Search results for 'health disparities' (try it on Scholar)

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  1. Andrew Courtwright (2008). Health Disparities and Autonomy. Bioethics 22 (8):431-439.score: 90.0
    Disparities in socioeconomic status correlate closely with health, so that the lower a person's social position, the worse his health, an effect that the epidemiologist Michael Marmot has labeled the status syndrome. Marmot has argued that differences in autonomy, understood in terms of control, underlie the status syndrome. He has, therefore, recommended that the American medical profession champion policies that improve patient autonomy. In this paper, I clarify the kind of control Marmot sees as connecting differences in (...)
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  2. Andrew M. Courtwright (2009). Justice, Stigma, and the New Epidemiology of Health Disparities. Bioethics 23 (2):90-96.score: 60.0
    Recent research in epidemiology has identified a number of factors beyond access to medical care that contribute to health disparities. Among the so-called socioeconomic determinants of health are income, education, and the distribution of social capital. One factor that has been overlooked in this discussion is the effect that stigmatization can have on health. In this paper, I identify two ways that social stigma can create health disparities: directly by impacting health-care seeking behaviour (...)
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  3. Peggye Dilworth-Anderson, Geraldine Pierre & Tandrea S. Hilliard (2012). Social Justice, Health Disparities, and Culture in the Care of the Elderly. Journal of Law, Medicine and Ethics 40 (1):26-32.score: 60.0
    Older minority Americans experience worse health outcomes than their white counterparts, exhibiting the need for social justice in all areas of their health care. Justice, fairness, and equity are crucial to minimizing conditions that adversely affect the health of individuals and communities. In this paper, Alzheimer's disease (AD) is used as an example of a health care disparity among elderly Americans that requires social justice interventions. Cultural factors play a crucial role in AD screening, diagnosis, and (...)
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  4. Christian Simon & Maghboeba Mosavel (2010). Exploratory Health Disparities Research: The Need to Provide a Tangible Benefit to Vulnerable Respondents. Ethics and Behavior 20 (1):1-9.score: 60.0
    This article examines the responsibilities of researchers who conduct exploratory research to provide a service to vulnerable respondents. The term “service” is used to denote the provision of a tangible benefit in relation to the research question that is apart from the altruistic research benefits. This article explores what this “service” could look like, who might be responsible for providing it, and the challenges associated with such a service. The article argues that not providing a tangible benefit to vulnerable research (...)
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  5. Jamie Rogers & Ursula A. Kelly (2011). Feminist Intersectionality: Bringing Social Justice to Health Disparities Research. Nursing Ethics 18 (3):397-407.score: 60.0
    The principles of autonomy, beneficence, non-maleficence, and justice are well established ethical principles in health research. Of these principles, justice has received less attention by health researchers. The purpose of this article is to broaden the discussion of health research ethics, particularly the ethical principle of justice, to include societal considerations — who and what are studied and why? — and to critique current applications of ethical principles within this broader view. We will use a feminist intersectional (...)
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  6. Daniel S. Goldberg (2009). In Support of a Broad Model of Public Health: Disparities, Social Epidemiology and Public Health Causation. Public Health Ethics 2 (1):70-83.score: 51.0
    Corresponding Author, Health Policy & Ethics Fellow, Chronic Disease Prevention & Control Research Center, Department of Medicine, Baylor College of Medicine, 1709 Dryden, Suite 1025, Houston, TX 77030, USA. Tel.: 713.798.5482; Fax: 713 798 3990; Email: danielg{at}bcm.edu ' + u + '@' + d + ' '//--> . Abstract This article defends a broad model of public health, one that specifically addresses the social epidemiologic research suggesting that social conditions are primary determinants of health. The article proceeds (...)
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  7. Cynthia Baur (2008). An Analysis of Factors Underlying E-Health Disparities. Cambridge Quarterly of Healthcare Ethics 17 (04):417-428.score: 48.0
    The potential public and individual health consequences of unequal access to digital technologies have been recognized in the United States for at least a decade. Unequal access to the Internet and related technologies has been characterized as a ; naturalistic trends toward broader access across the population and targeted intervention to increase access are described as progress toward The problem of the digital divide has been characterized as one of healthcare justice. The idea that everyone should have access to (...)
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  8. Simon M. Outram & George T. H. Ellison (2006). Anthropological Insights Into the Use of Race/Ethnicity to Explore Genetic Contributions to Disparities in Health. Journal of Biosocial Science 38 (1):83-102.score: 48.0
    Anthropological insights into the use of race/ethnicity to explore genetic contributions to disparities in health were developed using in-depth qualitative interviews with editorial staff from nineteen genetics journals, focusing on the methodological and conceptual mechanisms required to make race/ethnicity a genetic variable. As such, these analyses explore how and why race/ethnicity comes to be used in the context of genetic research, set against the background of continuing critiques from anthropology and related human sciences that focus on the social (...)
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  9. Benjamin Hale (2009). Is Justice Good for Your Sleep? (And Therefore, Good for Your Health?). Social Theory and Health 7 (4):354-370.score: 45.0
    In this paper, we present an argument strengthening the view of Norman Daniels, Bruce Kennedy and Ichiro Kawachi that justice is good for one's health. We argue that the pathways through which social factors produce inequalities in sleep more strongly imply a unidirectional and non-voluntary causality than with most other public health issues. Specifically, we argue against the 'voluntarism objection' – an objection that suggests that adverse public health outcomes can be traced back to the free and (...)
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  10. Solomon R. Benatar (2013). Global Health and Justice: Re‐Examining Our Values. Bioethics 27 (6):297-304.score: 45.0
    Widening disparities in health within and between nations reflect a trajectory of ‘progress’ that has ‘run its course’ and needs to be significantly modified if progress is to be sustainable. Values and a value system that have enabled progress are now being distorted to the point where they undermine the future of global health by generating multiple crises that perpetuate injustice. Reliance on philanthropy for rectification, while necessary in the short and medium terms, is insufficient to address (...)
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  11. Jaime S. King, Mark H. Eckman & Benjamin W. Moulton (2011). The Potential of Shared Decision Making to Reduce Health Disparities. Journal of Law, Medicine and Ethics 39:30-33.score: 45.0
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  12. Simon J. Craddock Lee (2005). The Risks of Race in Addressing Health Disparities. Hastings Center Report 35 (4):c3-c3.score: 45.0
  13. Howard Brody, Jason E. Glenn & Laura Hermer (2012). Racial/Ethnic Health Disparities and Ethics. Cambridge Quarterly of Healthcare Ethics 21 (03):309-319.score: 45.0
  14. Rebecca J. Hester (2012). The Promise and Paradox of Cultural Competence. HEC Forum 24 (4):279-291.score: 45.0
    Cultural competence has become a ubiquitous and unquestioned aspect of professional formation in medicine. It has been linked to efforts to eliminate race-based health disparities and to train more compassionate and sensitive providers. In this article, I question whether the field of cultural competence lives up to its promise. I argue that it does not because it fails to grapple with the ways that race and racism work in U.S. society today. Unless we change our theoretical apparatus for (...)
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  15. Dorothy Roberts (2012). Debating the Cause of Health Disparities. Cambridge Quarterly of Healthcare Ethics 21 (03):332-341.score: 45.0
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  16. Inmaculada de Melo-Martin & Kristen Intemann (2007). Can Ethical Reasoning Contribute to Better Epidemiology? A Case Study in Research on Racial Health Disparities. European Journal of Epidemiology 22 (4):215-21.score: 45.0
     
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  17. Pamela Valera, Stephanie Cook, Ruth Macklin & Yvonne Chang (2014). Conducting Health Disparities Research with Criminal Justice Populations: Examining Research, Ethics, and Participation. Ethics and Behavior 24 (2):164-174.score: 45.0
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  18. Faith E. Fletcher, Paul Ndebele & Maureen C. Kelley (2008). Infant Feeding and Hiv in Sub-Saharan Africa: What Lies Beneath the Dilemma? Theoretical Medicine and Bioethics 29 (5):307-330.score: 42.0
    The debate over how to best guide HIV-infected mothers in resource-poor settings on infant feeding is more than two decades old. Globally, breastfeeding is responsible for approximately 300,000 HIV infections per year, while at the same time, UNICEF estimates that not breastfeeding (formula feeding with contaminated water) is responsible for 1.5 million child deaths per year. The largest burden of these infections and deaths occur in Sub-Saharan Africa. Using this region as an example of the burden faced more generally in (...)
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  19. John Stone (2002). Race and Healthcare Disparities: Overcoming Vulnerability. Theoretical Medicine and Bioethics 23 (6):499-518.score: 42.0
    The paper summarizes recently published dataand recommendations about healthcaredisparities experienced by African Americanswho have Medicare or other healthcare coverage.Against this background the paper addresses theethics of such disparities and howdisadvantages of vulnerable populations likeAfrican Americans are typically maintained indecision making about how to respond to suchdisparities. Considering how to respond todisparities reveals much that vulnerablepopulations would bring to the policy-makingtable, if they can also be heard when they getthere. The paper argues that vulnerablepopulations like African Americans need fairrepresentation in (...)
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  20. Ken Fox (2002). Hotep's Story: Exploring the Wounds of Health Vulnerability in the US. Theoretical Medicine and Bioethics 23 (6):471-497.score: 42.0
    A wide variety of forms of domination hasresulted in a highly heterogeneous health riskcategory, ``the vulnerable.'''' The study of healthinequities sheds light on forces thatgenerate, sustain, and alter vulnerabilities toillness, injury, suffering and death. Thispaper analyzes the case of a high-risk teenfrom a Boston ghetto that illuminatesintersections between ``race'''' and class in theconstruction of vulnerability in the US.Exploration of his ``wounds'''' helps specify howlarge-scale social and cultural forces becomeembodied as individual experience of disparatehealth risk. The case demonstrates that healthinequities (...)
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  21. John McKinlay, Rebecca Piccolo & Lisa Marceau (2013). An Additional Cause of Health Care Disparities: The Variable Clinical Decisions of Primary Care Doctors. Journal of Evaluation in Clinical Practice 19 (4):664-673.score: 42.0
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  22. David B. Resnik & Gerard Roman (2007). Health, Justice, and the Environment. Bioethics 21 (4):230–241.score: 39.0
  23. S. R. Benatar & Gillian Brock (eds.) (2011). Global Health and Global Health Ethics. Cambridge University Press.score: 36.0
    Machine generated contents note: Preface; Introduction; Part I. Global Health, Definitions and Descriptions: 1. What is global health? Solly Benatar and Ross Upshur; 2. The state of global health in a radically unequal world: patterns and prospects Ron Labonte and Ted Schrecker; 3. Addressing the societal determinants of health: the key global health ethics imperative of our times Anne-Emmanuelle Birn; 4. Gender and global health: inequality and differences Lesley Doyal and Sarah Payne; 5. Heath (...)
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  24. David Shaw, Lorna Macpherson & David Conway (2009). Tackling Socially Determined Dental Inequalities: Ethical Aspects of Childsmile, the National Child Oral Health Demonstration Programme in Scotland. Bioethics 23 (2):131-139.score: 36.0
    Many ethical issues are posed by public health interventions. Although abstract theorizing about these issues can be useful, it is the application of ethical theory to real cases which will ultimately be of benefit in decision-making. To this end, this paper will analyse the ethical issues involved in Childsmile, a national oral health demonstration programme in Scotland that aims to improve the oral health of the nation's children and reduce dental inequalities through a combination of targeted and (...)
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  25. Lundy Braun (2002). Race, Ethnicity, and Health: Can Genetics Explain Disparities? Perspectives in Biology and Medicine 45 (2):159-174.score: 36.0
  26. Marsha Lillie-Blanton, Saqi Maleque & Wilhelmine Miller (2008). Reducing Racial, Ethnic, and Socioeconomic Disparities in Health Care: Opportunities in National Health Reform. Journal of Law, Medicine and Ethics 36 (4):693-702.score: 36.0
  27. Alix Weisfeld & Robert L. Perlman (2005). Disparities and Discrimination in Health Care: An Introduction. Perspectives in Biology and Medicine 48 (1):1-S9.score: 36.0
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  28. Lisa Campo-Engelstein & Karen Meagher (2011). Costa Rica's 'White Legend': How Racial Narratives Undermine its Health Care System. Developing World Bioethics 11 (2):99-107.score: 36.0
    A dominant cultural narrative within Costa Rica describes Costa Ricans not only as different from their Central American neighbours, but it also exalts them as better: specifically, as more white, peaceful, egalitarian and democratic. This notion of Costa Rican exceptionalism played a key role in the creation of their health care system, which is based on the four core principles of equity, universality, solidarity and obligation. While the political justification and design of the current health care system does, (...)
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  29. Connie Price & Stephen Sodeke (2006). Letter to the Editor: End-of-Life Care and Racial Disparities: All Social and Health Care Sectors Must Respond! American Journal of Bioethics 6 (5):W33-W34.score: 36.0
  30. Katherine Baicker, Amitabh Chandra & Jonathan Skinner (2005). Geographic Variation in Health Care and the Problem of Measuring Racial Disparities. Perspectives in Biology and Medicine 48 (1):42-S53.score: 36.0
  31. Richard Allen Epstein (2005). Disparities and Discrimination in Health Care Coverage: A Critique of The Institute of Medicine Study. Perspectives in Biology and Medicine 48 (1):26-S41.score: 36.0
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  32. Jennifer Haas & Katherine Swartz (2007). The Relative Importance of Worker, Firm, and Market Characteristics for Racial/Ethnic Disparities in Employer-Sponsored Health Insurance. Inquiry 44 (3):280-302.score: 36.0
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  33. I. Lowy (2003). Intervention and Representation-Health Campaigns and Geographic Disparities Relative Hookworm Infections. History and Philosophy of the Life Sciences 25 (3):337-362.score: 36.0
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  34. Sally L. Satel & Jonathan Klick (2005). Disparities in Health Care: Perspectives on the Institute of Medicine Report,“Unequal Treatment.”. Perspectives in Biology and Medicine 48:S15 - S25.score: 36.0
     
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  35. Erika Blacksher (2002). On Being Poor and Feeling Poor: Low Socioeconomic Status and the Moral Self. Theoretical Medicine and Bioethics 23 (6):455-470.score: 33.0
    Persons of low socioeconomic status generallyexperience worse health and shorter lives thantheir better off counterparts. They alsosuffer a greater incidence of adversepsychosocial characteristics, such as lowself-esteem, self-efficacy, and self-masteryand increased cynicism and hostility. Thesepopulation data suggest another category ofharm to persons: diminished moral agency. Chronic socioeconomic deprivation can createenvironments that undermine the development ofself and capacities constitutive to moralagency – i.e., the capacity forself-determination and crafting a life of one''sown. The harm affects not only the choicesa person makes, (...)
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  36. Mary K. Bryson & Jackie Stacey (2013). Cancer Knowledge in the Plural: Queering the Biopolitics of Narrative and Affective Mobilities. [REVIEW] Journal of Medical Humanities 34 (2):197-212.score: 33.0
    In this age of DIY Health—a present that has been described as a time of “ludic capitalism”—one is constantly confronted with the injunction to manage risk by means of making healthy choices and of informed participation in various self-surveillant technologies of bioinformatics. Neoliberal governmentality has been redacted by poststructuralist scholars of bioethics as defined by the two-fold emergence of, on the one hand, populations and on the other, the self-determining individual—as biopolitical entities. In this article, we provide a genealogical-phenomenological (...)
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  37. Arline T. Geronimus, Margaret T. Hicken, Jay A. Pearson, Sarah J. Seashols, Kelly L. Brown & Tracey Dawson Cruz (2010). Do US Black Women Experience Stress-Related Accelerated Biological Aging? Human Nature 21 (1):19-38.score: 33.0
    We hypothesize that black women experience accelerated biological aging in response to repeated or prolonged adaptation to subjective and objective stressors. Drawing on stress physiology and ethnographic, social science, and public health literature, we lay out the rationale for this hypothesis. We also perform a first population-based test of its plausibility, focusing on telomere length, a biomeasure of aging that may be shortened by stressors. Analyzing data from the Study of Women’s Health Across the Nation (SWAN), we estimate (...)
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  38. Ashish K. Jha, David W. Bates, Chelsea Jenter, E. John Orav, Jie Zheng, Paul Cleary & Steven R. Simon (2009). Electronic Health Records: Use, Barriers and Satisfaction Among Physicians Who Care for Black and Hispanic Patients. Journal of Evaluation in Clinical Practice 15 (1):158-163.score: 33.0
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  39. Rabee Toumi (forthcoming). Globalization and Health Care: Global Justice and the Role of Physicians. [REVIEW] Medicine, Health Care and Philosophy:1-10.score: 33.0
    In today’s globalized world, nations cannot be totally isolated from or indifferent to their neighbors, especially in regards to medicine and health. While globalization has brought prosperity to millions, disparities among nations and nationals are growing raising once again the question of justice. Similarly, while medicine has developed dramatically over the past few decades, health disparities at the global level are staggering. Seemingly, what our humanity could achieve in matters of scientific development is not justly distributed (...)
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  40. Andrew Ward & Pamela Jo Johnson (2013). Necessary Health Care and Basic Needs: Health Insurance Plans and Essential Benefits. [REVIEW] Health Care Analysis 21 (4):355-371.score: 30.0
    According to HealthCare.gov, by improving access to quality health for all Americans, the Affordable Care Act (ACA) will reduce disparities in health insurance coverage. One way this will happen under the provisions of the ACA is by creating a new health insurance marketplace (a health insurance exchange) by 2014 in which “all people will have a choice for quality, affordable health insurance even if a job loss, job switch, move or illness occurs”. This does (...)
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  41. R. M. Kaplan (2009). Health Psychology: Where Are We And Where Do We Go From Here? Mens Sana Monographs 7 (1):3.score: 30.0
    _Human behaviour plays a significant role in most of the leading causes of death. Psychological science has the potential to enhance health outcomes through a better understanding of health promoting and health damaging behaviours. Health psychology and the related field of behavioural medicine focus on the interplay among biological dispositions, behaviour, and social context. The field might advance by building better collaboration with other fields of medicine, sharing expertise on technical aspects of psychometric outcomes assessment, identifying (...)
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  42. Agnes Meershoek & Anja Krumeich (2009). Multiculturalism and the Construction of Ethnic Identities in Labour and Health Practices: Avoiding the Culturalistic Fallacy in Applied Research. [REVIEW] Health Care Analysis 17 (3):173-197.score: 30.0
    In applied health care research, an essentialised notion of culture is often used when studying ethnic disparities in health and health care access between the majority populations of Western countries and migrants, with ethnic backgrounds that differ from majority population. This notion of culture, however, is considered highly problematic in anthropology and ethnic studies. Therefore, in our research on Dutch illness certification practices, we employed a dynamic conceptualisation of culture. Our research shows that, in practice, when (...)
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  43. Gabriel Roman, Rodica Gramma, Angela Enache, Andrada Pârvu, Ştefana Maria Moisa, Silvia Dumitraş & Beatrice Ioan (2013). The Health Mediators-Qualified Interpreters Contributing to Health Care Quality Among Romanian Roma Patients. Medicine, Health Care and Philosophy 16 (4):843-856.score: 30.0
    In order to assure optimal care of patients with chronic illnesses, it is necessary to take into account the cultural factors that may influence health-related behaviors, health practices, and health-seeking behavior. Despite the increasing number of Romanian Roma, research regarding their beliefs and practices related to healthcare is rather poor. The aim of this paper is to present empirical evidence of specificities in the practice of healthcare among Romanian Roma patients and their caregivers. Using a qualitative exploratory (...)
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  44. Catherine Slade (2011). Public Value Mapping of Equity in Emerging Nanomedicine. Minerva 49 (1):71-86.score: 27.0
    Public values failure occurs when the market and the public sector fail to provide goods and services required to achieve the core values of society such as equity (Bozeman 2007). That public policy for emerging health technologies should address intrinsic societal values such as equity is not a novel concept. However, the ways that the public values discourse of stakeholders is structured is less clear and rarely studied through the lens of public interests. This is especially true in the (...)
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  45. A. E. Denburg (2010). Global Child Health Ethics: Testing the Limits of Moral Communities. Public Health Ethics 3 (3):239-258.score: 27.0
    This article attempts to map the broad ethical and legal contours of global child health realities. Its interest is in international duties to reduce disparities in the health of children. Specifically, it inquires into loci of collective rights and responsibilities in this context. Clarity on the sources of this responsibility and the nature of such rights will, it is hoped, contribute to enhanced and sustained action to attenuate these inequalities. A review and critique of the current topography (...)
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  46. Andrew M. Courtwright (2007). Justice, Health, and Status. Theoria 54 (112):1-24.score: 24.0
    Philosophical and political discussions of health inequalities have largely focused on questions of justice. The general strategy employed by philosophers like Norman Daniels is to identify a certain state of affairs—in his case, equality of opportunity—and then argue that health disparities limiting an individual's or group's access to that condition are unjust, demanding intervention. Recent work in epidemiology, however, has highlighted the importance of socioeconomic status in creating health inequalities. I explore the ways in which theories (...)
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  47. Allen Buchanan (2009). Justice and Health Care: Selected Essays. OUP USA.score: 24.0
    In this volume Allen Buchanan collects ten of his most influential essays on justice and healthcare and connects the concerns of bioethicists with those of political philosophers, focusing not just on the question of which principles of justice in healthcare ought to be implemented, but also on the question of the legitimacy of institutions through which they are implemented. With an emphasis on the institutional implementation of justice in healthcare, Buchanan pays special attention to the relationship between moral commitments and (...)
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  48. K. Baeroe & B. Bringedal (2011). Just Health: On the Conditions for Acceptable and Unacceptable Priority Settings with Respect to Patients' Socioeconomic Status. Journal of Medical Ethics 37 (9):526-529.score: 24.0
    It is well documented that the higher the socioeconomic status (SES) of patients, the better their health and life expectancy. SES also influences the use of health services—the higher the patients' SES, the more time and specialised health services provided. This leads to the following question: should clinicians give priority to individual patients with low SES in order to enhance health equity? Some argue that equity is best preserved by physicians who remain loyal to ‘ordinary medical (...)
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  49. Helen Bequaert Holmes (2001). When Health Means Wealth, Can Bioethicists Respond? Health Care Analysis 9 (2):213-228.score: 24.0
    Around the world the wealthy can get their lives extended while the poorget little basic medical help. Over the same years that the field ofbioethics has prospered and expanded, this disparity has increased.Reasons for the failure of bioethics to successfully address thishealth/wealth issue include its identification with the cognitiveand social authority of medicine; its gatekeeping behavior;its funding sources; its questionable use of ``principlism'' andits emphasis on crises and dilemmas to the neglect of ``housekeeping''issues. The work of most women in bioethics (...)
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  50. Ruth Chadwick, Horizons in Nutritional Science : The Case for Strategic International Alliances to Harness Nutritional Genomics for Public and Personal Health.score: 24.0
    Nutrigenomics is the study of how constituents of the diet interact with genes, and their products, to alter phenotype and, conversely, how genes and their products metabolise these constituents into nutrients, antinutrients, and bioactive compounds. Results from molecular and genetic epidemiological studies indicate that dietary unbalance can alter gene–nutrient interactions in ways that increase the risk of developing chronic disease. The interplay of human genetic variation and environmental factors will make identifying causative genes and nutrients a formidable, but not intractable, (...)
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