Responsibility

2021 ◽  
pp. 161-183
Author(s):  
James Wilson

Public health policy requires decisions about how to distribute the burdens and benefits of reducing health-related risks. This chapter argues that responsibility should be assigned on the basis of the values that the health system is aiming to promote or respect, rather than by treating personal responsibility as an extrinsic ethical requirement on health system design. A health system’s answer to the question of whom to hold accountable, and how to do so, should be framed within the context of the right to public health. Where claims of irresponsibility are levelled, these should in the first instance be directed towards those who violate the right to public health, either through government or corporate agency, rather than at isolated individuals.

2021 ◽  
pp. 110-125
Author(s):  
James Wilson

This chapter reframes the project of public health within a rights framework. It argues that there is a right to health, and this entails that individuals have a right to public health. Given that there is a right to public health, the state should undertake to reduce health risks. If a state does not take easy steps to reduce risks to health, and as a result allows significant numbers to come to harm or even death, then it violates individuals’ right to public health, and should be criticized as a Neglectful State. The ethical challenge of public health policy is therefore not the one-sided one of avoiding Nannying, but the more complex task of steering a course between Nannying and Neglect. Avoiding Neglect may involve restricting liberty in various ways.


Author(s):  
Deborah Lupton

This chapter explores the use of digital health technologies in health promotion endeavors. This “digitized health promotion” is the latest stage in the trajectory of health promotion ideology and practice over the past four decades in wealthy Anglophone nations. Lupton argues that over this period the individualistic approach to good health commonly espoused in medicine and public health was challenged by advocates arguing for a greater focus on social justice and social epidemiology. The individualistic approach to health promotion never disappeared, however, and has gathered momentum in the current economic, political, and technological climate. While many health promotion workers still champion the ideals of “health for all,” public health policy in the context of digitized health promotion has begun to return to emphasizing personal responsibility for health.


2020 ◽  
Vol 25 ◽  
Author(s):  
Rodrigo Oliveira da Fonsêca ◽  
Monique Ramos Paschoal Dutra ◽  
Maria Ângela Fernandes Ferreira

RESUMO Objetivo Identificar a satisfação de usuários com os aparelhos de amplificação sonora individual (AASI) concedidos pelo Sistema Único de Saúde (SUS). Estratégia de pesquisa Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados LILACS, SciELO, PubMed e Scopus, empregando os descritores hearing loss, public health policy, Unified Health System, public health, patient satisfaction e hearing aids. Critérios de seleção Foram selecionados artigos publicados a partir de 2004, sem restrição quanto ao idioma, envolvendo usuários adaptados pelo SUS. Excluíram-se publicações repetidas, resenhas, artigos de opinião, editoriais, teses e dissertações. Resultados Foram localizados 1011 estudos, dos quais, 24 foram incluídos. As pesquisas veicularam-se a partir de 2007, com predomínio na região Sudeste, por meio de abordagens quantitativas e, em grande parte, com amostras limitadas, compreendendo adultos e idosos. Os questionários de autoavaliação foram os recursos utilizados para avaliar a satisfação. Conclusão A maioria dos usuários revelou elevada satisfação com os AASI concedidos pelo SUS.


Author(s):  
Patrick Fafard ◽  
Steven J Hoffman

There is continuing interest in using the best available research evidence to inform public health policy. However, all too often efforts to do so rely on mechanistic and unrealistic views of the process by which public policy is made. As a result, traditional dyadic knowledge translation (KT) approaches may not be particularly effective when applied to public policy decision making. However, using examples drawn from public health policy, it is clear that work in political science on multiplicity, hierarchy and networks can offer some insight into what effective KT might look like for informing public policy. To be effective, KT approaches must be more appropriately tailored depending on the audience size, audience breadth, the policy context, and the dominant policy instrument.


2020 ◽  
Vol 42 (4) ◽  
pp. 778-783 ◽  
Author(s):  
Holly Jarman ◽  
Scott L Greer ◽  
Martin McKee

Abstract Brexit has direct and indirect negative health consequences, whether from economic damage or from the political paralysis and distraction from public health that it has created. Brexit is a public health problem in its own right, as other literature has shown—but, we argue, it is also a symptom of deeper problems in the governance of the United Kingdom. In particular, the combination of executive dominance, partisanship and opacity that give rise to the constitutional casualism of the Brexit decisions has already affected public health policy and will continue to do so unless addressed.


Author(s):  
Josipa Kern ◽  
Marijan Erceg ◽  
Tamara Poljicanin ◽  
Slavica Sovic ◽  
Kristina Fišter ◽  
...  

The Public Health Surveillance System (PHSS) is defined as the ongoing, systematic collection, analysis, interpretation and dissemination of health-related data essential to the planning, implementation, and evaluation of public health practice. It serves as an early warning system, guides public health policy and strategies, documents the impact of an intervention or progress towards specified public health targets/goals, and understands and monitors the epidemiology of a condition to set priorities and guide public health policy and strategies. For this purpose, the PHSS should: be ICT-based and comprehensive with clearly defined sources, volumes, and standards of data; include all the stakeholders with information they produce, with enough flexibility in the dynamic of constructing indicators; be safe and able to produce information on demand and on time; and be able to act as a risk management system by providing warnings/reminders/alerts to prevent unwanted events.


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