Ethical dilemmas in selecting health care technologies

2018 ◽  
Vol 03 ◽  
Author(s):  
Miriam I Siebzehner
Keyword(s):  
Health Care ◽  
Ethical Dilemmas ◽  
Health Care Technologies

Which are the Best Information Sources for Identifying Emerging Health Care Technologies?: An International Delphi Survey

1998 ◽  
Vol 14 (4) ◽  
pp. 636-643 ◽  
Author(s):  
Glenn Robert ◽  
John Gabbay ◽  
Andrew Stevens
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Delphi Study ◽  
Information Sources ◽  
Medical Engineering ◽  
Private Health Care ◽  
Care Providers ◽  
Medical Journals ◽  
Biotechnology Companies ◽  
Health Care Technologies

AbstractThe purpose of this survey was to assess potential information sources for identifying new health care technologies. A three-round Delphi study was conducted, involving 38 selected experts who suggested and assessed potential sources by applying agreed criteria. Twenty-six potential information sources were considered. Timeliness, time efficiency, and sensitivity were important criteria in determining which were the most important sources. The eight recommended sources were: pharmaceutical journals, pharmaceutical and biotechnology companies, specialist medical journals, key medical journals, medical engineering companies, private health care providers, newsletters and bulletins from other health technology assessment agencies, and groups of expert health professionals. There is a need to use a combination of sources because the most useful sources will vary according to the type of technology under consideration.

Handling Ethical Dilemmas in Multidisciplinary Teams

2014 ◽  
Author(s):  
Jill Thistlethwaite ◽  
Wendy Hawksworth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Ethical Issues ◽  
Interprofessional Collaboration ◽  
Ethical Dilemmas ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Secondary Health Care

This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches. We discuss the nature of and reasons for conflict arising in multidisciplinary MHCTs, focusing on ethical dilemmas that occur where there is diversity amongst team members in respect of personal, professional, and/or organizational values. The specific ethical issues discussed are: boundary issues; receiving gifts; confidentiality, and involuntary treatment and restraint. Three case studies are used to provide examples of values in action.

Ethical Dilemmas in Health Care Reform

1997 ◽  
Vol 11 (1) ◽  
pp. 1-26
Author(s):  
Grace Sheldon Fisher
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Ethical Dilemmas

Teaching ethics that honor the patient’s and the provider’s voice: The role of clinical integrity

2018 ◽  
Vol 53 (5-6) ◽  
pp. 445-454
Author(s):  
Aaron J Grace ◽  
Heather A Kirkpatrick
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Ethics Training ◽  
Teaching Ethics ◽  
Care Providers ◽  
Educational Module

Medical ethics training is as variable as it is widespread. Previous research has indicated that medical learners find systematic approaches to ethical dilemmas to be helpful. This article describes a bioethics educational module. It includes an overview of common bioethical principles and presents a tool for organizing health-care providers’ thinking and discussions about challenging ethical dilemmas. We discuss an area of bioethics that is often neglected, clinical integrity, and the role that a health-care provider’s clinical integrity plays in ethical decision-making. We provide several hypothetical ethical vignettes for practice and discussion using the clinical integrity tool. The article also describes how this module has been implemented in one medical education setting and provides suggestions for educators.

scholarly journals Taking Free Flap Surgery Abroad: A Collaborative Approach to a Complex Surgical Problem

2018 ◽  
Vol 160 (3) ◽  
pp. 426-428 ◽  
Author(s):  
Brian Swendseid ◽  
Patrick Tassone ◽  
Patrick Jean Gilles ◽  
Magda Pavrette ◽  
Matthew Stewart ◽  
...  
Keyword(s):  
Health Care ◽  
Free Flap ◽  
Health Care Disparities ◽  
Ethical Dilemmas ◽  
Surgical Care ◽  
Free Tissue Transfer ◽  
Outreach Program ◽  
Flap Surgery ◽  
Free Flap Surgery ◽  
Surgical Teams

Accessibility to health care, especially complex surgical care, represents one of the major health care disparities in developing countries. While surgical teams may be willing to travel to these areas to help address these needs, there are many logistical and ethical dilemmas inherent in this pursuit. We reviewed our approach to the establishment of the team-based surgical outreach program, wherein we perform head and neck free tissue transfer surgery in Haiti. We describe the challenges encountered in the delivery of surgical care as well as ethical dilemmas relevant to surgical outreach trips, highlighting an approach reliant on strong local cooperation. Despite the obstacles in place, our experience shows that free flap surgery can be successfully and ethically performed in these areas of great need.

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