Results for 'chronic care management'

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  1.  40
    Chronic Care Management of Globesity: Promoting Healthier Lifestyles in Traditional and mHealth Based Settings.Gianluca Castelnuovo, Giada Pietrabissa, Gian Mauro Manzoni, Stefania Corti, Martina Ceccarini, Maria Borrello, Emanuele M. Giusti, Margherita Novelli, Roberto Cattivelli, Nicole A. Middleton, Susan G. Simpson & Enrico Molinari - 2015 - Frontiers in Psychology 6.
  2.  42
    Chronic Care Management for Patients with COPD: A Critical Review of Available Evidence.Karin M. M. Lemmens, Lidwien C. Lemmens, José H. C. Boom, Hanneke W. Drewes, Jolanda A. C. Meeuwissen, Lotte M. G. Steuten, Hubertus J. M. Vrijhoef & Caroline A. Baan - 2012 - Journal of Evaluation in Clinical Practice 19 (5):734-752.
  3.  11
    Meta‐Analysis of the Effectiveness of Chronic Care Management for Diabetes: Investigating Heterogeneity in Outcomes.Arianne M. J. Elissen, Lotte M. G. Steuten, Lidwien C. Lemmens, Hanneke W. Drewes, Karin M. M. Lemmens, Jolanda A. C. Meeuwissen, Caroline A. Baan & Hubertus J. M. Vrijhoef - 2012 - Journal of Evaluation in Clinical Practice 19 (5):753-762.
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  4.  42
    Complex Adaptive Chronic Care – Typologies of Patient Journey: A Case Study.Carmel M. Martin, Deirdre Grady, Susan Deaconking, Catherine McMahon, Atieh Zarabzadeh & Brendan O'Shea - 2011 - Journal of Evaluation in Clinical Practice 17 (3):520-524.
  5.  69
    Motivational Interviewing‐Based Health Coaching as a Chronic Care Intervention.Ariel Linden, Susan W. Butterworth & James O. Prochaska - 2010 - Journal of Evaluation in Clinical Practice 16 (1):166-174.
  6.  26
    Health Care Accessibility for Chronic Illness Management and End-of-Life Care: A View From Rural America.Kathryn E. Artnak, Richard M. McGraw & Vayden F. Stanley - 2011 - Journal of Law, Medicine and 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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  7.  8
    Health Care Accessibility for Chronic Illness Management and End-of-Life Care: A View From Rural America.Kathryn E. Artnak, Richard M. McGraw & Vayden F. Stanley - 2011 - Journal of Law, Medicine and Ethics 39 (2):140-155.
    The Institute of Medicine reporting on the quality of health care in America recommends six aims for achieving the health care system we could have. Together with the Institute for Healthcare Improvement Triple Aim initiative, a framework has emerged to challenge providers, educators, and policymakers to remake the health care system according to specific objectives: to provide care that is safe, effective, patient-centered, timely, efficient, and equitable to more people at a price we can afford. Complicating (...)
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  8.  13
    Identification, Summary and Comparison of Tools Used to Measure Organizational Attributes Associated with Chronic Disease Management Within Primary Care Settings.Julia Lukewich, Renée Corbin, Elizabeth G. VanDenKerkhof, Dana S. Edge, Tyler Williamson & Joan E. Tranmer - 2014 - Journal of Evaluation in Clinical Practice 20 (6):1072-1085.
  9.  50
    Patient Autonomy for the Management of Chronic Conditions: A Two-Component Re-Conceptualization.Aanand D. Naik, Carmel B. Dyer, Mark E. Kunik & Laurence B. McCullough - 2009 - American Journal of Bioethics 9 (2):23 – 30.
    The clinical application of the concept of patient autonomy has centered on the ability to deliberate and make treatment decisions (decisional autonomy) to the virtual exclusion of the capacity to execute the treatment plan (executive autonomy). However, the one-component concept of autonomy is problematic in the context of multiple chronic conditions. Adherence to complex treatments commonly breaks down when patients have functional, educational, and cognitive barriers that impair their capacity to plan, sequence, and carry out tasks associated with (...) care. The purpose of this article is to call for a two-component re-conceptualization of autonomy and to argue that the clinical assessment of capacity for patients with chronic conditions should be expanded to include both autonomous decision-making and autonomous execution of the agreed-upon treatment plan. We explain how the concept of autonomy should be expanded to include both decisional and executive autonomy, describe the biopsychosocial correlates of the two-component concept of autonomy, and recommend diagnostic and treatment strategies to support patients with deficits in executive autonomy. (shrink)
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  10.  4
    The Case‐Mix of Chronic Illness Hospitalization Rates in a Managed Care Population: Implications for Health Management Programmes.Ariel Linden & Steven Goldberg - 2007 - Journal of Evaluation in Clinical Practice 13 (6):947-951.
  11.  14
    Chronic Kidney Disease: Appropriateness of Therapeutic Management and Associated Factors in the AVENIR Study.Nathalie Thilly, Stéphanie Boini, Michèle Kessler, Serge Briançon & Luc Frimat - 2009 - Journal of Evaluation in Clinical Practice 15 (1):121-128.
  12.  15
    Pain Management and Palliative Care in the Era of Managed Care: Issues for Health Insurers.Diane E. Hoffmann - 1998 - Journal of Law, Medicine and Ethics 26 (4):267-289.
    The problem of inadequate pain management for both terminally ill patients and patients with chronic pain has recently been documented by a number of authors and studies. A 1997 report by the Institute of Medicine, for example, states that “a significant proportion of dying patients and patients with advanced disease experience serious pain, despite the availability of effective pharmacological and other options for relieving most pain.” There are particularly impressive data that pain associated with cancer is not adequately (...)
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  13.  30
    The Ethics of Self-Management Preparation for Chronic Illness.Barbara K. Redman - 2005 - Nursing Ethics 12 (4):360-369.
    While nearly all patients with a chronic disease must self-manage their condition to some extent, preparation for these responsibilities is infrequently assured in the USA. The result can be significant harm and the undermining of a patient’s ability to take advantage of life opportunities and be productive. Agreeing to care for a patient involves a moral responsibility to see that she or he receives the essential elements of care, including the ability to manage the disease on a (...)
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  14.  3
    Pain Management and Palliative Care in the Era of Managed Care: Issues for Health Insurers.Diane E. Hoffmann - 1998 - Journal of Law, Medicine and Ethics 26 (4):267-289.
    The problem of inadequate pain management for both terminally ill patients and patients with chronic pain has recently been documented by a number of authors and studies. A 1997 report by the Institute of Medicine, for example, states that “a significant proportion of dying patients and patients with advanced disease experience serious pain, despite the availability of effective pharmacological and other options for relieving most pain.” There are particularly impressive data that pain associated with cancer is not adequately (...)
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  15.  7
    Improving High-Risk Patient Care Through Chronic Disease Prevention and Management.Pooja Chandrashekar & Sachin H. Jain - 2018 - Journal of Law, Medicine and Ethics 46 (3):773-775.
  16. Chronic Fatigue Syndrome Defies the Mind-Body-Schism of Medicine: New Perspectives on a Multiple Realisable Developmental Systems Disorder.Elling Ulvestad - 2008 - Medicine, Health Care and Philosophy 11 (3):285-292.
    The article maintains that chronic fatigue syndrome can be properly understood only by taking an integrated perspective in which evolutionary, developmental and ecological aspects are considered. The integrative approach, supplemented by a complexity theory and psychoneuroimmunological research, is capable of explaining why there are so few structural aberrations to be found in chronic fatigue syndrome and why specific treatment is so difficult to establish. A major outcome of the investigation, that all individuals with chronic fatigue syndrome are (...)
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  17.  15
    Chronic Pain - the Ethics of Care, Belief and Coping.Kate Jones - 2006 - Chisholm Health Ethics Bulletin 11 (4):6.
    Jones, Kate The insights into the physiology of the chronic pain are presented, considering the fact that the physiology of pain and the range of personal factors that influence pain are complex. Even though substantial evidence suggests that strategies could be applied to assist chronic pain patients to endure some of the effects of long-term pain, a pain management strategy that works for one person might not be effective for another.
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  18.  10
    Health Care Providers' Liability Exposure for Inappropriate Pain Management.Robyn S. Shapiro - 1996 - Journal of Law, Medicine and Ethics 24 (4):360-364.
    Recent studies have exposed the startling inadequacy of health care providers knowledge about and practice of effective pain management. For example, in one study, it was reported that 79 percent of a random sample of 454 medical-surgical inpatients experienced pain during hospitalization, and that 58 percent of patients with pain considered the pain horrible or excruciating. In another study, 67 percent of 2,415 randomly selected hospitalized patients had pain during the twenty-four hours prior to being interviewed, and 50 (...)
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  19.  13
    Response to Commentaries on “Patient Autonomy for the Management of Chronic Conditions: A Two-Component Re-Conceptualization”.Aanand D. Naik, Carmel B. Dyer, Mark E. Kunik & Laurence B. McCullough - 2009 - American Journal of Bioethics 9 (2):W3 – W5.
    The clinical application of the concept of patient autonomy has centered on the ability to deliberate and make treatment decisions to the virtual exclusion of the capacity to execute the treatment plan. However, the one-component concept of autonomy is problematic in the context of multiple chronic conditions. Adherence to complex treatments commonly breaks down when patients have functional, educational, and cognitive barriers that impair their capacity to plan, sequence, and carry out tasks associated with chronic care. The (...)
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  20.  6
    Improving Efficiency and Value in Health Care Intravenous Iron Management for Anaemia Associated with Chronic Kidney Disease: Linking Treatment to an Outpatient Clinic, Optimizing Service Provision and Patient Choice.Sunil Bhandari & Sarah Naudeer - 2008 - Journal of Evaluation in Clinical Practice 14 (6):996-1001.
  21.  19
    What Deserves Our Respect? Reexamination of Respect for Autonomy in the Context of the Management of Chronic Conditions.Aya Enzo, Taketoshi Okita & Atsushi Asai - 2019 - Medicine, Health Care and Philosophy 22 (1):85-94.
    The global increase in patients with chronic conditions has led to increased interest in ethical issues regarding such conditions. A basic biomedical principle—respect for autonomy—is being reexamined more critically in its clinical implications. New accounts of this basic principle are being proposed. While new accounts of respect for autonomy do underpin the design of many public programs and policies worldwide, addressing both chronic disease management and health promotion, the risk of applying such new accounts to clinical setting (...)
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  22.  5
    Health Care Providers' Liability Exposure for Inappropriate Pain Management.Robyn S. Shapiro - 1996 - Journal of Law, Medicine and Ethics 24 (4):360-364.
    Recent studies have exposed the startling inadequacy of health care providers knowledge about and practice of effective pain management. For example, in one study, it was reported that 79 percent of a random sample of 454 medical-surgical inpatients experienced pain during hospitalization, and that 58 percent of patients with pain considered the pain horrible or excruciating. In another study, 67 percent of 2,415 randomly selected hospitalized patients had pain during the twenty-four hours prior to being interviewed, and 50 (...)
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  23.  10
    The Effects of Multiple Chronic Conditions on Adult Patient Readmissions and Hospital Finances: A Management Case Study.Michael Mihailoff, Shreyasi Deb, James A. Lee & Joanne Lynn - 2017 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 54:004695801772959.
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  24.  14
    A Comprehensive Analysis of Dyslipidaemia Management in a Large Health Care System.Sameed Ahmed Mustafa Khatana, Lan Jiang & Wen-Chih Wu - 2014 - Journal of Evaluation in Clinical Practice 20 (1):81-87.
  25.  53
    When Adolescents "Mismanage" Their Chronic Medical Conditions: An Ethical Exploration.Insoo Hyun - 2000 - Kennedy Institute of Ethics Journal 10 (2):147-163.
    : Many adolescent patients with chronic medical conditions do not manage their illnesses very closely and often put themselves at risk for serious health complications. Setting aside cases of nonadherence that are due to practical difficulties involving the implementation of a management plan, a deeply problematic question remains. How should health care providers respond to adolescent patients who express a conscious and value-driven decision to pursue other goals and interests that are incompatible with their doctors' recommended directives? (...)
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  26.  46
    Opioids for Chronic Pain of Non-Malignant Origin—Caring or Crippling.Robert G. Large & Stephan A. Schug - 1995 - Health Care Analysis 3 (1):5-11.
    Pain management has improved in the past few decades. Opioid analgesics have become the mainstay in the treatment of cancer pain whilst inter-disciplinary pain management programmes are the generally accepted approach to chronic pain of non-malignant origin. Recently some pain specialists have advocated the use of opioids in the long-term management of non-cancer pain. This has raised some fundamental questions about the purpose of pain management. Is it best to opt for maximum pain relief and (...)
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  27. Challenges for Adolescents With Congenital Heart Defects/Chronic Rheumatic Heart Disease and What They Need: Perspectives From Patients, Parents and Health Care Providers at the Institut Jantung Negara (National Heart Institute), Malaysia.Sue Kiat Tye, Geetha Kandavello, Syarifah Azizah Wan Ahmadul Badwi & Hariyati Sharima Abdul Majid - 2021 - Frontiers in Psychology 11.
    ObjectivesThis study aimed to describe the experiences and challenges faced by adolescents with moderate and severe congenital heart defects or Chronic Rheumatic Heart Disease and to determine their needs in order to develop an Adolescent Transition Psychoeducational Program.MethodsThe study involved seven adolescents with moderate to severe CHD/CRHD, six parents, and four health care providers in Institute Jantung Negara. Participants were invited for a semi-structured interview. Qualitative data were analyzed through the Atlas.ti 7 program using triangulation methods.Results/conclusionsWe identified five (...)
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  28.  6
    Opioids May Be Appropriate for Chronic Pain.Paul J. Christo - 2020 - Journal of Law, Medicine and Ethics 48 (2):241-248.
    Patients living with chronic pain require appropriate access to opioid therapy along with improved access to pain care and additional therapeutic options. It's both medically reasonable and ethical to consider opioid therapy as a treatment option in the management of chronic, non-cancer pain for a subset of patients with severe pain that is unresponsive to other therapies, negatively impacts function or quality of life, and will likely outweigh the potential harms. This paper will examine opioid therapy (...)
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  29.  63
    Managing One's Body Using Self-Management Techniques: Practicing Autonomy.Dick Willems - 2000 - Theoretical Medicine and Bioethics 21 (1):23-38.
    This paper discusses some of the anthropological andphilosophical features of the use of self-managementplans by patients with a chronic disease, focusing onpatients with asthma. Characteristics of thistechnologically mediated form of self-care arecontrasted with the work of Mauss and Foucault on bodytechniques and techniques of self. The similaritiesand differences between self-management of asthma andFoucault's technologies of self highlight some of theways in which self-management contributes tomodifications in the definitions of patients andphysicians. Patients, in measuring their lungfunction, first (...)
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  30.  3
    13 Pain Management and Managed Care: Managing the System.David L. Trueman - 2006 - In B. L. Gant & M. E. Schatman (eds.), Ethical Issues in Chronic Pain Management. pp. 207.
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  31. From Confrontation to Collaboration: Collegial Accountability and the Expanding Role of Pharmacists in the Management of Chronic Pain.David B. Brushwood - 2001 - Journal of Law, Medicine and Ethics 29 (1):69-93.
    Federal and state laws create a tightly controlled system for distribution of those drugs that have recognized value in therapy, but also have the potential for abuse. The challenges pharmacists face in keeping controlled substances within the closed system are many and complex. Drug abusers and drug dealers have at times seen pharmacists as easy marks for access to abusable drugs. Unfortunately, pharmacists often find themselves in a game with criminals, who use both sophisticated and dangerous methods of inducing pharmacists (...)
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  32.  19
    Care Coordination and the Expansion of Nursing Scopes of Practice.Y. Tony Yang & Mark R. Meiners - 2014 - Journal of Law, Medicine and Ethics 42 (1):93-103.
    Nurse practitioners can ease increased pressure on primary care shortage while providing a cost-effective and high-quality alternative to certain physician services. However, scope-of-practice laws are restrictive and their modification remains a source of controversy. Clearly, there is a need for new thinking around the scope of practice debate. This article conducted a review of literature and laws concerning the nursing scope of practice, as well as the outcomes of nurse-led care coordination models. It also examined different manifestations of (...)
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  33.  3
    Chronic Lung Allograft Dysfunction Following Lung Transplantation: Challenges and Solutions.B. C. Bemiss & C. A. Witt - 2014 - Transplant Research and Risk Management 2014.
    Bradford C Bemiss, Chad A WittDepartment of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St Louis, MO, USA: Chronic rejection is a major cause of death after the first year following lung transplantation. Bronchiolitis obliterans is the most common pathologic finding on biopsy, characterized by fibrous granulation tissue, which obliterates the lumen of the bronchiole. Clinically, in the absence of tissue for pathology, BO syndrome refers to a progressive irreversible drop in (...)
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  34. Sensory Stimulation of Oxytocin Release Is Associated With Stress Management and Maternal Care.Toku Takahashi - 2021 - Frontiers in Psychology 11.
    It has been shown that various types of stress initiate different physiological and neuroendocrine disorders. Oxytocin is mainly produced in the supraoptic nucleus and paraventricular nucleus of the hypothalamus. Hypothalamic OT has antistress effects and attenuates the hypothalamic–pituitary–adrenal axis. One mechanism behind the antistress effects of OT is mediated through the inhibition from GABAA receptors on corticotropin-releasing factor expression at the PVN. Various manual therapies such as acupuncture, transcutaneous electrical nerve stimulation, and massage initiate the stimulation of somatosensory neurons of (...)
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  35.  20
    No Longer Home Alone? Home Care and the Canada Health Act.Monique Lanoix - 2017 - Health Care Analysis 25 (2):168-189.
    In this paper, I argue that addressing the medical needs of older persons warrants expanding the array of insured services as described by the Canada Health Act to include home care. The growing importance of chronic care supports my call for federally regulated home care services as the nature of disease management has changed significantly in the last decades. In addition, if the values of equity, fairness and solidarity, which are the keystone values of the (...)
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  36.  22
    GP Group Profiles and Involvement in Mental Health Care.Marie-Josée Fleury, Jean-Marie Bamvita, Lambert Farand, Denise Aubé, Louise Fournier & Alain Lesage - 2012 - Journal of Evaluation in Clinical Practice 18 (2):396-403.
  37.  12
    Self-Management as Management of Self – Contributions From Psychosomatic Medicine and Psychotherapy.Sattel Heribert & Henningsen Peter - 2017 - Philosophy, Psychiatry, and Psychology 24 (2):115-126.
    Self-management interventions are a heterogeneous group of interventions that are regarded as important tools for the management of chronic diseases. They consist of a broad range of techniques and are available for a large variety of chronic organic as well as mental conditions or illnesses, which are by definition generally chronic. These interventions aim that the individual concerned takes substantial responsibility for managing the symptoms, treatment, and physical and psychosocial consequences associated with having a (...) medical condition, disability or disease. Alternate terms used in this context, among others, are self-care... (shrink)
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  38.  16
    Chronic Care Team Profile: A Brief Tool to Measure the Structure and Function of Chronic Care Teams in General Practice.Judith G. Proudfoot, Tanya Bubner, Cheryl Amoroso, Edward Swan, Christine Holton, Julie Winstanley, Justin Beilby & Mark F. Harris - 2009 - Journal of Evaluation in Clinical Practice 15 (4):692-698.
  39.  16
    Implementation of Complex Adaptive Chronic Care: The Patient Journey Record System (PaJR).Carmel M. Martin, Carl Vogel, Deirdre Grady, Atieh Zarabzadeh, Lucy Hederman, John Kellett, Kevin Smith & Brendan O’ Shea - 2012 - Journal of Evaluation in Clinical Practice 18 (6):1226-1234.
  40.  3
    Analyzing Dialogue Moves in Chronic Care Communication.Fabrizio Macagno & Sarah Bigi - 2020 - Journal of Argumentation in Context 9 (2):167-198.
    Dialogue moves are a pragmatic instrument that captures the most important categories of “dialogical intentions.” This paper adapts this tool to the conversational setting of chronic care communication, characterized by the general goal of making reasoned decisions concerning patients’ conditions, shared by the latter. Seven mutually exclusive and comprehensive categories were identified, whose reliability was tested on an Italian corpus of provider-patient encounters in diabetes care. The application of this method was illustrated through explorative analyses identifying possible (...)
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  41.  6
    Complex Adaptive Chronic Care.Carmel Martin & Joachim Sturmberg - 2009 - Journal of Evaluation in Clinical Practice 15 (3):571-577.
  42.  7
    A Deliberative Model of Corporate Medical Management.Mark E. Meaney - 2000 - Journal of Law, Medicine and Ethics 28 (2):125-136.
    Managed care is evolving in ways that pose unique ethical challenges to those interested in the intersection of clinical and organizational ethics. For example, Disease Management is a form of managed care that has emerged in response to chronic illness. DM is a healthcare management tool that coordinates resources across an entire health care delivery system and throughout the life cycle of chronic disease. Health Maintenance Organizations have reduced some costs in the delivery (...)
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  43.  9
    A Deliberative Model of Corporate Medical Management.Mark E. Meaney - 2000 - Journal of Law, Medicine and Ethics 28 (2):125-136.
    Managed care is evolving in ways that pose unique ethical challenges to those interested in the intersection of clinical and organizational ethics. For example, Disease Management is a form of managed care that has emerged in response to chronic illness. DM is a healthcare management tool that coordinates resources across an entire health care delivery system and throughout the life cycle of chronic disease. Health Maintenance Organizations have reduced some costs in the delivery (...)
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  44.  9
    Integrated Care Systems as an Arena for the Emergence of New Forms of Epistemic Injustice.Andrew Fletcher & Jeremy Clarke - 2020 - Ethical Theory and Moral Practice 23 (5):723-737.
    Epistemic injustice has rapidly become a powerful tool for analysis of otherwise hidden social harms. Yet empirical research into how resistance to knowing and understanding can be generated and replicated in social programmes is limited. We have identified a range of subtle and not-so-subtle inflections of epistemic injustice as they play out in an intervention for people with chronic depression in receipt of disability benefits. This article describes the different ‘species’ of epistemic injustice observed and reveals how these are (...)
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  45.  8
    Things That Help Out: Designing Smart Wearables as Partners in Stress Management.Xueliang Li, Marco C. Rozendaal, Kaspar Jansen, Catholijn Jonker & Eric Vermetten - 2021 - AI and Society 36 (1):251-261.
    We propose an approach to designing smart wearables that act as partners to help people cope with stress in daily life. Our approach contributes to the developing field of smart wearables by addressing how technological capabilities can be designed to establish partnerships that consider the person, the situation, and the appropriate type of support. As such, this study also contributes to healthcare by opening up novel technology-supported routes to stress treatment and care. We present the results of a phenomenological (...)
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  46.  18
    Health Care Management Ethics: Business Ethics with a Difference.Leonard J. Weber - 2000 - Business Ethics Quarterly 10 (4):975-982.
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  47.  7
    Symptoms, Signs, and Risk Factors: Epidemiological Reasoning in Coronary Heart Disease and Depression Management.Mikko Jauho & Ilpo Helén - 2018 - History of the Human Sciences 31 (1):56-73.
    In current mental health care psychiatric conditions are defined as compilations of symptoms. These symptom-based disease categories have been severely criticised as contingent and boundless, facilitating the rise to epidemic proportions of such conditions as depression. In this article we look beyond symptoms and stress the role of epidemiology in explaining the current situation. By analysing the parallel development of cardiovascular disease and depression management in Finland, we argue, firstly, that current mental health care shares with the (...)
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  48.  10
    A Chronic Care Approach to Health and Social Services for People with AIDS.Len McNally & Leah M. Beck - forthcoming - Journal of Palliative Care.
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  49.  7
    Need for Patient-Developed Concepts of Empowerment to Rectify Epistemic Injustice and Advance Person-Centred Care.Brenda Bogaert - forthcoming - Journal of Medical Ethics:medethics-2020-106558.
    The dominant discourse in chronic disease management centres on the ideal of person-centred healthcare, with an empowered patient taking an active role in decision-making with their healthcare provider. Despite these encouraging developments toward healthcare democracy, many person-centred conceptions of healthcare and programming continue to focus on the healthcare institution’s perspective and priorities. In these debates, the patient’s voice has largely been absent. This article takes the example of patient empowerment to show how the concept has been influenced by (...)
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  50.  5
    Responsive Care Management: Family Decision Makers in Advanced Cancer.Mary Ann Meeker - 2011 - Journal of Clinical Ethics 22 (2):107.
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