揭开阴影:医疗保健系统中信息不透明的障碍、后果和挑战。

IF 1.9 4区 哲学 Q2 ETHICS
Majid Alizadeh, Nazila Azizi, Samireh Mahdavi, Fouad Baghlani
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引用次数: 0

摘要

简介:医疗保健系统的信息透明对于确保公众信任、提高服务质量和降低成本至关重要。然而,许多国家面临着信息不透明方面的重大挑战,这导致不平等和歧视,并增加了患者和医疗保健提供者的风险。本研究旨在探讨医疗保健系统中信息不透明的障碍、后果和挑战,并提出改进的解决方案。方法:本综述综合了来自科学文献的发现,包括文章、报告和政府来源,以调查缺乏信息透明度如何影响医疗保健绩效和公众信任。利用相关关键词,在PubMed、Scopus和b谷歌Scholar等主要数据库中进行了全面的搜索。选择标准侧重于来源的相关性、质量和及时性,从而通过专题综合对提取的数据进行批判性分析。研究结果:该研究确定了信息不透明的几个主要后果,包括公众信任度下降、服务质量下降、腐败加剧和医疗成本上升。研究结果与现有文献一致,强调了透明度对医疗保健系统有效决策和问责制的重要性。此外,还确定了实现透明度的障碍,例如获取必要信息的困难、隐私问题、商业利益以及在医疗融资方面进行系统性改革的必要性。讨论:本研究的意义强调了在医疗保健信息传播方面制定明确政策和程序的必要性。拟议的提高透明度的框架包括建立健全的沟通渠道,加强公众获取信息的渠道,培养问责文化,以及利用区块链和人工智能等新兴技术。应对这些挑战对于建立信任和改善医疗保健结果至关重要。结论:提高医疗卫生系统信息透明度对提高公众信任和服务质量至关重要。本研究为决策者提供了一个基础框架,以实施必要的变革,促进更公平和高效的医疗保健环境。未来的研究应侧重于评估这些拟议措施在不同医疗保健背景下的有效性,特别是通过整合理论框架,如利益相关者理论和制度理论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unveiling the shadows: obstacles, consequences, and challenges of information opacity in healthcare systems.

Introduction: Information transparency in healthcare systems is critical for ensuring public trust, enhancing service quality, and reducing costs. However, many countries face significant challenges concerning information opacity, which leads to inequality, discrimination, and increased risks for patients and healthcare providers. This study aims to explore the obstacles, consequences, and challenges of information opacity in healthcare systems, along with proposing solutions for improvement.

Method: This review synthesized findings from scientific literature, including articles, reports, and governmental sources, to investigate how the lack of information transparency affects healthcare performance and public trust. A comprehensive search was conducted across major databases such as PubMed, Scopus, and Google Scholar, utilizing relevant keywords. Selection criteria focused on the relevance, quality, and timeliness of the sources, leading to a critical analysis of the extracted data through thematic synthesis.

Findings: The study identifies several key consequences of information opacity, including a decrease in public trust, reduced service quality, increased corruption, and heightened healthcare costs. The findings align with existing literature that highlights the importance of transparency for effective decision-making and accountability in healthcare systems. Furthermore, obstacles to achieving transparency were identified, such as difficulties in accessing necessary information, privacy concerns, commercial interests, and the need for systemic reforms in healthcare financing.

Discussion: The implications of this study underscore the necessity for clear policies and procedures regarding information dissemination in healthcare. The proposed framework for improving transparency includes establishing robust communication channels, enhancing public access to information, fostering a culture of accountability, and leveraging emerging technologies like blockchain and artificial intelligence. Addressing these challenges is essential for building trust and improving healthcare outcomes.

Conclusion: Enhancing information transparency within healthcare systems is vital for improving public trust and service quality. This study provides a foundational framework for policymakers to implement necessary changes, promoting a more equitable and efficient healthcare environment. Future research should focus on evaluating the effectiveness of these proposed measures in diverse healthcare contexts, particularly by integrating theoretical frameworks such as stakeholder theory and institutional theory.

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来源期刊
Philosophy Ethics and Humanities in Medicine
Philosophy Ethics and Humanities in Medicine Arts and Humanities-History and Philosophy of Science
CiteScore
2.70
自引率
0.00%
发文量
13
审稿时长
24 weeks
期刊介绍: Philosophy, Ethics, and Humanities in Medicine considers articles on the philosophy of medicine and biology, and on ethical aspects of clinical practice and research. Philosophy, Ethics, and Humanities in Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the philosophy of medicine and biology, and the ethical aspects of clinical practice and research. It also considers papers at the intersection of medicine and humanities, including the history of medicine, that are relevant to contemporary philosophy of medicine and bioethics. Philosophy, Ethics, and Humanities in Medicine is the official publication of the Pellegrino Center for Clinical Bioethics at Georgetown University Medical Center.
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