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1 – 10 of over 12000Erica Falkenström and Anna T. Höglund
The purpose of this paper is to contribute knowledge on ethical issues and reasoning in expert reports concerning healthcare governance, commissioned by the Swedish healthcare…
Abstract
Purpose
The purpose of this paper is to contribute knowledge on ethical issues and reasoning in expert reports concerning healthcare governance, commissioned by the Swedish healthcare system.
Design/methodology/approach
An in-depth analysis of ethical issues and reasoning in 36 commissioned expert reports was performed. Twenty-seven interviews with commissioners and producers of the reports were also carried out and analysed.
Findings
Some ethical issues were identified in the reports. But ethical reasoning was rarely evident. The meaning of ethical concepts could be devalued and changed over time and thereby deviate from statutory ethical goals and values. Several ethical issues of great concern for the Swedish public healthcare were also absent.
Practical implications
The commissioner of expert reports needs to ensure that comprehensive ethical considerations and ethical analysis are integrated in the expert reports.
Originality/value
Based on an extensive data material this paper reveals an ethical void in expert reports on healthcare governance. By avoiding ethical issues there is a risk that the expert reports could bring about reforms and control models that have ethically undesirable consequences for people and society.
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Michelle Veyvoda, Thomas J. Van Cleave and Laurette Olson
This chapter draws from the authors’ experiences with service-learning pedagogy in allied health training programs, and illustrates ways in which community-engaged teaching and…
Abstract
This chapter draws from the authors’ experiences with service-learning pedagogy in allied health training programs, and illustrates ways in which community-engaged teaching and learning can prepare students to become ethical healthcare practitioners. The authors infuse examples from their own courses throughout the chapter, mostly from the clinical fields of speech-language pathology, audiology, and occupational therapy. However, the chapter is applicable and generalizable to faculty from a wide scope of allied health training programs. The chapter introduces considerations for establishing campus–community partnerships in an ethical manner, as well as ways to foster student self-reflection and critical thinking through an ethical lens. Principles from the codes of ethics of various allied health professions are incorporated throughout the chapter along with examples of how each can be applied in community-based clinical experiences. Through a review of relevant literature, analysis of professional codes of ethics, case-based examples, and a step-by-step guide to course development, this chapter provides readers with a mechanism to ground their courses in professional ethics in a way that is relatable and relevant to students.
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Riya Elizabeth George, Nisha Dogra and Bill Fulford
The purpose of this paper is to review the challenges of teaching values and ethics in mental-health, explore the differing perspectives of the key stakeholders and stimulate…
Abstract
Purpose
The purpose of this paper is to review the challenges of teaching values and ethics in mental-health, explore the differing perspectives of the key stakeholders and stimulate further questions for debate in this area; leading to a proposal of an alternative approach to educating mental-health professionals on values and ethics.
Originality/value
In current mental-health care settings, very few professionals work with homogeneous populations. It is imperative that mental-health education and training ensures health professionals are competent to practice in diverse settings; where ethics and values are bound to differ. Establishing professional practice not only involves considering concepts such as values and ethics, but also equality, diversity and culture. Incorporating values-based practice and cultural diversity training holds promise to education and training, that is truly reflective of the complexity of clinical decision making in mental-health. Further research is needed as to how these two frameworks can be unified and taught.
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Michele Loi, Markus Christen, Nadine Kleine and Karsten Weber
Cybersecurity in healthcare has become an urgent matter in recent years due to various malicious attacks on hospitals and other parts of the healthcare infrastructure. The purpose…
Abstract
Purpose
Cybersecurity in healthcare has become an urgent matter in recent years due to various malicious attacks on hospitals and other parts of the healthcare infrastructure. The purpose of this paper is to provide an outline of how core values of the health systems, such as the principles of biomedical ethics, are in a supportive or conflicting relation to cybersecurity.
Design/methodology/approach
This paper claims that it is possible to map the desiderata relevant to cybersecurity onto the four principles of medical ethics, i.e. beneficence, non-maleficence, autonomy and justice, and explore value conflicts in that way.
Findings
With respect to the question of how these principles should be balanced, there are reasons to think that the priority of autonomy relative to beneficence and non-maleficence in contemporary medical ethics could be extended to value conflicts in health-related cybersecurity.
Research limitations/implications
However, the tension between autonomy and justice, which relates to the desideratum of usability of information and communication technology systems, cannot be ignored even if one assumes that respect for autonomy should take priority over other moral concerns.
Originality/value
In terms of value conflicts, most discussions in healthcare deal with the conflict of balancing efficiency and privacy given the sensible nature of health information. In this paper, the authors provide a broader and more detailed outline.
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This chapter is concerned with the professional integrity of researchers in social science. Social science researchers who undertake data collection and fieldwork, which involves…
Abstract
This chapter is concerned with the professional integrity of researchers in social science. Social science researchers who undertake data collection and fieldwork, which involves spending time with those who have volunteered to be part of the research, have ethical responsibilities towards those who participate in their research. Particularly when research is publicly funded, they also have duties towards the social groups they study, and to wider society in which the findings of the research are of relevance. The position taken here is that social science researchers should be regarded as professionals who share common concerns and practices similar to the professionals working in health care.
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Prachi Verma, Satinder Kumar and Sanjeev K. Sharma
This study aims to explore the different dimensions of e-healthcare ethics and their relationships, influencing the ethical concerns of the consumer in making ethical e-healthcare…
Abstract
Purpose
This study aims to explore the different dimensions of e-healthcare ethics and their relationships, influencing the ethical concerns of the consumer in making ethical e-healthcare choices.
Design/methodology/approach
A study was conducted at two identified major hospitals of Punjab (a private hospital) and Chandigarh (a public hospital), India providing e-healthcare services with the help of a self-administered questionnaire. The respondents were identified from the waiting areas of the selected hospitals, and only those respondents were selected for the study, who agreed to be aware of e-health services and were using them for some time. The statistical analysis was done using the structural equation modeling technique and included both exploratory and confirmatory factor analysis using SPSS 20 and AMOS 21.
Findings
Exploratory factor analysis extracted five dimensions of ethical concerns of the consumer, which include service promotion, content quality, candor, professionalism and confidentiality. The results signify that content quality plays a significant role in ethics, followed by candor, service promotion and confidentiality. However, the relationship with professionalism did not prove to be significant for the ethical concerns of the e-health consumer.
Practical implications
This research delivers a practical significance in identifying the critical dimensions of the ethical concerns of the consumer while selecting e-health services. It gives an insight into the various dimensions, which should be considered by the e-health providers while crafting e-health services to make it more ethically acceptable by the consumers.
Originality/value
By using e-health services, consumers play an active role in their health-care decisions. The consumers need to consider ethics while choosing health-care services as an ethical judgment will also be the correct judgment. This study helps in the identification of the significant dimensions for the ethical concerns of the consumers.
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Erica Falkenström, Jon Ohlsson and Anna T Höglund
The purpose of this paper was to explore what kind of ethical competence healthcare managers need in handling conflicts of interest (COI). The aim is also to highlight essential…
Abstract
Purpose
The purpose of this paper was to explore what kind of ethical competence healthcare managers need in handling conflicts of interest (COI). The aim is also to highlight essential learning processes to develop healthcare managers’ ethical competence.
Design/methodology/approach
A qualitative study was performed. Semi-structured interviews with ten Swedish healthcare managers from different care providers were carried out twice and analysed through step-wise categorisation.
Findings
Four categories of COI were revealed and two ways (passive and active) in which COI were handled. Ethical guidelines did not help the healthcare managers to handle the COI, and none of the managers made use of any sort of systematic ethical analysis. However, certain ethical competence was of great importance to identify and handle COI, consisting of contextual understanding, rational emotions, some theoretical knowledge and a suitable language. Organising work so that ethical analysis can be carried out is of great importance, and top management needs to clearly express the importance of ethical competence and allocate resources to allow adequate learning processes.
Originality/value
This paper highlights the management level and focuses on how work-integrated learning-processes can enable ethical competence. Ethical competence at the management level is essential both to comply with the constitution and legal requirements regarding healthcare, and so that managers are able to analyse COI and justify their decisions.
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Charles Bodkin and George Miaoulis
Marketers and health care providers alike have been actively using the internet to provide information and market a wide variety of health care services and products. This study…
Abstract
Purpose
Marketers and health care providers alike have been actively using the internet to provide information and market a wide variety of health care services and products. This study aims to address consumer's perceptions regarding the quality and ethics of eHealth care web sites.
Design/methodology/approach
Using a national random sample of 1,227 respondents, this study identifies online health care information seekers and explores the type of information they seek, their perceptions of eHealth web site quality and ethics, and eHealth care purchases.
Findings
The results indicate that while WebMD currently dominates the eHealth care market, the future for niche eHealth care web sites appears promising as consumers' perceptions of eHealth care web site quality and ethical behaviors improve.
Practical implications
Using quality dimensions identified by trade associations, it appears consumers believe useful and accurate healthcare information can be found online, which suggests the potential for developing a trusting relationship. In addition, it appears the development of ethical codes for eHealth web sites is having an affect on consumers' perceptions.
Originality/value
Healthcare information is now available online 24 hours a day and, approximately, 63 percent of physicians use the internet in their practice. But, how do consumers seek health information online? And do consumers perceive these online web sites to be ethical? The current study is unique in its focus on examining eHealth code of ethics using guidelines from several prominent online eHealth ethics organizations.
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Vibhav Singh and Surabhi Verma
The sudden onset of COVID-19 has brought about a watershed moment in the current research across all disciplines. As it has impacted almost all aspects of human existence…
Abstract
Purpose
The sudden onset of COVID-19 has brought about a watershed moment in the current research across all disciplines. As it has impacted almost all aspects of human existence, academicians are aggressively trying to understand the phenomenon from multidisciplinary perspectives. In this regard, the present study attempts to provide an in-depth understanding of academia's response pattern in the field of social sciences using a grounded theory literature review and bibliometric analysis.
Design/methodology/approach
The present study analyzed 395 research articles on the pandemic phenomenon, yielding five main themes and 11 sub-themes.
Findings
The emergent research themes are global impact on public health, the influence of COVID-19 on workplace functioning, global governance in COVID-19, research ethics in scholarly works and the influence of COVID-19 on demography.
Originality/value
Drawing from these themes, the authors provide propositions, policy implications and future research directions.
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