Patients’ charters and health responsibilities
Harald Schmidt, assistant director, Nuffield Council on Bioethics,
BMJ 2007;335(7631):1187 - 8 December, 2007 - doi:10.1136/bmj.39387.393160.AD
“…We all have responsibility for our health, the health of others, and to the organisations that provide health care. But, as Harald Schmidt describes, specifying and formalising these duties can create ethical problems …”
Avaolable online at: http://www.bmj.com/cgi/content/full/335/7631/1187
“….The British Medical Association BMA recently called for a charter setting out the responsibilities patients have within the National Health Service and what patients can expect from the NHS.1 The proposal raises questions about the scope, specificity, and status of such a charter. Should it be legally binding or simply set out aspirations? How many and what kind of responsibilities should be included? I examine how initiatives in
“…….With rising healthcare costs, higher burdens of chronic diseases, and increasing evidence about the contribution of genetic and behavioural factors to disease, the issue of personal responsibility for health is here to stay. Moreover, the health responsibility debate is not only for the future. There have been concerns about the decision of some primary care trusts to require, for example, patients to lose weight or stop smoking before routine surgery.21 A clear policy is needed that engages in detail with the highly complex issues raised by health responsibilities. A health responsibility charter within an NHS constitution would be a unique opportunity to clarify which types of responsibilities are compatible with the ethos of the NHS, and which ones are not……”
A rational way forward for the NHS in England
A discussion paper outlining an alternative approach to health reform
British Medical Association, BMA ,
Available online as PDF file [82p.] at: http://www.bma.org.uk/ap.nsf/AttachmentsByTitle/PDFrationalwayforward/$FILE/rationalwayforward.pdf?OpenElement&Highlight=2,rational,way,forward,for,NHS,England .
Content:
Introduction
Overview and recommendations
A. Where and why is the current reform programme going wrong?
B. Outlining our alternative approach to health service reform
Appendix 1: Recommendations
Appendix 2: The core values of the NHS
Appendix 3: The aims of health and healthcare
Appendix 4: Debates that are central to the formation of coherent and effective reform: issues arising from the evidence
Appendix 5: A new framework for clinical management
Appendix 6: A critique of markets in healthcare
A glossary of terms
References
* * * *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues. [DD/ IKM Area]
“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
---------------------------------------------------------------------------------------------------
PAHO/WHO Website: http://www.paho.org/
EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.
No comments:
Post a Comment