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Creativity as Openness: Improvising Health and Care ‘Situations’Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Creativity has become an oft-used word in UK public policy, but perhaps it is also under-imagined. This paper contends that there is an instrumental tendency to narrowly frame creativity as innovation, implying a reproducible product, instead of more openly as improvisation, a situational, embodied and temporal process. This is not a simple dichotomy (innovation and improvisation, product and process, can be mutually informing concepts), nor is it specifically a question of definition; rather, it relates to an ontological orientation, and related to that are issues of epistemological implications. In...
Source: Health Care Analysis - October 24, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Preparing to be Creative in the NHS: Making it PersonalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract There is currently a clarion call for the NHS to be more creative and innovative, as it moves into an increasingly quality focused agenda. But exactly how easy is it to do this when the NHS performance regime for the last 10 years has been more about delivering centrally driven, specific and detailed targets for improvement, such as reduction of waiting times, than promoting a culture that speaks of experimentation and possibilities rather than certainties. Can a workforce that may not have been all that prepared for creativity, be creative? And what does being prepared for creativity look like...
Source: Health Care Analysis - October 21, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Deconstructing the Toolkit: Creativity and Risk in the NHS WorkforceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Deconstructing the Toolkit explores the current desire for toolkits that promise failsafe structures to facilitate creative success. The paper examines this cultural phenomenon within the context of the risk-averse workplace—with particular focus on the NHS. The writers draw on Derrida and deconstructionism to reflect upon the principles of creativity and the possibilities for being creative within the workplace. Through reference to The Extra Mile project facilitated by Open Art, the paper examines the importance of engaging with an aesthetic of creativity and embracing a more holistic approach...
Source: Health Care Analysis - October 10, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Aesthetic, Emotion and Empathetic Imagination: Beyond Innovation to Creativity in the Health and Social Care WorkforceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The Creativity in Health and Care Workshops programme was a series of investigative workshops aimed at interrogating the subject of creativity with an over-arching objective of extending the understanding of the problems and possibilities of applying creativity within the health and care sector workforce. Included in the workshops was a concept analysis, which attempted to gain clearer understanding of creativity and innovation within this context. The analysis led to emergent theory regarding the central importance of aesthetics, emotion and empathetic imagination to the generation of creative and ...
Source: Health Care Analysis - October 8, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Ethical Aspects of the Use of Stem Cell Derived Gametes for ReproductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A lot of interest has been generated by the possibility of deriving gametes from embryonic stem cells and bone marrow stem cells. These stem cell derived gametes may become useful for research and for the treatment of infertility. In this article we consider prospectively the ethical issues that will arise if stem cell derived gametes are used in the clinic, making a distinction between concerns that only apply to embryonic stem cell derived gametes and concerns that are also relevant for gametes derived from adult stem cells. At present, it appears preferable to use non-embryonic stem cells for the...
Source: Health Care Analysis - October 8, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Story in Health and Social CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This paper offers a brief consideration of how narrative, in the form of people’s own stories, potentially figures in health and social care provision as part of the impulse towards patient-centred care. The rise of the epistemological legitimacy of patients’ stories is sketched here. The paper draws upon relevant literature and original writing to consider the ways in which stories can mislead as well as illuminate the process of making individual treatment care plans. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10728-009-0130-3Authors Hannah Bradby, University of Warw...
Source: Health Care Analysis - October 2, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

The Ethics of Nonmedical Sex SelectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of this paper is to demonstrate that there are significant ethical problems with nonmedical sex selection, and that prohibitive legislation is justified. The central argument put forward is that nonmedical sex selection is a sexist practice which promotes socially restrictive conceptions of sex, gender and family. Several steps are taken to justify this position: background information on technology and legislation is provided, the neoliberal position that is supportive of nonmedical sex selection is described, and preliminary reasons for rejecting this approach are given. A detailed descrip...
Source: Health Care Analysis - September 29, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Serve the People: Understanding Ideology and Professional Ethics of Medicine in ChinaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The article explores the communist ideology that has guided the formation of professional ethics of medicine in China. It first explores the constitutions of the People’s Republic of China and the Chinese Communist Party and codes of practice for medicine enforced since 1949, showing that the core of the ideology in relation to health provision and doctor–patient relationship has always been ‘serving the people wholeheartedly’. The ideological undertaking, however, has never been successfully exercised. In the pre-reform era, the bureaucratisation of health professionals led to the emergence...
Source: Health Care Analysis - September 29, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

The Problem of Application: Aesthetics in Creativity and HealthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The Problem of Application investigates the multiple viewpoints in defining a critical aesthetic in applied arts practice. Amongst organisations, participants, and facilitators there are varying wants and needs in any creative project with an educational agenda. The product of arts based health initiatives often seek to inform and educate, whereby an aesthetic standard may seem contrary to this participatory approach. This research maintains that an aesthetic approach is a lively portion of the collaborative dialogue, which requires interrogation and consideration for a successful outcome. Through t...
Source: Health Care Analysis - September 29, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Examining Creativity in Health and CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This paper is drafted as an overview of the process of the Creativity in Health and Care workshop programme the themes arising from the project. It is intended as an introduction to the special edition and the notion of creativity that is being explored. Content Type Journal ArticleCategory IntroductionDOI 10.1007/s10728-009-0128-xAuthors Emma Brodzinski, University of London Department of Drama and Theatre, Royal Holloway London UKDeborah Munt, Open Art Hudderfield UK Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - September 29, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Ethical Dilemmas and Ethical Competence in the Daily Work of Research NursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In spite of the growing interest in nursing ethics, few studies have focused on ethical dilemmas experienced by nurses working with clinical studies as ‘research nurses’. The aim of the present study was to describe and explore ethical dilemmas that Swedish research nurses experience in their day-to-day work. In a qualitative study a purposeful sample of six research nurses from five wards of differing disciplines in four Swedish hospitals was interviewed. The analysis displayed several examples of ethical dilemmas, primarily tensions between the nurses’ obligations to the study and to the pat...
Source: Health Care Analysis - September 25, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Health Promotion or Disease Prevention: A Real Difference for Public Health Practice?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract It appears that there are two distinct practices within public health, namely health promotion and disease prevention, leading to different goals. But does the distinction hold? Can we promote health without preventing disease, and vice versa? The aim of the paper is to answer these questions. First, the central concepts are defined and the logical relations between them are spelt out. A preliminary conclusion is that there is a logical difference between health and disease, which makes health promotion and disease prevention two distinct endeavours. However, since disease is defined in relation to ...
Source: Health Care Analysis - September 22, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Health Promotion and Disease Prevention: Logically Different Conceptions?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The terms “health promotion” and “disease prevention” refer to professional activities. But a “health promoter” has also come to denote a profession, with an alternative agenda compared to that of traditional public health work, work that by some is seen to be too medically oriented, too reliant upon prevention, risk-elimination and health-care. But is there really a sharp distinction between these activities and professions? The main aim of the paper is to investigate if these concepts are logically different, or if they are just two extremes of one dimension. The central concepts, heal...
Source: Health Care Analysis - September 17, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Assisted Reproduction: A Comparative Review of IVF Policies in Two Pro-Natalist CountriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Policies on reproduction have become an increasingly important tool for governments seeking to meet the so-called demographic ‘challenge’ created by the combination of low fertility and lengthening life expectancies. However, the tension between the state and the market in health care is present in all countries around the world due to the scare resources available and the understandable importance of the health issues. The field of assisted reproduction, as part of the health care system, is affected by this tension with both—the state’s and the market’s involvements—carrying important ...
Source: Health Care Analysis - June 9, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

A Logical Analysis of Slippery Slope ArgumentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article offers a logical analysis of Slippery Slope Arguments. Such arguments claim that adopting a certain act or policy would take us down a slippery slope to an undesirable bottom and infer from this that we should refrain from this act or policy. Even though a logical assessment of such arguments has not received much careful attention, it is of vital importance to their overall assessment because if the premises fail to support the conclusion an argument is worthless. I partition slippery slope reasoning by means of two dichotomies (reasoning under certainty vs. uncertainty and one-step vs. multiple-step reas...
Source: Health Care Analysis - June 9, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Interpreting Advance Directives: Ethical Considerations of the Interplay Between Personal and Cultural IdentityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In many industrialized countries ethicists and lawyers favour advance directives as a tool to guarantee patient autonomy in end-of-life-decisions. However, most citizens seem reluctant to adopt the practice; the number of patients who have an advance directive is low across most countries. The article discusses the key argument for seeing such documents as an instrument of self-interpretation and life-planning, which ultimately have to be interpreted by third parties as well. Interpretation by third parties and the process of self-reflection are conceptually linked by a qualitative concept of identi...
Source: Health Care Analysis - May 8, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

An Argument in Support of Suicide CentresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In the UK and elsewhere suicide presents a major cause of death. In 2008 in the UK the topic of suicide rarely left the news. Controversy surrounding Daniel James and Debbie Purdy ensured that the problem of assisted suicide received frequent media discussion. This was fuelled also by reports of a higher than usual number of suicides by young people in South Wales. Attention attracted by cases such as that of Daniel James and Debbie Purdy can lead to a neglect of the problem of how to respond to the vast majority of suicides, in which there is no obvious accompanying health problem. This paper seeks...
Source: Health Care Analysis - May 7, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Understanding Palliative Cancer Chemotherapy: About Shared Decisions and Shared TrajectoriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Most models of patient-physician communication take decision-making as a central concept. However, we found that often the treatment course of metastatic cancer patients is not easy to describe in straightforward terms used in decision-making models but is instead frequently more erratic. Our aim was to analyse these processes as trajectories. We used a longitudinal case study of 13 patients with metastatic colorectal and pancreatic cancer for whom palliative chemotherapy was a treatment option, and analysed 65 semi-structured interviews. We analysed three characteristics of the treatment course tha...
Source: Health Care Analysis - May 6, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Viagra Selfhood: Pharmaceutical Advertising and the Visual Formation of Swedish MasculinityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Using material from the Pfizer sponsored website providing health information on erectile dysfunction to potential Swedish Viagra customers (www.potenslinjen.se), this article explores the public image of masculinity in relation to sexual health and the cultural techniques for creating pharmaceutical appeal. We zoom in on the targeted ideal users of Viagra, and the nationalized, racialized and sexualized identities they are assigned. As part of Pfizer’s marketing strategy of adjustments to fit the local consumer base, the ways in which Viagra is promoted for the Swedish setting is telling of what ...
Source: Health Care Analysis - April 23, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

The Challenge of Transplants to an Intersubjectively Established Sense of Personal IdentityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Face transplants have been performed, in a small number, since 2005. Popular concern over the morality of the face transplant has tended to focus on the role that one’s face plays in one’s sense of self or one’s personal identity. In order to address this concern, the current paper will explore the significance of face transplants in the light of a theory of the self that draws on symbolic interactionism, narrative theory, and accounts of embodiment. The paper will respond to certain presuppositions concerning personal identity made by Huxtable and Woodley. A theory of the self will be articul...
Source: Health Care Analysis - April 22, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Public Financing of IVF: A Review of Policy RationalesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract There is great diversity in in vitro fertilization (IVF) funding and reimbursement policies and practice throughout Europe and the rest of the world. While many existing reimbursement and regulatory frameworks address safety and legal concerns, economic factors also assume a central role. However, there are several problems with the evidence that is available on the economics of IVF. This suggests there is a need for more robust cost-effectiveness studies. It also indicates the need for alternative rationales to justify the reimbursement of IVF, which might more fully account for the social, politic...
Source: Health Care Analysis - April 3, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Ethics and Organ Transfer: A Merleau-Pontean PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The article’s aim is to explore human hand allograft recipients’ postoperative experience of disownership and their gradual experience of their new hand as theirs, with the aid of the work of the French phenomenologist Maurice Merleau-Ponty. Many have used a Merleau-Pontinian perspective in the analysis of embodiment. Far fewer have used it in medico-ethical analysis. Drew Leder’s phenomenologically based ethics of organ donation and organ sale is an exception to this tendency. The article’s second aim is to examine Leder’s phenomenologically based ethics of organ donation and organ sale. ...
Source: Health Care Analysis - April 3, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Self, Identities and MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s10728-009-0120-5Authors Kristin Zeiler, Linköping University Division of Health and Society, Department of Medical and Health Sciences Linköping Sweden Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - March 31, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Successful Priority Setting in Low and Middle Income Countries: A Framework for EvaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Priority setting remains a big challenge for health managers and planners, yet there is paucity of literature on evaluating priority setting. The purpose of this paper is to present a framework for evaluating priority setting in low and middle income countries. We conducted a qualitative study involving a review of literature and Delphi interviews with respondents knowledgeable of priority setting in low and middle income countries. Respondents were asked to identify the measures of successful priority setting in low and middle income countries. Responses were grouped as: immediate internal or exter...
Source: Health Care Analysis - March 14, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Public Perceptions of Ethical Issues Regarding Adult Predictive Genetic TestingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study performed a secondary qualitative analysis of the data to identify the ethical issues of adult predictive genetic testing important to members of the general public. The identified issues were: (1) need for public education; (2) choice to undergo genetic counselling and testing; (3) access to genetic counselling and testing; and (4) obligations regarding the handling of genetic information. Audience members emphasized public education and access to information regarding potential choices, which was different from the emphasis on informed consent and other ethical issues prominent in the literature. Members ...
Source: Health Care Analysis - March 14, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Normalizing Medicine: Between “Intersexuals” and Individuals with “Disorders of Sex Development”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In this paper, I apply Michel Foucault’s analysis of normalization to the 2006 announcement by the US and European Endocrinological Societies that variations on the term “hermaphrodite” and “intersex” would be replaced by the term, “Disorders of Sex Development” or DSD. I argue that the change should be understood as normalizing in a positive sense; rather than fighting for the demedicalization of conditions that have significant consequences for individuals’ health, this change can promote the transformation of the conceptualization of intersex conditions from “disorders like no o...
Source: Health Care Analysis - February 21, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Embodiment and Chronic Pain: Implications for Rehabilitation PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Throughout the Western world people turn towards the health care system seeking help for a variety of psychosomatic/psychosocial health problems. They become “patients” and find themselves within a system of practises that conceptualizes their bodies as “objective” bodies, treats their ill health in terms of the malfunctioning machine, and compartmentalizes their lived experiences into medically interpreted symptoms and signs of underlying biological dysfunction. The aim of this article is to present an alternative way of describing ill health and rehabilitation using the philosophy of Mauri...
Source: Health Care Analysis - January 30, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Compensated Living Kidney Donation: A Plea for PragmatismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Kidney transplantation is the most efficacious and cost-effective treatment for end-stage renal disease. However, the treatment’s accessibility is limited by a chronic shortage of transplantable kidneys, resulting in the death of numerous patients worldwide as they wait for a kidney to become available. Despite the implementation of various measures the disparity between supply and needs continues to grow. This paper begins with a look at the current treatment options, including various sources of transplantable kidneys, for end-stage renal disease. We propose, in accordance with others, the intro...
Source: Health Care Analysis - January 30, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Shared Decision Making, Paternalism and Patient ChoiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In patient centred care, shared decision making is a central feature and widely referred to as a norm for patient centred medical consultation. However, it is far from clear how to distinguish SDM from standard models and ideals for medical decision making, such as paternalism and patient choice, and e.g., whether paternalism and patient choice can involve a greater degree of the sort of sharing involved in SDM and still retain their essential features. In the article, different versions of SDM are explored, versions compatible with paternalism and patient choice as well as versions that go beyond t...
Source: Health Care Analysis - January 30, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Physician Remuneration Methods for Family Physicians in Canada: Expected Outcomes and Lessons LearnedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Canada is a leader in experimenting with alternative, non fee for service provider remuneration methods; all jurisdictions have implemented salaries and payment models that blend fee for service with salary or capitation components. A series of qualitative interviews were held with 27 stakeholders in the Canadian health care system to assess the reasons and expectations behind the implementation of these payment methods for family physicians, as well as the extent to which objectives have been achieved. Results indicate that the main reasons are a need to recruit and retain primary care physicians t...
Source: Health Care Analysis - January 27, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Good Care in Ongoing Dialogue. Improving the Quality of Care Through Moral Deliberation and Responsive EvaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Recently, moral deliberation within care institutions is gaining more attention in medical ethics. Ongoing dialogues about ethical issues are considered as a vehicle for quality improvement of health care practices. The rise of ethical conversation methods can be understood against the broader development within medical ethics in which interaction and dialogue are seen as alternatives for both theoretical or individual reflection on ethical questions. In other disciplines, intersubjectivity is also seen as a way to handle practical problems, and methodologies have emerged to deal with dynamic proces...
Source: Health Care Analysis - January 13, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Persons and Their Parts: New Reproductive Technologies and Risks of CommodificationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This paper explores one aspect of the social implications of new reproductive technologies, namely, the impact such technologies have on our understandings of family structures and our expectations of children. In particular it considers whether the possibilities afforded by such technologies result in a more contractual and commodified understanding of children. To do this the paper outlines the possibilities afforded by NRTs and their commodificatory tendencies; second, it explores the commodification debate using the somewhat parallel example of commodification of organs; and third, in light of t...
Source: Health Care Analysis - January 9, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

The Concept of Negotiation in Shared Decision MakingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In central definitions of shared decision-making within medical consultations we find the concept of negotiation used to describe the interaction between patient and professional in case of conflict. It has been noted that the concept of negotiation is far from clear in this context and in other contexts it is used both in terms of rational deliberation and bargaining. The articles explores whether rational deliberation or bargaining accurately describes the negotiation in shared decision-making and finds that it fails to do so on both descriptive and normative grounds. At the end some notes on furt...
Source: Health Care Analysis - January 8, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Trust but Verify: The Interactive Effects of Trust and Autonomy Preferences on Health OutcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Patients’ trust in their physicians improves their health outcomes because of better compliance, more disclosure, stronger placebo effect, and more physicians’ trustworthy behaviors. Patients’ autonomy may also impact on health outcomes and is increasingly being emphasized in health care. However, despite the critical role of trust and autonomy, patients that naïvely trust their physicians may become overly dependent and lack the motivation to participate in medical care. In this article, we argue that increased trust does not necessarily imply decreased autonomy. Furthermore, patients with h...
Source: Health Care Analysis - January 8, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Human Health and the Environment: In Harmony or in Conflict?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Health policy frameworks usually construe environmental protection and human health as harmonious values. Policies that protect the environment, such as pollution control and pesticide regulation, also benefit human health. In recent years, however, it has become apparent that promoting human health sometimes undermines environmental protection. Some actions, policies, or technologies that reduce human morbidity, mortality, and disease can have detrimental effects on the environment. Since human health and environmental protection are sometimes at odds, political leaders, citizens, and government of...
Source: Health Care Analysis - January 8, 2009 Category: Health Management Tags: Health Care Analysis Source Type: journals

Reconsidering Patient Participation in Guideline DevelopmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Health care has become increasingly patient-centred and medical guidelines are considered to be one of the instruments that contribute towards making it so. We reviewed the literature to identify studies on this subject. Both normative and empirical studies were analysed. Many studies recommend active patient participation in the process of guideline development as the instrument to make guidelines more patient-centred. This is done on the assumption that active patient participation will enhance the quality of the guidelines. We found no empirical evidence, however, to support this assumption. More...
Source: Health Care Analysis - December 21, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Health Professionals: How much Employee Loyalty Should We Expect in a Privatising System?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In recent years UK government policy has been drawing private companies into the operation of the British National Health Service as providers of health care. Hitherto the National Health Service has been the main employer of health care practitioners, but this may change as a result of this development. There is an issue as to whether professional health care practitioners owe the same moral commitment to an employer in the private sector as they would owe to an employer that is part of the state-run National Health Service. I explore some arguments around this issue, focusing on ways of identifyin...
Source: Health Care Analysis - November 6, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

The Nature of Vital Goals: Comment on Andrew Bloodworth’s Review of Rationality and CompulsionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10728-008-0098-4Authors Lennart Nordenfelt, Linköping University Department of Medicine and Health 58183 Linköping Sweden Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - October 4, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Improving Abortion Access in CanadaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Though abortion is legal in Canada, policies currently in place at various levels of the health care system, and the individual actions of medical professionals, can inhibit access to abortion. This paper examines the various extra-legal barriers to abortion access that exist in Canada, and argues that these barriers are unjust because there are no good reasons for the restrictions on autonomy that they present. The paper then outlines the various policy measures that could be taken to improve access. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10728-008-0101-0Authors Chri...
Source: Health Care Analysis - September 27, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Rationality and Compulsion: Applying Action Theory to PsychiatryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Review EssayDOI 10.1007/s10728-008-0096-6Authors Andrew Bloodworth, Swansea University Department of Philosophy, History and Law, School of Health Science Singleton Park Swansea SA28PP UK Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - September 10, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Multiculturalism and the Construction of Ethnic Identities in Labour and Health Practices: Avoiding the Culturalistic Fallacy in Applied ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In applied health care research, an essentialised notion of culture is often used when studying ethnic disparities in health and health care access between the majority populations of Western countries and migrants, with ethnic backgrounds that differ from majority population. This notion of culture, however, is considered highly problematic in anthropology and ethnic studies. Therefore, in our research on Dutch illness certification practices, we employed a dynamic conceptualisation of culture. Our research shows that, in practice, when clients fail to meet the implicit norms of this practice, doct...
Source: Health Care Analysis - August 30, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Best Interests, the Power of the Medical Profession, and the Power of the JudiciaryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This paper is a response to a paper by John Coggon ‘Best Interests, Public Interest, and the Power of the Medical Profession'. It argues that certain legal judgements in relation to best interests seek to change and curtail the role of the medical profession in this arena while simultaneously extending the jurisdiction of the courts. It also argues that we must guard against replacing one professional standard, that of the medical profession, with another, that of the judiciary in this area. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10728-008-0085-9Authors Muireann Quig...
Source: Health Care Analysis - August 5, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Best Interests and PragmatismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will examine the role of the rational decision-maker in medical law and argue that this role is limited. The paper concludes by suggesting how we view the relationship between ‘best interests’ and ‘pragmatism’. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10728-008-0089-5Authors Sheelagh McGuinness, University of Manchester Institute for Science, Ethics and Innovation, Centre for Social Ethics and Policy, School of Law Williamson Building, Oxford Road Manchester M20 4LZ UK Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - August 5, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Best Interests: What Problems in Family Law Should Health Care Law Avoid?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article comments briefly on three specific issues in Shazia Choudhry’s paper “‘Best Interests’ What can healthcare law learn from family law?” The three issues are: (1) the implications of ‘best interests’ and ‘welfare science’ for women within the family law and the health care law context, (2) the risk of capture by the ‘welfare science’ industry, and (3) the proposal that a committee of medical experts and medical ethicists should be set up to provide reports to the Court of Protection on cases brought under the Mental Capacity Act 2005 (MCA). I argue that the risk of capture by ‘welfare...
Source: Health Care Analysis - August 2, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Best Interests: A ReappraisalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory IntroductionDOI 10.1007/s10728-008-0091-yAuthors John Coggon, University of Manchester School of Law, Centre for Social Ethics and Policy, and Institute for Science, Ethics and Innovation Manchester UKSøren Holm, Cardiff University School of Law, Cardiff Centre for Ethics, Law and Society Cardiff UK Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - August 2, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Best Interests in the MCA 2005—What can Healthcare Law Learn from Family Law?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to provide a critical appraisal of how the standard has been applied within family law, to outline how the standard is to be applied within healthcare law and, finally, to assess the relevance of the family law experience of the best interests standard to the operation of the standards as envisaged by the MCA. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10728-008-0084-xAuthors Shazia Choudhry, University of London Queen Mary College Mile End Road London E14NS UK Journal Health Care AnalysisOnline ISSN 1573-3394Print ISSN 1065-3058 (Source: Health Care Analysis)
Source: Health Care Analysis - August 2, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Best Interests and Treatment for Mental DisorderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This paper considers the role of the concept of best interests in the treatment of mental disorder. It considers the Mental Capacity Act 2005 where treatment of an incapacitated person’s mental disorder is authorized if treatment is in the patient’s own best interests. It also examines the Mental Health Act 1983 as amended by the Mental Health Act 2007 where treatment without consent of a detained patient is allowed where necessary for the patient’s health or safety or for the protection of others. Under both statutory regimes treatment must be in the best interests of the patient. This paper ...
Source: Health Care Analysis - August 2, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations ManagementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Practical implementation of notions such as patient-orientation, client-centredness, and demand-driven care is far from straightforward in care and service supply to elderly clients living independently. This paper aims to provide preliminary insights into how it is possible to bridge the gap between policy intent, which reflects an increasing client orientation, and actual practice of care and service provision. Differences in personal objectives and characteristics generate different sets of needs among elderly clients that must have an appropriate response in the daily routines of care and servic...
Source: Health Care Analysis - July 19, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

Whatever You Want? Beyond the Patient in Medical LawEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Simon Woods proposes that we ought to re-orientate clinical decisions at the end of life back towards the patient, so as to honour his or her account of their “global” interests. Woods condemns the current medico-legal approach for remaining too closely tethered to the views of doctors. In this response, I trace the story of Mrs Kelly Taylor, who sought to be sedated and have life-sustaining treatment withdrawn, and I do so in order to show not only why Woods is right to detect an asymmetry in the law but also why there is more to the legal landscape than first appears. I argue that patient choi...
Source: Health Care Analysis - July 19, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals

“Reader, I Detained Him Under the Mental Health Act”: A Literary Response to Professor Fennell’s Best Interests and Treatment for Mental DisorderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This is a response to Professor Fennell's paper on the recent influence and impact of the best interests test on the treatment of patients detained under the Mental Health Act 1983 (MHA) for mental disorder. I discuss two points of general ethical significance raised by Professor Fennell. Firstly, I consider his argument on the breadth of the best interests test, incorporating as it does factors considerably wider than those of medical justifications and the risk of harm. Secondly, I discuss his contention that the apparent permeability of the line between the interests of the patient and the intere...
Source: Health Care Analysis - July 19, 2008 Category: Health Management Tags: Health Care Analysis Source Type: journals