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  1. Patient Safety and the Question of Dignitary Harms.Polly Mitchell, Alan Cribb & Vikki Entwistle - 2023 - Journal of Medicine and Philosophy 48 (1):33-49.
    Patient safety is a central aspect of healthcare quality, focusing on preventable, iatrogenic harm. Harm, in this context, is typically assumed to mean physical injury to patients, often caused by technical error. However, some contributions to the patient safety literature have argued that disrespectful behavior towards patients can cause harm, even when it does not lead to physical injury. This paper investigates the nature of such dignitary harms and explores whether they should be included within the scope of patient safety (...)
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  • Quality of Life and Value Assessment in Health Care.Alicia Hall - 2020 - Health Care Analysis 28 (1):45-61.
    Proposals for health care cost containment emphasize high-value care as a way to control spending without compromising quality. When used in this context, ‘value’ refers to outcomes in relation to cost. To determine where health spending yields the most value, it is necessary to compare the benefits provided by different treatments. While many studies focus narrowly on health gains in assessing value, the notion of benefit is sometimes broadened to include overall quality of life. This paper explores the implications of (...)
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  • Reframing patient-doctor relationships: relational autonomy and treating autonomy as a virtue.Élaina Gauthier-Mamaril - 2022 - Journal of Global Ethics 18 (1):32-47.
    Despite extensive theoretical debate, concrete efforts to overcome paternalism and unbalanced power relations between patients and doctors have produced limited results. In this article, I examine...
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  • Improvement Science Meets Improvement Scholarship: Reframing Research for Better Healthcare.Alan Cribb - 2018 - Health Care Analysis 26 (2):109-123.
    In this editorial essay I explore the possibilities of ‘improvement scholarship’ in order to set the scene for the theme of, and the other papers in, this issue. I contrast a narrow conception of quality improvement research with a much broader and more inclusive conception, arguing that we should greatly extend the existing dialogue between ‘problem-solving’ and ‘critical’ currents in improvement research. I have in mind the potential for building a much larger conversation between those people in ‘improvement science’ who (...)
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  • Responsibility in healthcare across time and agents.Rebecca C. H. Brown & Julian Savulescu - 2019 - Journal of Medical Ethics 45 (10):636-644.
    It is unclear whether someone’s responsibility for developing a disease or maintaining his or her health should affect what healthcare he or she receives. While this dispute continues, we suggest that, if responsibility is to play a role in healthcare, the concept must be rethought in order to reflect the sense in which many health-related behaviours occur repeatedly over time and are the product of more than one agent. Most philosophical accounts of responsibility are synchronic and individualistic; we indicate here (...)
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  • Are We Justified in Introducing Carbon Monoxide Testing to Encourage Smoking Cessation in Pregnant Women?Catherine Bowden - 2019 - Health Care Analysis 27 (2):128-145.
    Smoking is frequently presented as being particularly problematic when the smoker is a pregnant woman because of the potential harm to the future child. This premise is used to justify targeting pregnant women with a unique approach to smoking cessation including policies such as the routine testing of all pregnant women for carbon monoxide at every antenatal appointment. This paper examines the evidence that such policies are justified by the aim of harm prevention and argues that targeting pregnant women in (...)
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  • Health assessment and the capability approach.Rodrigo López Barreda, Joelle Robertson-Preidler & Paula Bedregal García - 2019 - Global Bioethics 30 (1):19-27.
    Health has an important role in the achievement of a good quality of life. Many public policies intended to enhance individual and population health. Amartya Sen’s Capability Approach (CA) offers a framework to assess well-being, as well as interventions seeking to increase it. There are, however, important practical challenges that must be faced before applying CA to concrete situations, such as health. One of these challenges is defining whether it is functioning or a capability that is the feature to be (...)
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