Consumer Sovereignty in Healthcare: Fact or Fiction?

Sirgy, Joseph; Lee, Dong Jin; Yu, Grace B.

doi:10.1007/s10551-010-0733-5

Cited by 18 publications

(15 citation statements)

References 58 publications

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“…Such vulnerability occurs more frequently among individuals from socioeconomically disadvantaged groups, whose marginalization may be further entrenched by their interactions with medical service providers (e.g., Adkins & Corus, 2009). The interpersonal dynamics between health care staff and consumers aggregate to influence consumers' well-being at a collective level and sometimes in an unintended direction in which power hierarchies occur and the inequality between the rich and the poor deepens (Bloche, 2007;Sirgy, Lee, & Yu, 2011). This shift highlights the importance of research that focuses on collective consumers and their well-being and recognizes significant disparities.…”

Section: Health Care Servicesmentioning

confidence: 99%

Transformative service research: An agenda for the future

Anderson

Ostrom

Corus

et al. 2013

Journal of Business Research

737

1,122

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This article conceptualizes and presents a research agenda for the emerging area of transformative service research, which lies at the intersection of service research and transformative consumer research and focuses on well-being outcomes related to service and services. A conceptual framework provides a big-picture view of how the interaction between service entities (e.g., individual service employees, service processes or offerings, organizations) and consumer entities (e.g., individuals, collectives such as families or communities, the ecosystem) influences the well-being outcomes of both. Research questions derived from the framework in the context of financial services, health care, and social services help catalyze new research in the transformative service research domain.

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Section: Health Care Servicesmentioning

confidence: 99%

Transformative service research: An agenda for the future

Anderson

Ostrom

Corus

et al. 2013

Journal of Business Research

737

1,122

View full text Add to dashboard Cite

show abstract

“…However, our study underscores serious issues that must be addressed for such testing to be implemented ethically, including challenges of conveying and acting upon this information, which in most cases should not alter medical care. Both ethically and practically, the primary question is whether the purpose of translational research is to inform the use of these tests in clinical care or to provide information to consumers [39,40] whose wishes may not be well informed and may not align with notions of clinical utility that govern practice. Given the balance of benefit and burden, we suggest that trials of opportunistic screening return at most only pathogenic and likely pathogenic results.…”

Section: Discussionmentioning

confidence: 99%

What Results Should Be Returned from Opportunistic Screening in Translational Research?

Halverson

Jones

Novak

et al. 2020

JPM

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Increasingly, patients without clinical indications are undergoing genomic tests. The purpose of this study was to assess their appreciation and comprehension of their test results and their clinicians' reactions. We conducted 675 surveys with participants from the Vanderbilt Electronic Medical Records and Genomics (eMERGE) cohort. We interviewed 36 participants: 19 had received positive results, and 17 were self-identified racial minorities. Eleven clinicians who had patients who had participated in eMERGE were interviewed. A further 21 of these clinicians completed surveys. Participants spontaneously admitted to understanding little or none of the information returned to them from the eMERGE study. However, they simultaneously said that they generally found testing to be "helpful," even when it did not inform their health care. Primary care physicians expressed discomfort in being asked to interpret the results for their patients and described it as an undue burden. Providing genetic testing to otherwise healthy patients raises a number of ethical issues that warrant serious consideration. Although our participants were enthusiastic about enrolling and receiving their results, they express a limited understanding of what the results mean for their health care. This fact, coupled the clinicians' concern, urges greater caution when educating and enrolling participants in clinically non-indicated testing.

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“…On the other hand, the idea of 'needs' distinguishes insufficiently between what is basic and what is not-basic. The prominence of need and equality as a subordinate value in the healthcare domain can also be seen from the familiar practice of triage (Sirgy et al 2011). For example, in the waiting area of an emergency room, specially trained nurses will quickly examine patients, and sort them into rough groups.…”

Section: Values and Domainsmentioning

confidence: 99%

Reframing the Moral Limits of Markets Debate: Social Domains, Values, Allocation Methods

Wempe

Frooman

2016

J Bus Ethics

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What should and what should not be for sale in a society? This is the central question in the Moral Limits of Markets (MLM) debate, which is conducted by a group of business ethicists and liberal egalitarian political theorists. These MLM theorists, which we will dub 'market moralists,' all put forward a specific version of the argument that while the market is well suited to allocate some categories of goods and services, it is undesirable for the allocation of other such categories. We argue that the current MLM debate is too much framed in terms of a market/non-market dichotomy. Moreover, authors tend to distinguish insufficiently between values such as freedom, equality, and efficiency, and allocation methods such as the market, the queue, and rationing. We introduce a new conceptual scheme consisting of societal domains, values, and allocation methods to provide a better structure for this debate. The argument is illustrated from the education and healthcare domains.

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Consumer Sovereignty in Healthcare: Fact or Fiction?

Abstract: consumer sovereignty, healthcare ethics, healthcare reform, healthcare policy, healthcare economics,

Cited by 18 publications

References 58 publications

Transformative service research: An agenda for the future

Transformative service research: An agenda for the future

What Results Should Be Returned from Opportunistic Screening in Translational Research?

Reframing the Moral Limits of Markets Debate: Social Domains, Values, Allocation Methods

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