11 found
Order:
  1.  57
    Evidence-Based Medicine and Power Shifts in Health Care Systems.Rein Vos, Rob Houtepen & Klasien Horstman - 2002 - Health Care Analysis 10 (3):319-328.
    It is important and urgent to question therelationship between evidence-based medicineand power shifts in health care systems.Although definitions of EBM are phrased as ascientific approach to medicine, EBM is anormative concept: it aims to improve medicineand health care. Both proponents and opponentsuse a normative concept. More particularly,they provide particular views on positions,responsibilities, possibilities, norms andrelationships between professionals, patientgroups, governments and other parties in healthcare and society. From this perspective, wewant to analyse the role of EBM in modernwestern societies. By using (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  2.  16
    Genetic 'Risk Carriers' and Lifestyle 'Risk Takers'. Which Risks Deserve Our Legal Protection in Insurance?Ine Van Hoyweghen, Klasien Horstman & Rita Schepers - 2007 - Health Care Analysis 15 (3):179-193.
    Over the past years, one of the most contentious topics in policy debates on genetics has been the use of genetic testing in insurance. In the rush to confront concerns about potential abuses of genetic information, most countries throughout Europe and the US have enacted genetics-specific legislation for insurance. Drawing on current debates on the pros and cons of a genetics-specific legislative approach, this article offers empirical insight into how such legislation works out in insurance practice. To this end, ethnographic (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  3.  39
    Engineering Flesh: Towards an Ethics of Lived Integrity. [REVIEW]Mechteld-Hanna Gertrud Derksen & Klasien Horstman - 2008 - Medicine, Health Care and Philosophy 11 (3):269-283.
    The objective of tissue engineering is to create living body parts that will fully integrate with the recipient’s body. With respect to the ethics of tissue engineering, one can roughly distinguish two perspectives. On the one hand, this technology is considered morally good because tissue engineering is ‘copying nature’ On the other hand, tissue engineering is considered morally dangerous because it defies nature: bodies constructed in the laboratory are seen as unnatural. In this article, we develop a phenomenological-ethical perspective on (...)
    Direct download (7 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  4.  7
    Voice Beyond Choice: Hesitant Voice in Public Debates About Genetics in Health Care.Ruth Benschop, Klasien Horstman & Rein Vos - 2003 - Health Care Analysis 11 (2):141-150.
    The rise of genetic techniques presents a great promise as well as some difficult dilemma's about how genetics will affect the way we will be able to live our lives. For this reason, in many countries, public debates are organized to reflect upon the development of predictive medicine. In this essay we focus on economist A. Hirschman's work on “exit, voice and loyalty” to analyse and enrich these public debates. We first introduce Hirschman's triad of concepts and focus on the (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  5.  18
    The 'Empowered Client' in Vocational Rehabilitation: The Excluding Impact of Inclusive Strategies. [REVIEW]Lineke B. E. Hal, Agnes Meershoek, Frans Nijhuis & Klasien Horstman - 2012 - Health Care Analysis 20 (3):213-230.
    In vocational rehabilitation, empowerment is understood as the notion that people should make an active, autonomous choice to find their way back to the labour process. Following this line of reasoning, the concept of empowerment implicitly points to a specific kind of activation strategy, namely labour participation. This activation approach has received criticism for being paternalistic, disciplining and having a one-sided orientation on labour participation. Although we share this theoretical criticism, we want to go beyond it by paying attention to (...)
    Direct download (7 more)  
     
    Export citation  
     
    Bookmark  
  6.  15
    Beyond the Boundary Between Science and Values: Re-Evaluating the Moral Dimension of the Nurse's Role in Cot Death Prevention.Klasien Horstman & Engeline van Rens-Leenaarts - 2002 - Nursing Ethics 9 (2):137-154.
    This article combines a philosophical critique of the idea that public health nurses are primary technicians who neutrally hand over scientifically established facts on risks to the public and an empirical analysis of the actual work of public health nurses. It is argued that the relationship between facts and values in public health is complex and that, despite the introduction of several scientifically-based standards and guidelines, public health nurses are not technicians. They do moral work and experience ethical dilemmas. To (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark  
  7. Chemical Analysis of Urine for Life Insurance: The Construction of Reliability.Klasien Horstman - 1997 - Science, Technology and Human Values 22 (1):57-78.
    Medical expertise plays a major role in large-scale welfare arrangements, for example, in private insurance companies. It symbolizes the objectivity and reliability of the procedures of risk selection and legitimates the acceptance and rejection of clients. To understand "reliability" in this context, this article discusses the introduction of chemical urine analysis for life insurance examination between 1880 and 1920. The article argues that reliability of urine analysis is not an intrinsic characteristic of the technology and thus cannot serve as the (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   1 citation  
  8.  82
    Technology and the Management of Trust in Insurance Medicine.Klasien Horstman - 2000 - Theoretical Medicine and Bioethics 21 (1):39-61.
    This article deals with the question how technologycontributed to the performing of objective assessmentsof health risks and to the public trust in theinsurance institution. Many authors have pointed tothe relevance of medical or statistical technologywith regard to the constitution of objectivity,because these technologies should be capable ofdiminishing the influence of social interactions – the``human element'' – on the process of producingknowledge about health risks. However, in this articleit is shown that the constitution of objective riskassessments and public trust cannot be (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  9.  20
    “Strangers in the ER”: Quality Indicators and Third Party Interference in Dutch Emergency Care.Floortje B. Moes, Eddy S. Houwaart, Diana M. J. Delnoij & Klasien Horstman - 2019 - Journal of Evaluation in Clinical Practice 25 (3):390-397.
    No categories
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark  
  10.  22
    The ‘Empowered Client’ in Vocational Rehabilitation: The Excluding Impact of Inclusive Strategies.Lineke Be van Hal, Agnes Meershoek, Frans Nijhuis & Klasien Horstman - 2012 - Health Care Analysis 20 (3):213-230.
    In vocational rehabilitation, empowerment is understood as the notion that people should make an active, autonomous choice to find their way back to the labour process. Following this line of reasoning, the concept of empowerment implicitly points to a specific kind of activation strategy, namely labour participation. This activation approach has received criticism for being paternalistic, disciplining and having a one-sided orientation on labour participation. Although we share this theoretical criticism, we want to go beyond it by paying attention to (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark  
  11.  13
    Lifestyle Vaccines and Public Health: Exploring Policy Options for a Vaccine to Stop Smoking.Anna Wolters, Guido de Wert, Onno C. P. van Schayck & Klasien Horstman - 2016 - Public Health Ethics 9 (2):183-197.
    Experimental vaccines are being developed for the treatment of ‘unhealthy lifestyles’ and associated chronic illnesses. Policymakers and other stakeholders will have to deal with the ethical issues that this innovation path raises: are there morally justified reasons to integrate these innovative biotechnologies in future health policies? Should public money be invested in further research? Focusing on the case of an experimental nicotine vaccine, this article explores the ethical aspects of ‘lifestyle vaccines’ for public health. Based on findings from a qualitative (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark