Health inequalities and regional specific scarcity in primary care physicians: ethical issues and criteria

Stapleton, Greg; Schröder‐Bäck, Peter; Brand, Helmut; Townend, David

doi:10.1007/s00038-013-0497-7

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…that can significantly complicate their resolution ( 3 ). For example, how does one balance the free movement of health care professionals against maintaining the effective provision of regional health care ( 22 )? Scientific progress has also complicated issues by enhancing our understanding of the etiology of health states.…”

Section: Ethical Conflicts: a Review Of Ethical Topicsmentioning

confidence: 99%

Global health ethics: an introduction to prominent theories and relevant topics

Stapleton

Schröder‐Bäck

Laaser

et al. 2014

Global Health Action

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Global health ethics is a relatively new term that is used to conceptualize the process of applying moral value to health issues that are typically characterized by a global level effect or require action coordinated at a global level. It is important to acknowledge that this account of global health ethics takes a predominantly geographic approach and may infer that the subject relates primarily to macro-level health phenomena. However, global health ethics could alternatively be thought of as another branch of health ethics. It may then relate to specific topics in themselves, which might also include micro-level health phenomena. In its broadest sense, global health ethics is a normative project that is best characterized by the challenge of developing common values and universal norms for responding to global health threats. Consequently, many subjects fall within its scope. Whilst several accounts of global health ethics have been conceptualized in the literature, a concise demarcation of the paradigm is still needed. Through means of a literature review, this paper presents a two-part introduction to global health ethics. First, the framework of ‘borrowed’ ethics that currently form the core of global health ethics is discussed in relation to two essential ethical considerations: 1) what is the moral significance of health and 2) what is the moral significance of boundaries? Second, a selection of exemplar ethical topics is presented to illustrate the range of topics within global health ethics.

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Section: Ethical Conflicts: a Review Of Ethical Topicsmentioning

confidence: 99%

Global health ethics: an introduction to prominent theories and relevant topics

Stapleton

Schröder‐Bäck

Laaser

et al. 2014

Global Health Action

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“…Interventions to reduce regional differentials in health have ethical implications, as Stapleton et al (2013) showed. They used the example of placing primary care physicians to underserved areas, depending upon levels of incentive or coercion, to alleviate regional differences in primary care.…”

Section: From Theory To Interventionmentioning

confidence: 99%

Explaining health inequalities: the role of space and time

Razum

Voigtländer²,

Berger³

2014

Int J Public Health

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“…Second, this choice also reflects systematic and introductory discussions of public health ethics. Several scholarly works also refer to the same range of principles and theories when discussing ethics in a pluralist context [11,12] but also in papers formulating ethical policy advice or being suitable directly for public health practitioners [9,[13][14][15]. Thus, our choice of approaches intends to relate to real-world discourses of public health ethics within the public health community, while referring explicitly to the most used approaches in the field.…”

Section: Methodsmentioning

confidence: 99%

Childhood Vaccination Against Seasonal Influenza to Reduce the Overall Burden of Disease: Ethical Perspectives

2017

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Childhood immunisation against seasonal influenza promises to reduce the burden of disease through herd immunity. The option of intranasal vaccination seemed to offer a more acceptable vaccination for children, as they are perceived to be less invasive. Yet, intranasal vaccines have been recently proven not to be as effective as presumed. In Germany, contradictory recommendations of the Standing Committee on Vaccination (STIKO) first, to use and then, in October 2016, not use these vaccines have been issued for the 2016-2017 season, whereas recommendations not to use them were already issued in the USA (CDC, ACIP). This controversy spurs the discussion of immunisation programmes for children again. Despite studies discussing the effectiveness of a comprehensive immunisation programme targeting children also in the German and wider European context, an accompanying ethical discussion is missing. We discuss several policy options from different key ethical perspectives that are widely used in public health: if seasonal influenza vaccination should be intensively offered to or even made mandatory for children to decrease the societal burden of the disease. Various ethical perspectives reflect the question how to balance individual autonomy, personal benefit and population benefit differently. A convincing justification for suggestions on immunisation policies has to balance norms anchored in different ethical theories. There are good reasons to offer immunisation programmes against seasonal influenza to children, using a voluntary, possibly incentive-based approach.

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Health inequalities and regional specific scarcity in primary care physicians: ethical issues and criteria

Abstract: The discussion provides clear criteria for decision makers to consider when addressing primary care physician shortages. Yet, decision makers will still need to assess specific situations by these criteria to ensure that any decisions they make are morally justifiable.

Cited by 10 publications

References 25 publications

Global health ethics: an introduction to prominent theories and relevant topics

Global health ethics: an introduction to prominent theories and relevant topics

Explaining health inequalities: the role of space and time

Childhood Vaccination Against Seasonal Influenza to Reduce the Overall Burden of Disease: Ethical Perspectives

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