemic policy making may be an important step toward making pandemic science more accurate and pandemic calls for solidarity more effective.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 2","pages":"146-162"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8544913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39559046","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
Practitioner Bias as an Explanation for Low Rates of Palliative Care Among Patients with Advanced Dementia. 医生偏见是晚期痴呆患者低姑息治疗率的一个解释。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-03-01 Epub Date: 2021-03-30 DOI: 10.1007/s10728-021-00429-x
Meira Erel, Esther-Lee Marcus, Freda Dekeyser-Ganz
{"title":"Practitioner Bias as an Explanation for Low Rates of Palliative Care Among Patients with Advanced Dementia.","authors":"Meira Erel,&nbsp;Esther-Lee Marcus,&nbsp;Freda Dekeyser-Ganz","doi":"10.1007/s10728-021-00429-x","DOIUrl":"https://doi.org/10.1007/s10728-021-00429-x","url":null,"abstract":"<p><p>Patients with advanced dementia are less likely than those with other terminal illnesses to receive palliative care. Due to the nature and course of dementia, there may be a failure to recognize the terminal stage of the disease. A possible and under-investigated explanation for this healthcare disparity is the healthcare practitioner who plays a primary role in end-of-life decision-making. Two potential areas that might impact provider decision-making are cognitive biases and moral considerations. In this analysis, we demonstrate how the cognitive biases and moral considerations of practitioners related to clinical decision-making are inherent in clinical practice and may impact on providers' accuracy related to diagnostic and treatment related decision-making associated with patients with advanced dementia. Anchoring, default, availability, representativeness and framing biases are cognitive biases based on the \"Two System Model\" that relate to decision-making in end-of-life care. In patients with advanced dementia, those biases may result in a tendency to adhere to traditional mandatory care, involving an aggressive approach to care, which values saving lives at all costs, without taking into account the possible suffering and long-term consequences. Aspects such as moral sensitivity and moral courage play an important role in ethical decision-making related to advanced dementia. Investigations of clinical decision-making that include the cognitive biases and ethical considerations of practitioners might advance the comprehensive understanding of the clinical decision-making process related to care of patients with advanced dementia and promote the quality of care given to this population.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 1","pages":"57-72"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10728-021-00429-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25530550","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: 6
Pharmaceutical Sales Representatives in the United States and China: The Need for Professional Public Space. 美国和中国的医药销售代表:专业公共空间的需求。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-03-01 Epub Date: 2021-11-11 DOI: 10.1007/s10728-021-00438-w
Xiaoying Chen
{"title":"Pharmaceutical Sales Representatives in the United States and China: The Need for Professional Public Space.","authors":"Xiaoying Chen","doi":"10.1007/s10728-021-00438-w","DOIUrl":"https://doi.org/10.1007/s10728-021-00438-w","url":null,"abstract":"<p><p>Pharmaceutical sales representatives (PSRs) are one of the most frequently used drug information sources for physicians in both the United States and China. During face-to-face interactions, PSRs use various promotional strategies to impact the prescribing behavior. In the United States, PSRs provide physicians small gifts, free drug samples, and \"sincere friendships\", whereas in China, they played an indispensable role in medical corruption over the past three decades. To cope with the undue influence of PSRs, both these countries have taken positive but insufficient measures to eliminate the effect thus far. By comparing the strategies of American and Chinese PSRs, it was found that building a friendly personal relationship with physicians in a relatively closed private environment (such as physician's office) is a key factor to exert an individualized influence on physicians, even in different social backgrounds and healthcare contexts. Therefore, this essay suggests that it is necessary to limit the establishment of personal relationships and maintain a more professional interaction to reduce the personalized psychological and emotional influences on physicians' professional judgment. To achieve this goal, it is proposed to transfer the physician-PSR interaction to a professional public space as a supplement to current countermeasures and suggestions. The presence of others and the possibility of third party participation will stimulate more ethical and reputational concerns. It is hoped that the increased transparency of the interaction will promote participants to consider more professional norms and mitigate the undue influence of PSRs' individualized strategies.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 1","pages":"35-56"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39717400","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
The Case for Telemedical Early Medical Abortion in England: Dispelling Adult Safeguarding Concerns. 英国远程医疗早期药物流产的案例:消除成人保护的担忧。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-03-01 Epub Date: 2021-10-23 DOI: 10.1007/s10728-021-00439-9
Jordan A Parsons, Elizabeth Chloe Romanis
{"title":"The Case for Telemedical Early Medical Abortion in England: Dispelling Adult Safeguarding Concerns.","authors":"Jordan A Parsons,&nbsp;Elizabeth Chloe Romanis","doi":"10.1007/s10728-021-00439-9","DOIUrl":"https://doi.org/10.1007/s10728-021-00439-9","url":null,"abstract":"<p><p>Access to abortion care has been hugely affected by the COVID-19 pandemic. This has prompted several governments to permit the use of telemedicine for fully remote care pathways, thereby ensuring pregnant people are still able to access services. One such government is that of England, where these new care pathways have been publicly scrutinised. Those opposed to telemedical early medical abortion care have raised myriad concerns, though they largely centre on matters of patient safeguarding. It is argued that healthcare professionals cannot adequately carry out their safeguarding duties if the patient is not in the room with them. These concerns lack empirical support. Emerging evidence suggests that safeguarding processes may, in fact, be more effective within telemedical abortion care pathways. In this article, we address two specific safeguarding concerns: (1) that a remote consultation prevents a healthcare professional from identifying instances of abuse, and (2) that healthcare professionals cannot reliably confirm the absence of coercion during a remote consultation. We demonstrate that such concerns are misplaced, and that safeguarding may actually be improved in telemedical care pathways as victims of abuse may find it easier to engage with services. It is inevitable that some individuals will fall through the net, but this is unavoidable even with in-person care and thus does not constitute a strong critique of the use of telemedicine in abortion care. These safeguarding concerns set aside, then, we argue that the current approval that enables telemedical early medical abortion should be afforded permanence.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 1","pages":"73-96"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8540868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39551808","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: 4
Three Harm-Based Arguments for a Moral Obligation to Vaccinate. 接种疫苗的道德义务的三个基于伤害的论据。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-03-01 Epub Date: 2021-11-05 DOI: 10.1007/s10728-021-00437-x
Viktor Ivanković, Lovro Savić
{"title":"Three Harm-Based Arguments for a Moral Obligation to Vaccinate.","authors":"Viktor Ivanković,&nbsp;Lovro Savić","doi":"10.1007/s10728-021-00437-x","DOIUrl":"https://doi.org/10.1007/s10728-021-00437-x","url":null,"abstract":"<p><p>A particularly strong reason to vaccinate against transmittable diseases, based on considerations of harm, is to contribute to the realization of population-level herd immunity. We argue, however, that herd immunity alone is insufficient for deriving a strong harm-based moral obligation to vaccinate in all circumstances, since the obligation significantly weakens well above and well below the herd immunity threshold. The paper offers two additional harm-based arguments that, together with the herd immunity argument, consolidates our moral obligation. First, we argue that individuals should themselves aim not to expose others to risk of harm, and that this consideration becomes stronger the more non-vaccinated people there are, i.e., the further we are below herd immunity. Second, we elaborate on two pragmatic reasons to vaccinate beyond the realization of herd immunity, pertaining to instability of vaccination rates and population heterogeneity, and argue that vaccinating above the threshold should serve as a precautionary measure for buttressing herd immunity. We also show that considerations of harm have normative primacy in establishing this obligation over considerations of fairness. Although perfectly sound, considerations of fairness are, at worst secondary, or at best complementary to considerations of harm.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 1","pages":"18-34"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39593304","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: 2
Trust and The Acquisition and Use of Public Health Information. 信任与公共卫生信息的获取和使用。
IF 1.9 3区 哲学
Health Care Analysis Pub Date : 2022-03-01 Epub Date: 2021-11-09 DOI: 10.1007/s10728-021-00436-y
Stephen Holland, Jamie Cawthra, Tamara Schloemer, Peter Schröder-Bäck
{"title":"Trust and The Acquisition and Use of Public Health Information.","authors":"Stephen Holland,&nbsp;Jamie Cawthra,&nbsp;Tamara Schloemer,&nbsp;Peter Schröder-Bäck","doi":"10.1007/s10728-021-00436-y","DOIUrl":"https://doi.org/10.1007/s10728-021-00436-y","url":null,"abstract":"<p><p>Information is clearly vital to public health, but the acquisition and use of public health data elicit serious privacy concerns. One strategy for navigating this dilemma is to build 'trust' in institutions responsible for health information, thereby reducing privacy concerns and increasing willingness to contribute personal data. This strategy, as currently presented in public health literature, has serious shortcomings. But it can be augmented by appealing to the philosophical analysis of the concept of trust. Philosophers distinguish trust and trustworthiness from cognate attitudes, such as confident reliance. Central to this is value congruence: trust is grounded in the perception of shared values. So, the way to build trust in institutions responsible for health data is for those institutions to develop and display values shared by the public. We defend this approach from objections, such as that trust is an interpersonal attitude inappropriate to the way people relate to organisations. The paper then moves on to the practical application of our strategy. Trust and trustworthiness can reduce privacy concerns and increase willingness to share health data, notably, in the context of internal and external threats to data privacy. We end by appealing for the sort of empirical work our proposal requires.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":"30 1","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8576798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39856472","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: 2
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