Search results for 'Health Services Accessibility' (try it on Scholar)

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  1. Abraham P. George, Daniel Pope, Francine Watkins & Sarah J. O'Brien (2011). How Does Front‐Line Staff Feel About the Quality and Accessibility of Mental Health Services for Adults with Learning Disabilities? Journal of Evaluation in Clinical Practice 17 (1):196-198.
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  2.  16
    Kathryn E. Artnak, Richard M. McGraw & Vayden F. Stanley (2011). Health Care Accessibility for Chronic Illness Management and End-of-Life Care: A View From Rural America. Journal of Law, Medicine & Ethics 39 (2):140-155.
    Nearly $2 trillion is spent annually in the U.S. treating chronic illness — yet accessibility to quality health care services in rural communities for the chronically ill and dying remains problematic. Unique barriers present special challenges to a meaningful discussion of and subsequent strategies for addressing these issues in the context of increasingly scarce resources.
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  3.  51
    Norman Daniels (1985). Just Health Care. Cambridge University Press.
    How should medical services be distributed within society? Who should pay for them? Is it right that large amounts should be spent on sophisticated new technology and expensive operations, or would the resources be better employed in, for instance, less costly preventive measures? These and others are the questions addreses in this book. Norman Daniels examines some of the dilemmas thrown up by conflicting demands for medical attention, and goes on to advance a theory of justice in the distribution (...)
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  4. Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
    In this new book by the award-winning author of Just Healthcare, Norman Daniels develops a comprehensive theory of justice for health that answers three key questions: What is the special moral importance of health? When are health inequalities unjust? How can we meet health needs fairly when we cannot meet them all? The theory has implications for national and global health policy: Can we meet health needs fairly in aging societies? Or protect health (...)
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  5.  5
    Samia A. Hurst, Stella Reiter-Theil, Arnaud Perrier, Reidun Forde, Anne-Marie Slowther, Renzo Pegoraro & Marion Danis (2007). Physicians' Access to Ethics Support Services in Four European Countries. Health Care Analysis 15 (4):321-335.
    Clinical ethics support services are developing in Europe. They will be most useful if they are designed to match the ethical concerns of clinicians. We conducted a cross-sectional mailed survey on random samples of general physicians in Norway, Switzerland, Italy, and the UK, to assess their access to different types of ethics support services, and to describe what makes them more likely to have used available ethics support. Respondents reported access to formal ethics support services such as (...)
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  6.  17
    Jonathan Breslin, Susan MacRae, Jennifer Bell & Peter Singer (2005). Top 10 Health Care Ethics Challenges Facing the Public: Views of Toronto Bioethicists. [REVIEW] BMC Medical Ethics 6 (1):1-8.
    Background There are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre (...)
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  7.  6
    Enric J. Novella (2008). Theoretical Accounts on Deinstitutionalization and the Reform of Mental Health Services: A Critical Review. [REVIEW] Medicine, Health Care and Philosophy 11 (3):303-314.
    This article offers a comprehensive critical review of the most popular theoretical accounts on the recent processes of deinstitutionalization and reform of mental health services and their possible underlying factors, focusing in the sharp contrast between the straightforward ideas and models maintained by mainstream psychiatry and the different interpretations delivered by authors coming from the social sciences or applying conceptual tools stemming from diverse social theories. Since all these appraisals tend to illuminate only some aspects of the process (...)
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  8. Larry R. Churchill (1987). Rationing Health Care in America Perceptions and Principles of Justice.
     
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  9.  3
    Sassy Molyneux, Stephen Mulupi, Lairumbi Mbaabu & Vicki Marsh (2012). Benefits and Payments for Research Participants: Experiences and Views From a Research Centre on the Kenyan Coast. [REVIEW] BMC Medical Ethics 13 (1):13-.
    BackgroundThere is general consensus internationally that unfair distribution of the benefits of research is exploitative and should be avoided or reduced. However, what constitutes fair benefits, and the exact nature of the benefits and their mode of provision can be strongly contested. Empirical studies have the potential to contribute viewpoints and experiences to debates and guidelines, but few have been conducted. We conducted a study to support the development of guidelines on benefits and payments for studies conducted by the KEMRI-Wellcome (...)
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  10.  3
    Lillian Lillemoen & Reidar Pedersen (2015). Ethics Reflection Groups in Community Health Services: An Evaluation Study. BMC Medical Ethics 16 (1):25.
    Systematic ethics support in community health services in Norway is in the initial phase. There are few evaluation studies about the significance of ethics reflection on care. The aim of this study was to evaluate systematic ethics reflection in groups in community health , - from the perspectives of employees participating in the groups, the group facilitators and the service managers. The reflection groups were implemented as part of a research and development project.
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  11.  1
    Tong‐wei Yang & En‐Chang Li (2015). Ethical Study on the Reform and Development of Medical and Health Services in China. Bioethics 29 (6):406-412.
    At an early stage of its foundation, new China became clear about the nature of public welfare and quickly developed medical and health services, which was well received by the World Health Organization. The marketization and the reduction of input into medical and health services from the 1980s created severe adverse consequences. After the SARS' outbreak in 2003, China started to give serious consideration to its medical and health system, and to work at developing (...)
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  12.  12
    Anne Townsend & Susan M. Cox (2013). Accessing Health Services Through the Back Door: A Qualitative Interview Study Investigating Reasons Why People Participate in Health Research in Canada. [REVIEW] BMC Medical Ethics 14 (1):40.
    Although there is extensive information about why people participate in clinical trials, studies are largely based on quantitative evidence and typically focus on single conditions. Over the last decade investigations into why people volunteer for health research have become increasingly prominent across diverse research settings, offering variable based explanations of participation patterns driven primarily by recruitment concerns. Therapeutic misconception and altruism have emerged as predominant themes in this literature on motivations to participate in health research. This paper contributes (...)
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  13.  3
    Sandra J. Tanenbaum (2011). Mental Health Consumer-Operated Services Organizations in the US: Citizenship as a Core Function and Strategy for Growth. [REVIEW] Health Care Analysis 19 (2):192-205.
    Consumer-operated services organizations (COSOs) are independent, non-profit organizations that provide peer support and other non-clinical services to seriously mentally ill people. Mental health consumers provide many of these services and make up at least a majority of the organization’s leadership. Although the dominant conception of the COSO is as an adjunct to clinical care in the public mental health system, this paper reconceives the organization as a civic association and thereby a locus of citizenship. Drawing (...)
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  14.  15
    Eileen P. Anderson‐Fye & Jerry Floersch (2011). “I'm Not Your Typical 'Homework Stresses Me Out' Kind of Girl”: Psychological Anthropology in Research on College Student Usage of Psychiatric Medications and Mental Health Services. Ethos: Journal of the Society for Psychological Anthropology 39 (4):501-521.
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  15.  4
    A. Miles MSc MPhil PhD, P. Bentley Phd Frcp Frcpath, A. Polychronis Mb Chb, J. Grey Phd Mrcp & N. Price Ba (1998). Recent Progress in Health Services Research: On the Need for Evidence‐Based Debate. Journal of Evaluation in Clinical Practice 4 (4):257-265.
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  16. Jennifer Hunter, Katherine Corcoran, Stephen Leeder & Kerryn Phelps (2013). Is It Time to Abandon Paper? The Use of Emails and the Internet for Health Services Research – a Cost‐Effectiveness and Qualitative Study. Journal of Evaluation in Clinical Practice 19 (5):855-861.
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  17. Shivani Uppal, Lindsay G. Oades, Trevor P. Crowe & Frank P. Deane (2010). Barriers to Transfer of Collaborative Recovery Training Into Australian Mental Health Services: Implications for the Development of Evidence‐Based Services. Journal of Evaluation in Clinical Practice 16 (3):451-455.
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  18.  32
    Joseph Millum (2011). Post-Trial Access to Antiretrovirals: Who Owes What to Whom? Bioethics 25 (3):145-154.
    Many recent articles argue that participants who seroconvert during HIV prevention trials deserve treatment when they develop AIDS, and there is a general consensus that the participants in HIV/AIDS treatment trials should have continuing post-trial access. As a result, the primary concern of many ethicists and activists has shifted from justifying an obligation to treat trial participants, to working out mechanisms through which treatment could be provided. In this paper I argue that this shift frequently conceals an important assumption: that (...)
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  19. Carolyn De Coster, Stewart McMillan, Rollin Brant, John McGurran & Tom Noseworthy (2007). The Western Canada Waiting List Project: Development of a Priority Referral Score for Hip and Knee Arthroplasty. Journal of Evaluation in Clinical Practice 13 (2):192-197.
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  20.  17
    David A. Pollack, Bentson H. McFarland, Robert A. George & Richard H. Angell (1993). Ethics and Value Strategies Used in Prioritizing Mental Health Services in Oregon. HEC Forum 5 (5):322-339.
    The authors describe the ethical considerations underlying the inclusion of mental health services into a prioritizedhealth care system. The Oregon Health Plan is a process for defining and delivering basic health services to an entire state. As the plan was developed, the mental health community needed to decide whether or not to participate in the process and, if so, how. Lengthy discussions among mental health consumers, family members, and providers led to a strategy (...)
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  21.  1
    Sarah L. Marshall, Lindsay G. Oades & Trevor P. Crowe (2009). Mental Health Consumers' Perceptions of Receiving Recovery‐Focused Services. Journal of Evaluation in Clinical Practice 15 (4):654-659.
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  22.  4
    lan Rees Jones (1995). Health Care Need and Contracts for Health Services. Health Care Analysis 3 (2):91-98.
    Assessments of health care needs are embedded in contracts for health services. Such contracts are the formal link between the identification of health care needs and the purchasing of services to satisfy those needs. They are a central part of the procedural relationship between the British health service (NHS) and the satisfaction of human needs. To evaluate contracts it is necessary to investigate this relationship. A number of headings under which it may be possible (...)
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  23.  6
    Andrew Moore (1994). Well-Being: A Philosophical Basis for Health Services. [REVIEW] Health Care Analysis 2 (3):207-216.
    This paper develops and defends the claim that the promotion of human well-being is a philosophical basis or rationale for health services. It first sketches a case for this thesis, then defends it against various objections arising from the contrary position, here dubbed The Sceptical View. Later sections of the paper elaborate on the meaning of ‘well-being’, the nature of well-being, and the scope of appropriate health service concern with well-being. In particular, distinctions are made between ‘thick’ (...)
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  24.  7
    J. Cassell (2002). Why We Should Not Seek Individual Informed Consent for Participation in Health Services Research. Journal of Medical Ethics 28 (5):313-317.
    Ethics committees now require that individuals give informed consent to much health services research, in the same way as for clinical research. This is misguided. Existing ethical guidelines do not help us decide how to seek consent in these cases, and have allowed managerial experimentation to remain largely unchecked. Inappropriate requirements for individual consent can institutionalise health inequalities and reduce access to services for vulnerable groups. This undermines the fundamental purpose of the National Health Service (...)
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  25.  3
    Lillian Lillemoen & Reidar Pedersen (2013). Ethics in Municipal Health Services: Working Systematically with, and Developing Competence in Ethics. Clinical Ethics 8 (1):19-28.
    The Norwegian Parliament has decided to give priority to ethics in municipal health services. This priority is supposed to raise competence in ethics within municipal health services. As part of the national project, the participating municipalities were encouraged to develop and carry out local projects. In this article, we present a local ethics project in one of the participating municipalities in central eastern Norway. The local project for raising competence in ethics was carried out in cooperation (...)
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  26.  10
    Dean M. Harris (2011). Ethics in Health Services and Policy: A Global Approach. Jossey-Bass.
    Machine generated contents note: Introduction. -- Acknowledgments. -- The Author. -- 1 Ethical Theories and Bioethics in a Global Perspective. -- Theories of Ethics. -- Are Theories of Ethics Global? -- Can Theories of Ethics Encourage People to Do the Right Thing? -- 2 Autonomy and Informed Consent in Global Perspective. -- Ethical Principles and Practical Issues of Informed Consent. -- Does Informed Consent Really Matter to Patients? -- Is Informed Consent a Universal Principle or a Cultural Value? -- 3 (...)
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  27.  9
    Nathan M. Gerard (2010). A Diagnosis of Conflict: Theoretical Barriers to Integration in Mental Health Services & Their Philosophical Undercurrents. [REVIEW] Philosophy, Ethics, and Humanities in Medicine 5 (1):4.
    This paper examines the philosophical substructure to the theoretical conflicts that permeate contemporary mental health care in the UK. Theoretical conflicts are treated here as those that arise among practitioners holding divergent theoretical orientations towards the phenomena being treated. Such conflicts, although steeped in history, have become revitalized by recent attempts at integrating mental health services that have forced diversely trained practitioners to work collaboratively together, often under one roof. Part I of this paper examines how the (...)
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  28.  3
    Anne Heikkinen, Gustav Wickström & Helena Leino-Kilpi (2006). Understanding Privacy in Occupational Health Services. Nursing Ethics 13 (5):515-530.
    The aim of this study was to gain a deeper understanding of privacy in occupational health services. Data were collected through in-depth theme interviews with occupational health professionals (n=15), employees (n=15) and employers (n=14). Our findings indicate that privacy, in this context, is a complex and multilayered concept, and that companies as well as individual employees have their own core secrets. Co-operation between the three groups proved challenging: occupational health professionals have to consider carefully in which (...)
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  29.  7
    Martin Sundel (1996). Designing Mental Health Services to Improve Ethnic Relations. World Futures 47 (1):15-23.
    (1996). Designing mental health services to improve ethnic relations. World Futures: Vol. 47, Unity and Diversity in Contemporary Systems Tinking: Systematic Pictures at an Exhibition, pp. 15-23.
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  30.  10
    Kristin Janssens, Marleen Bosmans, Els Leye & Marleen Temmerman (2006). Sexual and Reproductive Health of Asylum-Seeking and Refugee Women in Europe: Entitlements and Access to Health Services. Journal of Global Ethics 2 (2):183 – 196.
    Asylum-seeking and refugee women (ASRW) are population groups characterized by diverse social, economic and legal backgrounds as well as diverse needs. Their backgrounds of forced migration have a profound impact on their overall health, including their sexual and reproductive health (SRH). In Europe, the SRH needs of ASRW are usually more pressing than those of the host country population. In the context of refugee health, it is important to distinguish between asylum seekers and statutory refugees, as asylum (...)
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  31.  7
    N. Bosanquet (2001). A 'Fair Innings' for Efficiency in Health Services? Journal of Medical Ethics 27 (4):228-233.
    This paper reviews the severe visual focus problems of health economists–they have developed a one-sided fixation with equity issues, neglecting the efficiency agenda. The problems of meeting need are not just about access–they will vary with cost and supply. Economists in fact developed a more balanced agenda in the 1970s but have failed to follow it up. The paper defines the triple nationalisation of the National Health Service , and presents evidence that pluralism, using the purchaser/provider split, has (...)
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  32.  3
    S. Jayasinghe (2009). Contracts to Devolve Health Services in Fragile States and Developing Countries: Do Ethics Matter? Journal of Medical Ethics 35 (9):552-557.
    Fragile states and developing countries increasingly contract out health services to non-state providers (NSPs) (such as non-governmental organisations, voluntary sector and private sector). The paper identifies ethical issues when contracts involve devolution of health services to NSPs and proposes procedures to prevent or resolve these ethical dilemmas. Ethical issues were identified by examining processes of contracting out. Health needs could be used to select areas to be contracted out and to identify service needs. Health (...)
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  33.  3
    A. Heikkinen (2006). Privacy and Occupational Health Services. Journal of Medical Ethics 32 (9):522-525.
    Privacy is a key ethical principle in occupational health services. Its importance is emphasised in several laws, in ethical codes of conduct as well as in the literature, yet there is only very limited empirical research on privacy in the occupational health context. Conceptual questions on privacy in the occupational health context are discussed. The baseline assumption is that, in this context, privacy cannot be approached and examined only from the employee’s vantage point but the employer’s (...)
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  34. Amardeep Thind (2005). Analysis of Health Services Use for Respiratory Illness in Indonesian Children: Implications for Policy. Journal of Biosocial Science 37 (2):129-142.
    Respiratory illness continues to be a leading cause of paediatric morbidity and mortality in Indonesia. The Indonesian government is moving towards a more managed care-based approach as it reforms its health care system following the 1997 financial crisis. In order to better design contractual relationships between the payor and different providers, there needs to be a better understanding of the patterns and predictors of health services utilization for respiratory illness. This study uses the Indonesia Demographic and (...) Survey to study the determinants of private, public and non-formal provider utilization for respiratory illness. Multinomial logistic regression models for predicting use were constructed using the Andersen Behavioural Model as the conceptual framework. The findings indicate that age, household size, maternal education, religion, the asset index, location and illness severity play a role in determining use of private, public or non-formal providers. The results indicate that from a policy perspective, the Indonesian government needs be inclusive rather than exclusive in the choice of providers that are contracted by the managed care plans, in order to safeguard the health of the under-five population. (shrink)
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  35.  4
    Alastair V. Campbell (1995). Defining Core Health Services: The New Zealand Experience. Bioethics 9 (3):252–258.
    The New Zealand health service has been extensively changed over the past four years, with the introduction of Jour new Regional Health Authorities, required to purchase services on behalf of the Government from a range of providers. In order to ensure fairness across the four regions a Core Services Committee has been set up to define which services must be purchased. However, no clear agreement has emerged about a “core” and no list, either positive or (...)
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  36. Debra S. Lean, Vincent A. Colucci & Michael Fullan (2010). Barriers to Learning: The Case for Integrated Mental Health Services in Schools. R&L Education.
    This book presents a unique classification and review of various mental health and learning issues. The authors link current education and child and youth mental health reforms to make the case for improving services to address barriers to learning.
     
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  37.  8
    Danielle Costa Leite Borges (2011). European Health Systems and the Internal Market: Reshaping Ideology? [REVIEW] Health Care Analysis 19 (4):365-387.
    Departing from theories of distributive justice and their relation with the distribution of health care within society, especially egalitarianism and libertarianism, this paper aims at demonstrating that the approach taken by the European Court of Justice regarding the application of the Internal Market principles (or the market freedoms) to the field of health care services has introduced new values which are more concerned with a libertarian view of health care. Moreover, the paper also addresses the question (...)
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  38.  9
    Carmel M. Martin & Joachim P. Sturmberg (2009). Perturbing Ongoing Conversations About Systems and Complexity in Health Services and Systems. Journal of Evaluation in Clinical Practice 15 (3):549-552.
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  39.  1
    Antonella Gigantesco & Pierluigi Morosini (2010). Mental Health Services Accreditation in Italy. Journal of Evaluation in Clinical Practice 16 (6):1157-1163.
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  40. Marilyn J. Held PhD & Kathleen N. Lohr PhD (1995). Health Services Research: An Expanding Field of Inquiry. Journal of Evaluation in Clinical Practice 1 (1):61-65.
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  41. Siân Williams, Caroline Rogers, Penny Peel, Samuel B. Harvey, Max Henderson, Ira Madan, Julia Smedley & Robert Grant (2012). Measuring How Well the NHS Looks After its Own Staff: Methodology of the First National Clinical Audits of Occupational Health Services in the NHS. Journal of Evaluation in Clinical Practice 18 (2):283-289.
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  42.  3
    Yael Schenker, Robert M. Arnold & Alex John London (2014). The Ethics of Advertising for Health Care Services. American Journal of Bioethics 14 (3):34-43.
    Advertising by health care institutions has increased steadily in recent years. While direct-to-consumer prescription drug advertising is subject to unique oversight by the Federal Drug Administration, advertisements for health care services are regulated by the Federal Trade Commission and treated no differently from advertisements for consumer goods. In this article, we argue that decisions about pursuing health care services are distinguished by informational asymmetries, high stakes, and patient vulnerabilities, grounding fiduciary responsibilities on the part of (...)
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  43. Mohammad Sabahi Bidgoli, Ali Kebriaei & Sayed Gholamabas Moosavi (2016). Quality Gap of Family Health Care Services in Kashan Health Centers: An Iranian Viewpoint. International Letters of Social and Humanistic Sciences 70:14-20.
    Source: Author: Mohammad Sabahi Bidgoli, Ali Kebriaei, Sayed Gholamabas Moosavi Background and Aim: Patients' viewpoints are commonly used to assess quality of care in diverse healthcare organizations. This permits managerial decisions to be made based on knowledge rather than conjecture. The purpose of the current study is to investigate quality gap of family health care through measuring differences between clients’ perceptions and expectations at Kashan city health centers in Iran.Methodology: A cross-sectional design was applied in 2013. The study (...)
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  44.  4
    Wiebke Bretschneider & Bernice Simone Elger (2014). Expert Perspectives on Western European Prison Health Services: Do Ageing Prisoners Receive Equivalent Care? Journal of Bioethical Inquiry 11 (3):319-332.
    Health care in prison and particularly the health care of older prisoners are increasingly important topics due to the growth of the ageing prisoner population. The aim of this paper is to gain insight into the approaches used in the provision of equivalent health care to ageing prisoners and to confront the intuitive definition of equivalent care and the practical and ethical challenges that have been experienced by individuals working in this field. Forty interviews took place with (...)
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  45.  1
    Vickie M. Mays (2012). Research Challenges and Bioethics Responsibilities in the Aftermath of the Presidential Apology to the Survivors of the U. S. Public Health Services Syphilis Study at Tuskegee. Ethics and Behavior 22 (6):419-430.
    In 1997 President Clinton apologized to the survivors of the U.S. Public Health Service Syphilis Study. Since then, two of his recommendations have received little attention. First, he emphasized the need to remember the shameful past so we can build a better future for racial'ethnic minority populations. Second, he directed the creation in partnership with higher education to prepare training materials that would instruct biomedical researchers on the application of ethical principles to research with racial/ethnic minority populations. This article (...)
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  46.  8
    Henk A. M. J. Have (1993). Choosing Core Health Services in the Netherlands. Health Care Analysis 1 (1):43-47.
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  47.  3
    Henk A. M. J. Ten Have (1993). Choosing Core Health Services in the Netherlands. Health Care Analysis 1 (1):43-47.
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  48.  13
    Axel Liégeois (2013). Euthanasia and Mental Suffering: An Ethical Advice for Catholic Mental Health Services. Christian Bioethics 19 (1):72-81.
    The present ethical advice tackles the question as to how caregivers in a Catholic mental health service can take care of psychiatric patients requesting euthanasia because of their unbearable mental suffering. The question arises because the Belgian act on euthanasia allows euthanasia under certain conditions, while the Roman Catholic Church forbids euthanasia in all circumstances. The ethical advice is based on the assessment of fundamental values: the inviolability of life, the patient’s autonomy, and the care relationship between caregivers and (...)
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  49. M. Davern, A. Jones, J. Lepkowski, G. Davidson & L. A. Blewett (2006). Unstable Inferences? An Examination of Complex Survey Sample Design Adjustments Using the Current Population Survey for Health Services Research. Inquiry: The Journal of Health Care Organization, Provision, and Financing 43 (3):283-297.
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  50.  2
    Letitia Helen Burridge (2014). Normalising The Good Doctor … and Other Health Services Personnel. Journal of Bioethical Inquiry 11 (2):113-113.
    The topic of Ron Paterson’s book which was recently reviewed by Deborah Oyer only scratches the surface of a disturbing problem that is not confined to medicine, as health care delivery is a multidisciplinary experience for patients. I hear stories from patients about bullying dieticians, callous nurses, and institutions that espouse patient-centred care yet fail to deliver it to individuals who are unwell, worried, and vulnerable in an unfamiliar environment into which they have come for help. Maybe being conversant (...)
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