Ethical Issues in Public Health Practice in Michigan
Identifieur interne : 000029 ( Pmc/Checkpoint ); précédent : 000028; suivant : 000030Ethical Issues in Public Health Practice in Michigan
Auteurs : Nancy M. Baum ; Sarah E. Gollust ; Susan D. Goold ; Peter D. JacobsonSource :
- American Journal of Public Health [ 0090-0036 ] ; 2009.
Abstract
Url:
DOI: 10.2105/AJPH.2008.137588
PubMed: 19059850
PubMed Central: 2622776
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Ethical Issues in Public Health Practice in Michigan</title><author><name sortKey="Baum, Nancy M" sort="Baum, Nancy M" uniqKey="Baum N" first="Nancy M." last="Baum">Nancy M. Baum</name></author><author><name sortKey="Gollust, Sarah E" sort="Gollust, Sarah E" uniqKey="Gollust S" first="Sarah E." last="Gollust">Sarah E. Gollust</name></author><author><name sortKey="Goold, Susan D" sort="Goold, Susan D" uniqKey="Goold S" first="Susan D." last="Goold">Susan D. Goold</name></author><author><name sortKey="Jacobson, Peter D" sort="Jacobson, Peter D" uniqKey="Jacobson P" first="Peter D." last="Jacobson">Peter D. Jacobson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19059850</idno><idno type="pmc">2622776</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2622776</idno><idno type="RBID">PMC:2622776</idno><idno type="doi">10.2105/AJPH.2008.137588</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">000194</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000194</idno><idno type="wicri:Area/Pmc/Curation">000194</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000194</idno><idno type="wicri:Area/Pmc/Checkpoint">000029</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000029</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Ethical Issues in Public Health Practice in Michigan</title><author><name sortKey="Baum, Nancy M" sort="Baum, Nancy M" uniqKey="Baum N" first="Nancy M." last="Baum">Nancy M. Baum</name></author><author><name sortKey="Gollust, Sarah E" sort="Gollust, Sarah E" uniqKey="Gollust S" first="Sarah E." last="Gollust">Sarah E. Gollust</name></author><author><name sortKey="Goold, Susan D" sort="Goold, Susan D" uniqKey="Goold S" first="Susan D." last="Goold">Susan D. Goold</name></author><author><name sortKey="Jacobson, Peter D" sort="Jacobson, Peter D" uniqKey="Jacobson P" first="Peter D." last="Jacobson">Peter D. Jacobson</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We sought to ascertain the types of ethical challenges public health practitioners face in practice and to identify approaches used to resolve such challenges.</p><p><italic>Methods.</italic> We conducted 45 semistructured interviews with public health practitioners across a range of occupations (e.g., health officers, medical directors, sanitarians, nurses) at 13 health departments in Michigan.</p><p><italic>Results.</italic> Through qualitative analysis, we identified 5 broad categories of ethical issues common across occupations and locations: (1) determining appropriate use of public health authority, (2) making decisions related to resource allocation, (3) negotiating political interference in public health practice, (4) ensuring standards of quality of care, and (5) questioning the role or scope of public health. Participants cited a variety of values guiding their decision-making that did not coalesce around core values often associated with public health, such as social justice or utilitarianism. Public health practitioners relied on consultations with colleagues to resolve challenges, infrequently using frameworks for decision-making.</p><p><italic>Conclusions.</italic> Public health practitioners showed a nuanced understanding of ethical issues and navigated ethical challenges with minimal formal assistance. Decision-making guides that are empirically informed and tailored for practitioners might have some value.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title>American Journal of Public Health</journal-title><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19059850</article-id><article-id pub-id-type="pmc">2622776</article-id><article-id pub-id-type="publisher-id">137588</article-id><article-id pub-id-type="doi">10.2105/AJPH.2008.137588</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>18</subject><subject>33</subject><subject>56</subject><subject>57</subject><subject>72</subject></subj-group><subj-group subj-group-type="heading"><subject>Research and Practice</subject></subj-group></article-categories><title-group><article-title>Ethical Issues in Public Health Practice in Michigan</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Baum</surname><given-names>Nancy M.</given-names></name><degrees>MHS</degrees></contrib><contrib contrib-type="author"><name><surname>Gollust</surname><given-names>Sarah E.</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Goold</surname><given-names>Susan D.</given-names></name><degrees>MD, MHSA, MA</degrees></contrib><contrib contrib-type="author"><name><surname>Jacobson</surname><given-names>Peter D.</given-names></name><degrees>JD, MPH</degrees></contrib><aff>Nancy M. Baum, Sarah E. Gollust, and Peter D. Jacobson are with the Department of Health Policy and Management, School of Public Health, University of Michigan, Ann Arbor. Susan D. Goold is with the Department of Internal Medicine, and the Bioethics Program, University of Michigan, Ann Arbor.</aff></contrib-group><author-notes><corresp>Requests for reprints should be sent to Nancy M. Baum, MHS, 109 Observatory M-3141 SPH-II, Ann Arbor, MI 48109 (e-mail: <email>nmbaum@umich.edu</email>).</corresp><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold></p><p>N. M. Baum was involved in the origination and design of the study and acquisition and interpretation of the data and led the drafting of the article. S. E. Gollust was involved in the origination and design of the study and acquisition and interpretation of data and contributed extensively to the drafting of the article. S. D. Goold contributed to the design of the study, the analysis of the data, and critical revision of the article. P. D. Jacobson was involved in the origination and design of the study, interpretation of the data, critical revision of the article, and overall supervision of the study.</p></fn></author-notes><pub-date pub-type="ppub"><month>2</month><year>2009</year></pub-date><volume>99</volume><issue>2</issue><fpage>369</fpage><lpage>374</lpage><history><date date-type="accepted"><day>3</day><month>6</month><year>2008</year></date></history><permissions><copyright-statement>© American Public Health Association</copyright-statement><copyright-year>2009</copyright-year></permissions><abstract><p><italic>Objectives.</italic> We sought to ascertain the types of ethical challenges public health practitioners face in practice and to identify approaches used to resolve such challenges.</p><p><italic>Methods.</italic> We conducted 45 semistructured interviews with public health practitioners across a range of occupations (e.g., health officers, medical directors, sanitarians, nurses) at 13 health departments in Michigan.</p><p><italic>Results.</italic> Through qualitative analysis, we identified 5 broad categories of ethical issues common across occupations and locations: (1) determining appropriate use of public health authority, (2) making decisions related to resource allocation, (3) negotiating political interference in public health practice, (4) ensuring standards of quality of care, and (5) questioning the role or scope of public health. Participants cited a variety of values guiding their decision-making that did not coalesce around core values often associated with public health, such as social justice or utilitarianism. Public health practitioners relied on consultations with colleagues to resolve challenges, infrequently using frameworks for decision-making.</p><p><italic>Conclusions.</italic> Public health practitioners showed a nuanced understanding of ethical issues and navigated ethical challenges with minimal formal assistance. Decision-making guides that are empirically informed and tailored for practitioners might have some value.</p></abstract></article-meta></front></pmc><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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