The Patient As Agent Of Health And Healthcare
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The Patient As Agent Of Health And Health Care
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Author : Mark Daniel Sullivan
language : en
Publisher: Oxford University Press
Release Date : 2017
The Patient As Agent Of Health And Health Care written by Mark Daniel Sullivan and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Health & Fitness categories.
Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
The Patient As Agent Of Health And Healthcare
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Author : Mark Daniel Sullivan
language : en
Publisher:
Release Date : 2017
The Patient As Agent Of Health And Healthcare written by Mark Daniel Sullivan and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Improving Patient Care
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Author : Richard Grol
language : en
Publisher: John Wiley & Sons
Release Date : 2013-03-18
Improving Patient Care written by Richard Grol and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-18 with Medical categories.
As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.
Beneficence And Health Care
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Author : E.E. Shelp
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Beneficence And Health Care written by E.E. Shelp and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
The meaning and application of the principle of beneficence to issues in health care is rarely clear or certain. Although the principle is frequently employed to justify a variety of actions and inactions, very little has been done from a conceptual point of view to test its relevance to these behaviors or to explore its relationship to other moral principles that also might be called upon to guide or justify conduct. Perhaps more than any other, the principle of benef icence seems particularly appropriate to contexts of health care in which two or more parties interact from positions of relative strength and weakness, advantage and need, to pursue some perceived goal. It is among those moral principles that Tom L. Beauchamp and James F. Childress selected in their textbook on bioethics as applicable to biomedicine in general and relevant to a range of specific issues ([1], pp. 135-167). More narrowly, The National Commission for the Protection of Human Subjects of Biomedical and Behav ioral Research identified beneficence as among those moral principles that have particular relevance to the conduct of research involving humans (2). Thus, the principle of beneficence is seen as pertinent to the routine delivery of health care, the discovery of new therapies, and the rationale of public policies related to health care.
The Putting Patients First Field Guide
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Author : Planetree Foundation
language : en
Publisher: John Wiley & Sons
Release Date : 2013-09-20
The Putting Patients First Field Guide written by Planetree Foundation and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-20 with Medical categories.
"This book answers 'why not' and 'how to' for health care accreditation bodies, quality experts, and frontline professionals, moving the reader from timely information, to inspiration, and through patient-centered action with practical tools and potent case studies." —Paul vanOstenberg, DDS, MS, vice president, Accreditation and Standards, Joint Commission International "This superb guide from Planetree illustrates that providing high-quality, high-value, patient-centered health care is not a theoretical ideal. The case studies make clear that these goals are attainable; they are being achieved by leading health care organizations worldwide, and there is a clear road map for getting there—right here in this book." —Susan Dentzer, senior policy adviser to the Robert Wood Johnson Foundation "At IHI, we follow the principle, 'all teach, all learn'—the idea that everyone, everywhere has something to teach, and something to learn. This remarkable and indispensable guide is as pure an example of this principle as I've come across." —Maureen Bisognano, president and chief executive officer, Institute for Healthcare Improvement "The International Society for Quality in Health Care's mission is to inspire, promote, and support continuous improvement in the quality and safety of health care worldwide. It is in this spirit that we welcome this new book on patient-centered care. As in their previous work, the authors demonstrate just how critical it is to develop an organizational culture that puts patients first." —Peter Carter, chief executive officer, International Society for Quality in Health Care
Person Centred Health Care
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Author : Stephen Buetow
language : en
Publisher: Routledge
Release Date : 2016-06-10
Person Centred Health Care written by Stephen Buetow and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-06-10 with Medical categories.
Person-centred health care is increasingly endorsed as a key element of high-quality care, yet, in practice, it often means patient-centred health care. This book scrutinizes the principle of primacy of patient welfare, which, although deeply embedded in health professionalism, is long overdue for critical analysis and debate. It appears incontestable because patients have greater immediate health needs than clinicians and the patient-clinician encounter is often recognized as a moral enterprise as well as a service contract. However, Buetow argues that the implication that clinician welfare is secondary can harm clinicians, patients and health system performance. Revaluing participants in health care as moral equals, this book advocates an ethic of virtue to respect the clinician as a whole person whose self-care and care from patients can benefit both parties, because their moral interests intertwine and warrant equal consideration. It then considers how to move from values including moral equality in health care to practice for people in their particular situations. Developing a genuinely inclusive concept of person-centred care – accepting clinicians as moral equals – it also facilitates the coalescence of patient-centred care and evidence-based health care. This reflective and provocative work develops a constructive alternative to the taken-for-granted principle of primacy of patient welfare. It is of interest to students and academics in the health and caring sciences, philosophy, ethics, medical humanities and health management.
Autonomy Paternalism
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Author : Thomas Nys
language : en
Publisher: Peeters Publishers
Release Date : 2007
Autonomy Paternalism written by Thomas Nys and has been published by Peeters Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Autonomy (Psychology). categories.
In recent years, the triumph of autonomy has made paternalist interventions increasingly problematic. The value of a patient's right to self-determination and the practice of informed consent are considered supremely important in present-day health care ethics. In general, the idea of 'doctor knows best' has become more and more suspicious. This has left us with a situation in which paternalist medicine seems difficult to reconcile with respect for patient autonomy. This book offers a thorough reflection on the relationship between autonomy and paternalism, and argues that, from both theoretical and practical angles, the tension between these concepts is not as acute as it might seem. In long-term care, psychiatry, and care for the severely handicapped, the principle of respect for autonomy is particularly ill-suited. This, however, does not mean that such respect is totally irrelevant, but that it should take a different shape. Good care in those cases requires us to transcend the sharp dichotomy between autonomy and paternalism. In Autonomy and Paternalism: Reflections on the Theory and Practice of Health Care various acclaimed authors present their views on this interesting and extremely relevant debate.
Patients As Policy Actors
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Author : Beatrix Rebecca Hoffman
language : en
Publisher: Rutgers University Press
Release Date : 2011
Patients As Policy Actors written by Beatrix Rebecca Hoffman and has been published by Rutgers University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Health & Fitness categories.
Patients as Policy Actors offers groundbreaking accounts of one of the health field's most important developments of the last fifty years--the rise of more consciously patient-centered care and policymaking. The authors in this volume illustrate, from multiple disciplinary perspectives, the unexpected ways that patients can matter as both agents and objects of health care policy yet nonetheless too often remain silent, silenced, misrepresented, or ignored. The volume concludes with a unique epilogue outlining principles for more effectively integrating patient perspectives into a pluralistic conception of policy-making. With the recent enactment of the Patient Protection and Affordable Care Act, patients' and consumers' roles in American health care require more than ever the careful analysis and attention exemplified by this innovative volume.
Principles Of Health Care Ethics
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Author : Richard Edmund Ashcroft
language : en
Publisher: John Wiley & Sons
Release Date : 2007-06-29
Principles Of Health Care Ethics written by Richard Edmund Ashcroft and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-06-29 with Medical categories.
Edited by four leading members of the new generation of medical and healthcare ethicists working in the UK, respected worldwide for their work in medical ethics, Principles of Health Care Ethics, Second Edition is a standard resource for students, professionals, and academics wishing to understand current and future issues in healthcare ethics. With a distinguished international panel of contributors working at the leading edge of academia, this volume presents a comprehensive guide to the field, with state of the art introductions to the wide range of topics in modern healthcare ethics, from consent to human rights, from utilitarianism to feminism, from the doctor-patient relationship to xenotransplantation. This volume is the Second Edition of the highly successful work edited by Professor Raanan Gillon, Emeritus Professor of Medical Ethics at Imperial College London and former editor of the Journal of Medical Ethics, the leading journal in this field. Developments from the First Edition include: The focus on ‘Four Principles Method’ is relaxed to cover more different methods in health care ethics. More material on new medical technologies is included, the coverage of issues on the doctor/patient relationship is expanded, and material on ethics and public health is brought together into a new section.
Handbook For Health Care Ethics Committees
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Author : Linda Farber Post
language : en
Publisher: JHU Press
Release Date : 2021-11-23
Handbook For Health Care Ethics Committees written by Linda Farber Post and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-11-23 with Medical categories.
How can dedicated health care ethics committees increase their effectiveness and demonstrate their value as essential moral resources for their organizations? Among the most effective and increasingly valued resources in the health care decision-making process is the institutional ethics committee. The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. As a condition of accreditation, TJC requires health care organizations to have available a standing multidisciplinary ethics committee, composed of physicians, nurses, attorneys, ethicists, administrators, and interested lay citizens. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to effectively address the range and complexity of the ethical issues that arise in clinical and organizational settings. Handbook for Health Care Ethics Committees was conceived in 2007 to address the myriad responsibilities assumed by ethics committees. Using sample cases and accessible language, Linda Farber Post and Jeffrey Blustein explored applied bioethics, including informed consent and refusal, decision making and decisional capacity, truth telling, care at the beginning and end of life, palliation, justice in and access to health care services, and organizational ethics. In the third edition, Post and Blustein have thoroughly updated and reorganized the content and expanded the scope of the material, with special attention to changes in the health care landscape since the second edition was published in 2015. They also focus on communication between and among patients, care providers, and families, the demands of professionalism, the essential role that ethics committees can and should play, and how their effectiveness and value can be assessed. An entirely new chapter examines research ethics. The book also addresses the challenging ethical issues raised by the ongoing COVID-19 pandemic. This guide remains an essential resource for all health care ethics committee and their members.