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Toward Ethical Review of Health System Transformations

Datos Bibliográficos

ID14599237
AutoresNorman Daniels (The author is with the Department of Population and International Health, Harvard School of Public Health, Boston, Mass., autor de correspondencia)
Año2006
Volumen96
Número3
Páginas447-451
Fecha de publicación2006-03-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2005.065706
PMID16449582
PMCIDPMC1592698
OpenAlexW2100034277
IdiomaEN
Citas recibidas3
Referencias citadas7

Efforts to transform health systems constitute social experiments on a population. Like clinical research, they deploy measures that are unproven in the context of the reform, and they often impose significant risks on some people in order to achieve a social goal: the improvement of health delivery. The rationale for proactively evaluating clinical experimentation on human subjects also applies to these social experiments. We used the “benchmarks of fairness” methodology to illustrate the elements such an evidence-based review should encompass, leaving open the question of who should perform it. The review must include the ethical objectives of reform, namely, an integrated approach to equity, accountability, and efficiency; the fit between measures taken and these objectives; and the governance of the reform

Accountability · Business · Context (archaeology) · Corporate governance · Economics · Environmental health · Equity (law) · Health equity · Management science · Order (exchange) · Political science · Population · Population health · Public health · Public relations · Risk analysis (engineering) · Social responsibility · Ethics in medical practice · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Law · Medicine · Nursing · Psychology · Health Policy

  • Transformation Without Paternalism

    Jaya B Davis, John B Davis et al.•Journal of Human Development•2016

  • Ethics of health policy and systems research

    Open Access•Boriana Pratt, Bridget Pratt et al.•Health Policy and Planning•2017

  • Collapsing the Vertical–Horizontal Divide

    Dominque P Behague, Dominique P Behague et al.•American Journal of Public Health•2008

  • Justice, Health, and Healthcare

    Norman Daniels•The American Journal of Bioethics•2001

  • The Lessons of User Fee Experience in Africa

    Open Access•Lucy Gilson•Health Policy and Planning•1997

  • Analyzing the decentralization of health systems in developing countries

    Open Access•Thomas Bossert•Social Science & Medicine•1998

Obras citantes distintas3
Citas por año0,17
Intervalo de citas2008 - 2017 (10)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 3
Ethnos_APP • Proyecto Open Source • Licencia MIT • Frontend v2.0.0 • Privacidad y Cookies • Documentación de la API: api.ethnos.app/docs • Código de la API: GitHub • DOI: 10.5281/zenodo.17049435 • Código del Frontend: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae