Public Health Ethics 5 (1):81-90 (forthcoming)
|Abstract||Humanitarian health care practitioners working outside familiar settings, and without familiar supports, encounter ethical challenges both familiar and distinct. The ethical guidance they rely upon ought to reflect this. Using data from empirical studies, we explore the strengths and weaknesses of two ethical models that could serve as resources for understanding ethical challenges in humanitarian health care: clinical ethics and public health ethics. The qualitative interviews demonstrate the degree to which traditional teaching and values of clinical health ethics seem insufficient for addressing all the realities of health care practice during humanitarian missions. They equally suggest that greater good orientations of public health ethics can thwart the best intentions of health care professionals wanting to attend to the interests of individual patients. Even though neither is complete on its own for helping guide health professionals on field missions, taken together these models have much to offer. At the same time, the narratives of the humanitarian health care workers illustrate how some of the crucial differences between public health ethics and clinical ethics generate tensions in humanitarian health practice. We offer an analysis of some of the complexities this creates for humanitarian health care ethics, and consider ways of adjudicating between the two models|
|Keywords||No keywords specified (fix it)|
|Through your library||Configure|
Similar books and articles
Matthew R. Hunt (2008). Ethics Beyond Borders: How Health Professionals Experience Ethics in Humanitarian Assistance and Development Work. Developing World Bioethics 8 (2):59-69.
Matthew Hunt, Ethics Beyond Borders : How Canadian Health Professionals Experience Ethics in Humanitarian Assistance and Development Work.
Matthew R. Hunt, Lisa Schwartz, Christina Sinding & Laurie Elit (2012). The Ethics of Engaged Presence: A Framework for Health Professionals in Humanitarian Assistance and Development Work. Developing World Bioethics 12 (3).
C. Sinding, L. Schwartz, M. Hunt, L. Redwood-Campbell, L. Elit & J. Ranford (2010). 'Playing God Because You Have To': Health Professionals' Narratives of Rationing Care in Humanitarian and Development Work. Public Health Ethics 3 (2):147-156.
M. R. Hunt, L. Schwartz & L. Elit (2012). Experience of Ethics Training and Support for Health Care Professionals in International Aid Work. Public Health Ethics 5 (1):91-99.
Catherine Anne Berglund (2004). Ethics for Health Care. Oxford University Press.
Raymond S. Edge (2005). Ethics of Health Care: A Guide for Clinical Practice. Thomson Delmar Learning.
Dan W. Brock (2000). Broadening the Bioethics Agenda. Kennedy Institute of Ethics Journal 10 (1).
Neil Arya & Joanna Santa Barbara (eds.) (2008). Peace Through Health: How Health Professionals Can Work for a Less Violent World. Kumarian Press.
Bjørn Hofmann (2005). Simplified Models of the Relationship Between Health and Disease. Theoretical Medicine and Bioethics 26 (5):355-377.
Lorian E. Hardcastle, Katherine L. Record, Peter D. Jacobson & Lawrence O. Gostin (2011). Improving the Population's Health: The Affordable Care Act and the Importance of Integration. Journal of Law, Medicine and Ethics 39 (3):317-327.
Erich H. Loewy & Roberta Springer Loewy (2001). Bioethics at the Crossroad. Health Care Analysis 9 (4):463-476.
Lisa H. Newton (1982). Collective Responsibility in Health Care. Journal of Medicine and Philosophy 7 (1):11-22.
Edmund D. Pellegrino (1999). The Commodification of Medical and Health Care: The Moral Consequences of a Paradigm Shift From a Professional to a Market Ethic. Journal of Medicine and Philosophy 24 (3):243 – 266.
Added to index2012-03-23
Total downloads3 ( #202,008 of 549,094 )
Recent downloads (6 months)1 ( #63,361 of 549,094 )
How can I increase my downloads?