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  1.  5
    How to Draw the Line Between Health and Disease? Start with Suffering.Bjørn Hofmann - 2021 - Health Care Analysis 29 (2):127-143.
    How can we draw the line between health and disease? This crucial question of demarcation has immense practical implications and has troubled scholars for ages. The question will be addressed in three steps. First, I will present an important contribution by Rogers and Walker who argue forcefully that no line can be drawn between health and disease. However, a closer analysis of their argument reveals that a line-drawing problem for disease-related features does not necessarily imply a line-drawing problem for disease (...)
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  2.  2
    The Teaching of Ethics and the Moral Competence of Medical and Nursing Students.Vera Sílvia Meireles Martins, Cristina Maria Nogueira Costa Santos, Patrícia Unger Raphael Bataglia & Ivone Maria Resende Figueiredo Duarte - 2021 - Health Care Analysis 29 (2):113-126.
    In a time marked by the development of innovative treatments in healthcare and the need for health professionals to deal with resulting ethical dilemmas in clinical practice, this study was developed to determine the influence of the bioethics teaching on the moral competence of medical and nursing students. The authors conduct a longitudinal study using the Moral Competence Test extended version before and after attending the ethics curricular unit, in three nursing schools and three medical schools of Portugal. In this (...)
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  3. Witnessing Quality of Life of Persons with Profound Intellectual and Multiple Disabilities. A practical-Philosophical Approach.Erik Olsman, Appolonia M. Nieuwenhuijse & Dick L. Willems - 2021 - Health Care Analysis 29 (2):144-153.
    Persons with profound intellectual and multiple disabilities cannot speak about their Quality of Life, which makes it necessary to involve others. In current approaches, these ‘others’ are seen as assessors trying to describe QoL as objectively as possible, which involves a reduction of their experiences, through which they develop knowledge on the QoL of the person with PIMD. The objective of this paper is to give caregivers’ knowledge on the QoL of a person with PIMD a theoretical basis that values (...)
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  4.  1
    Foucault’s Concept of Clinical Gaze Today.Aleksandar J. Ristić, Adriana Zaharijević & Nenad Miličić - 2021 - Health Care Analysis 29 (2):99-112.
    The article examines the patient-doctor relationship, relying on Michel Foucault’s concept of the clinical gaze. We argue that during the last decades, a profound transformation of the social nature of medicine took place, one that Foucault’s understanding of the clinical gaze cannot adequately account for. First, the article offers an elaboration of the three-node network of clinical gaze, the clinic, and nosology to explain the positioning of the doctor and the patient within the specific social ontology generated by the rise (...)
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  5.  3
    Understanding Government Decisions to De-Fund Medical Services Analyzing the Impact of Problem Frames on Resource Allocation Policies.Mark Embrett & Glen E. Randall - 2021 - Health Care Analysis 29 (1):78-98.
    Many medical services lack robust evidence of effectiveness and may therefore be considered “unnecessary” care. Proactively withdrawing resources from, or de-funding, such services and redirecting the savings to services that have proven effectiveness would enhance overall health system performance. Despite this, governments have been reluctant to discontinue funding of services once funding is in place. The focus of this study is to understand how the framing of an issue or problem influences government decision-making related to de-funding of medical services. To (...)
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  6.  3
    Responsibility for Funding Refractive Correction in Publicly Funded Health Care Systems: An Ethical Analysis.Joakim Färdow, Linus Broström & Mats Johansson - 2021 - Health Care Analysis 29 (1):59-77.
    Allocating on the basis of need is a distinguishing principle in publicly funded health care systems. Resources ought to be directed to patients, or the health program, where the need is considered greatest. In Sweden support of this principle can be found in health care legislation. Today however some domains of what appear to be health care needs are excluded from the responsibilities of the publicly funded health care system. Corrections of eye disorders known as refractive errors is one such (...)
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  7.  6
    Identifying and Classifying Tools for Health Policy Ethics Review: A Systematic Search and Review.Mary Henein & Carolyn Ells - 2021 - Health Care Analysis 29 (1):1-20.
    Ethical review and analysis of health policy may help to ensure policies address the needs of society and align with relevant values and principles. Indeed, researchers and bioethicists have recognized the need for ethical frameworks specifically for public health applications. The objective of this research was to compile structured tools for ethical review of health policy and to analyze these tools for their scope and philosophical underpinnings. A systematic search and review of academic and grey literature was conducted to compile (...)
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  8.  9
    The Satisfaction with Life Scale: Philosophical Foundation and Practical Limitations.Amalie Oxholm Kusier & Anna Paldam Folker - 2021 - Health Care Analysis 29 (1):21-38.
    Research and policymaking on positive mental health and well-being have increased within the last decade, partly fueled by decreasing levels of well-being in the general population and among at-risk groups. However, measurement of well-being often takes place in the absence of reflection on the underlying theoretical conceptualization of well-being. This disguises the fact that different rating scales of well-being often measure very different phenomena because rating scales are based on different philosophical assumptions, which represent radically different foundational views about the (...)
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  9.  13
    Made to Measure: The Ethics of Routine Measurement for Healthcare Improvement.Polly Mitchell, Alan Cribb & Vikki Entwistle - 2021 - Health Care Analysis 29 (1):39-58.
    This paper analyses the ethics of routine measurement for healthcare improvement. Routine measurement is an increasingly central part of healthcare system design and is taken to be necessary for successful healthcare improvement efforts. It is widely recognised that the effectiveness of routine measurement in bringing about improvement is limited—it often produces only modest effects or fails to generate anticipated improvements at all. We seek to show that these concerns do not exhaust the ethics of routine measurement. Even if routine measurement (...)
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