Looking Ahead: Addressing Ethical Challenges in Public Health Practice
Identifieur interne : 000395 ( Main/Exploration ); précédent : 000394; suivant : 000396Looking Ahead: Addressing Ethical Challenges in Public Health Practice
Auteurs : Nancy M. Baum ; Sarah E. Gollust ; Susan D. Goold ; Peter D. JacobsonSource :
- The Journal of Law, Medicine & Ethics [ 1073-1105 ] ; 2007-12.
English descriptors
- Teeft :
- Alternative care sites, American journal, Avian influenza, Baum, Best practices, Bioethics, Budgets decline, Childress, Communicable diseases, Community acceptance, Community health, Cost assessment, Daily practice, Daily work, Disadvantaged populations, Disease control, Disproportionate impact, Emergency preparedness, Environmental health, Ethical analysis, Ethical challenges, Ethical clarification, Ethical dimensions, Ethical issues, Ethical principles, Ethical tension, Ethical tensions, Ethics, Fair process, Framework, Global health, Gollust, Goold, Gostin, Guide policymakers, Health care, Health care financing, Health department, Health management, Health policy, Health practice, Health resources, Health services, Individual liberty, Individual rights, Influenza, Jacobson, Kass, Limited resources, Major challenges, Many commentators, Medicine ethics, Medicine ethics baum, Michigan school, Opportunity costs, Oxford university press, Policy winter, Policymakers, Political feasibility, Population protection, Practice drills, Practitioner, Preparedness, Preparedness activities, Preventive services, Public health, Public health actions, Public health ethics, Public health policy, Public health practice, Public health practitioners, Public health professionals, Public health programs, Public health services, Recent years, Resource allocation, School closure, Social determinants, Social justice, Travel restrictions, Unmet need, Vulnerable populations.
Abstract
Ethical challenges in public health can have a significant impact on the health of communities if they impede efficiencies and best practices. Competing needs for resources and a plurality of values can challenge public health policymakers and practitioners to make fair and effective decisions for their communities. In this paper, the authors offer an analytic framework designed to assist policymakers and practitioners in managing the ethical tensions they face in daily practice. Their framework is built upon the following set of six considerations: determining population‐level utility of the proposed action; demonstrating evidence of need and effectiveness of actions; establishing fairness of goals and proposed implementation strategies; ensuring accountability; and, assessing expected efficiencies and costs associated with the proposed action. Together, these considerations create a structured guide to assist decision‐makers in identifying potential ethical challenges and in assessing the moral considerations that underlie public health practice ‐ and possibly even, if the conditions are met, reduce the creation of ethical tension. Although the authors’empirical experiences provide the basis for the framework advanced here, their approach remains to be tested and evaluated by public health practitioners.
Url:
DOI: 10.1111/j.1748-720X.2007.00188.x
Affiliations:
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Competing needs for resources and a plurality of values can challenge public health policymakers and practitioners to make fair and effective decisions for their communities. In this paper, the authors offer an analytic framework designed to assist policymakers and practitioners in managing the ethical tensions they face in daily practice. Their framework is built upon the following set of six considerations: determining population‐level utility of the proposed action; demonstrating evidence of need and effectiveness of actions; establishing fairness of goals and proposed implementation strategies; ensuring accountability; and, assessing expected efficiencies and costs associated with the proposed action. Together, these considerations create a structured guide to assist decision‐makers in identifying potential ethical challenges and in assessing the moral considerations that underlie public health practice ‐ and possibly even, if the conditions are met, reduce the creation of ethical tension. Although the authors’empirical experiences provide the basis for the framework advanced here, their approach remains to be tested and evaluated by public health practitioners.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Baum, Nancy M" sort="Baum, Nancy M" uniqKey="Baum N" first="Nancy M." last="Baum">Nancy M. Baum</name><name sortKey="Gollust, Sarah E" sort="Gollust, Sarah E" uniqKey="Gollust S" first="Sarah E." last="Gollust">Sarah E. Gollust</name><name sortKey="Goold, Susan D" sort="Goold, Susan D" uniqKey="Goold S" first="Susan D." last="Goold">Susan D. Goold</name><name sortKey="Jacobson, Peter D" sort="Jacobson, Peter D" uniqKey="Jacobson P" first="Peter D." last="Jacobson">Peter D. Jacobson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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