Year:

  1.  9
    Ethical Guidance for Hard Decisions: A Critical Review of Early International COVID-19 ICU Triage Guidelines.Yves Saint James Aquino, Wendy A. Rogers, Jackie Leach Scully, Farah Magrabi & Stacy M. Carter - 2022 - Health Care Analysis 30 (2):163-195.
    This article provides a critical comparative analysis of the substantive and procedural values and ethical concepts articulated in guidelines for allocating scarce resources in the COVID-19 pandemic. We identified 21 local and national guidelines written in English, Spanish, German and French; applicable to specific and identifiable jurisdictions; and providing guidance to clinicians for decision making when allocating critical care resources during the COVID-19 pandemic. US guidelines were not included, as these had recently been reviewed elsewhere. Information was extracted from each (...)
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  2.  2
    Justice, Transparency and the Guiding Principles of the UK’s National Institute for Health and Care Excellence.Victoria Charlton - 2022 - Health Care Analysis 30 (2):115-145.
    The National Institute for Health and Care Excellence is the UK’s primary healthcare priority-setting body, responsible for advising the National Health Service in England on which technologies to fund and which to reject. Until recently, the normative approach underlying this advice was described in a 2008 document entitled ‘Social value judgements: Principles for the development of NICE guidance’. In January 2020, however, NICE replaced SVJ with a new articulation of its guiding principles. Given the significant evolution of NICE’s methods between (...)
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  3.  3
    Should Digital Contact Tracing Technologies be used to Control COVID-19? Perspectives from an Australian Public Deliberation.Chris Degeling, Julie Hall, Jane Johnson, Roba Abbas, Shopna Bag & Gwendolyn L. Gilbert - 2022 - Health Care Analysis 30 (2):97-114.
    Mobile phone-based applications can promote faster targeted actions to control COVID-19. However, digital contact tracing systems raise concerns about data security, system effectiveness, and their potential to normalise privacy-invasive surveillance technologies. In the absence of mandates, public uptake depends on the acceptability and perceived legitimacy of using technologies that log interactions between individuals to build public health capacity. We report on six online deliberative workshops convened in New South Wales to consider the appropriateness of using the COVIDSafe app to enhance (...)
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  4.  13
    Pandemic Risk and Standpoint Epistemology: A Matter of Solidarity.Katrien Schaubroeck & Kristien Hens - 2022 - Health Care Analysis 30 (2):146-162.
    Current and past pandemics have several aspects in common. It is expected that all members of society contribute to beat it. But it is also clear that the risks associated with the pandemic are different for different groups. This makes that appeals to solidarity based on technocratic risk calculations are only partially successful. Objective ‘risks of transmission’ may, for example, be trumped by risks of letting down people in need of help or by missing out certain opportunities in life. In (...)
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  5.  3
    Pharmaceutical Sales Representatives in the United States and China: The Need for Professional Public Space.Xiaoying Chen - 2022 - Health Care Analysis 30 (1):35-56.
    Pharmaceutical sales representatives are one of the most frequently used drug information sources for physicians in both the United States and China. During face-to-face interactions, PSRs use various promotional strategies to impact the prescribing behavior. In the United States, PSRs provide physicians small gifts, free drug samples, and “sincere friendships”, whereas in China, they played an indispensable role in medical corruption over the past three decades. To cope with the undue influence of PSRs, both these countries have taken positive but (...)
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  6.  7
    Practitioner Bias as an Explanation for Low Rates of Palliative Care Among Patients with Advanced Dementia.Meira Erel, Esther-Lee Marcus & Freda Dekeyser-Ganz - 2022 - Health Care Analysis 30 (1):57-72.
    Patients with advanced dementia are less likely than those with other terminal illnesses to receive palliative care. Due to the nature and course of dementia, there may be a failure to recognize the terminal stage of the disease. A possible and under-investigated explanation for this healthcare disparity is the healthcare practitioner who plays a primary role in end-of-life decision-making. Two potential areas that might impact provider decision-making are cognitive biases and moral considerations. In this analysis, we demonstrate how the cognitive (...)
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  7.  8
    Trust and The Acquisition and Use of Public Health Information.Stephen Holland, Jamie Cawthra, Tamara Schloemer & Peter Schröder-Bäck - 2022 - Health Care Analysis 30 (1):1-17.
    Information is clearly vital to public health, but the acquisition and use of public health data elicit serious privacy concerns. One strategy for navigating this dilemma is to build 'trust' in institutions responsible for health information, thereby reducing privacy concerns and increasing willingness to contribute personal data. This strategy, as currently presented in public health literature, has serious shortcomings. But it can be augmented by appealing to the philosophical analysis of the concept of trust. Philosophers distinguish trust and trustworthiness from (...)
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  8.  15
    Three Harm-Based Arguments for a Moral Obligation to Vaccinate.Viktor Ivanković & Lovro Savić - 2022 - Health Care Analysis 30 (1):18-34.
    A particularly strong reason to vaccinate against transmittable diseases, based on considerations of harm, is to contribute to the realization of population-level herd immunity. We argue, however, that herd immunity alone is insufficient for deriving a strong harm-based moral obligation to vaccinate in all circumstances, since the obligation significantly weakens well above and well below the herd immunity threshold. The paper offers two additional harm-based arguments that, together with the herd immunity argument, consolidates our moral obligation. First, we argue that (...)
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  9.  5
    The Case for Telemedical Early Medical Abortion in England: Dispelling Adult Safeguarding Concerns.Jordan A. Parsons & Elizabeth Chloe Romanis - 2022 - Health Care Analysis 30 (1):73-96.
    Access to abortion care has been hugely affected by the COVID-19 pandemic. This has prompted several governments to permit the use of telemedicine for fully remote care pathways, thereby ensuring pregnant people are still able to access services. One such government is that of England, where these new care pathways have been publicly scrutinised. Those opposed to telemedical early medical abortion care have raised myriad concerns, though they largely centre on matters of patient safeguarding. It is argued that healthcare professionals (...)
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