Theoretical Models and Operational Frameworks in Public Health Ethics

Petrini, Carlo

doi:10.3390/ijerph7010189

Cited by 39 publications

(27 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…if improving the life of a large number of people has to be weighed against the interest of those suffering from rare diseases with no alternative treatment. While we extracted such principles in our overview of reviews, others have focused explicitly on these [18,58,60] and several frameworks to guide the discussions and selection process have been proposed in the public health ethics literature [59,60,64,65,[67][68][69][70][71][72][73][74].…”

Section: The Challenge Of Selecting the Right Criteriamentioning

confidence: 99%

Development of the WHO-INTEGRATE evidence-to-decision framework: an overview of systematic reviews of decision criteria for health decision-making

Stratil¹,

Baltussen

Scheel

et al. 2020

Cost Eff Resour Alloc

View full text Add to dashboard Cite

Background: Decision-making in public health and health policy is complex and requires careful deliberation of many and sometimes conflicting normative and technical criteria. Several approaches and tools, such as multi-criteria decision analysis, health technology assessments and evidence-to-decision (EtD) frameworks, have been proposed to guide decision-makers in selecting the criteria most relevant and appropriate for a transparent decision-making process. This study forms part of the development of the WHO-INTEGRATE EtD framework, a framework rooted in global health norms and values as reflected in key documents of the World Health Organization and the United Nations system. The objective of this study was to provide a comprehensive overview of criteria used in or proposed for real-world decision-making processes, including guideline development, health technology assessment, resource allocation and others. Methods:We conducted an overview of systematic reviews through a combination of systematic literature searches and extensive reference searches. Systematic reviews reporting criteria used for real-world health decision-making by governmental or non-governmental organization on a supranational, national, or programme level were included and their quality assessed through a bespoke critical appraisal tool. The criteria reported in the reviews were extracted, de-duplicated and sorted into first-level (i.e. criteria), second-level (i.e. sub-criteria) and third-level (i.e. decision aspects) categories. First-level categories were developed a priori using a normative approach; second-and third-level categories were developed inductively.

show abstract

Section: The Challenge Of Selecting the Right Criteriamentioning

confidence: 99%

Development of the WHO-INTEGRATE evidence-to-decision framework: an overview of systematic reviews of decision criteria for health decision-making

Stratil¹,

Baltussen

Scheel

et al. 2020

Cost Eff Resour Alloc

View full text Add to dashboard Cite

show abstract

“…To address this issue, one model proposed for public health ethics is personalism, which considers health as a common good, and encourages values such as sociality, solidarity and responsibility to prevent and protect against avoidable diseases (Petrini, 2010). This approach encourages the exercise of a responsible autonomy where the notion of collective benefit has to be integrated.…”

Section: Question Of Autonomy Within An Organised Screeningmentioning

confidence: 99%

Low participation in organized colorectal cancer screening in France: underlying ethical issues

Moutel

Duchange

Lièvre

et al. 2019

European Journal of Cancer Prevention

View full text Add to dashboard Cite

International studies have shown a significant reduction in colorectal cancer (CRC) mortality following the implementation of organized screening programs, given a sufficient participation rate and adequate follow-up. The French national CRC screening program has been generalized since 2008 and targets 18 million men and women aged 50-74 years. Despite broad recommendations, the participation rate remains low (29.8%), questioning the efficiency of the program. A panel of experts was appointed by the French National Cancer Institute to critically examine the place of autonomy and efficiency in CRC screening and propose recommendations. In this paper, we explore the ethical significance of a public health intervention that falls short of its objectives owing to low take-up by the population targeted. First, we analyze the reasons for the low CRC screening participation. Second, we examine the models that can be proposed for public health actions, reconciling respect for the individual and the collective good. Our expert panel explored possible ways to enhance take-up of CRC screening within the bounds of individual autonomy, adapting awareness campaigns, and new educational approaches that take into account knowledge and analysis of sociocultural hurdles. Although public health actions must be universal, target actions should nonetheless be developed for nonparticipating population subgroups.

show abstract

“…In this context all over the world, doctors' strikes are ethically not justified since they 'use' or 'instrumentalize' patients in order to improve their situation [23]. As opposed to this, many contemporary ethicists and philosophers are in line with utilitarian theories which seem to be an effective tool to assess a specific action in terms of its utility [51]. Utilitarian reasoning always considers circumstances and consequences.…”

Section: Doctors' Strike: a General Ethical Reflectionmentioning

confidence: 99%

Medical Doctors’ Strike: An Ethical Overview with Reference to the Indian Context

Aacharya¹,

Varghese²

2016

J Clin Res Bioeth

View full text Add to dashboard Cite

Background: Medical doctors' strikes are a common global phenomenon. In the recent past, a number of strikes have been reported in various developing countries including India. The objective of this ethical overview is (a) to study and describe reasons, modalities and impacts of the doctors' strikes in India, (b) to develop an ethical reflection on doctors' strike and (c) to evaluate the doctors' strikes in India using this ethical reflection.

show abstract

Theoretical Models and Operational Frameworks in Public Health Ethics

Cited by 39 publications

References 38 publications

Development of the WHO-INTEGRATE evidence-to-decision framework: an overview of systematic reviews of decision criteria for health decision-making

Development of the WHO-INTEGRATE evidence-to-decision framework: an overview of systematic reviews of decision criteria for health decision-making

Low participation in organized colorectal cancer screening in France: underlying ethical issues

Medical Doctors’ Strike: An Ethical Overview with Reference to the Indian Context

Contact Info

Product

Resources

About