Accountability For Reasonableness
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Accountability For Reasonableness
Accountability for reasonableness (A4R) is an ethical framework that describes the conditions of a fair decision-making process. It focuses on how decisions should be made and why these decisions are ethical. It was developed by Norman Daniels and James Sabin and is often applied in health policy and bioethics. The concept of accountability for reasonableness emphasises that decision-making processes should be fair, transparent, and inclusive when making decisions about the allocation of limited healthcare resources, such as funding for medical treatments, medical services, or health programs. Accountability for reasonableness enables the education of all stakeholders regarding fair decision-making under resource constraints. This approach navigates a middle path between proponents of "explicit" and "implicit" rationing. It fosters social learning about limitations and establishes a link between healthcare institutional decisions and broader democratic deliberative processe ...
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Ethics
Ethics is the philosophy, philosophical study of Morality, moral phenomena. Also called moral philosophy, it investigates Normativity, normative questions about what people ought to do or which behavior is morally right. Its main branches include normative ethics, applied ethics, and metaethics. Normative ethics aims to find general principles that govern how people should act. Applied ethics examines concrete ethical problems in real-life situations, such as abortion, treatment of animals, and Business ethics, business practices. Metaethics explores the underlying assumptions and concepts of ethics. It asks whether there are objective moral facts, how moral knowledge is possible, and how moral judgments motivate people. Influential normative theories are consequentialism, deontology, and virtue ethics. According to consequentialists, an act is right if it leads to the best consequences. Deontologists focus on acts themselves, saying that they must adhere to Duty, duties, like t ...
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Publicity
In marketing, publicity is the public visibility or awareness for any product, service, person or organization. It may also refer to the movement of information from its source to the general public, often (but not always) via the media. The subjects of publicity include people of public recognition, goods and services, organizations, and works of art or entertainment. A publicist is someone that carries out publicity, while public relations (PR) is the strategic management function that helps an organization establish and maintain communication with the public. This can be done internally, without the use of popular media. From a marketing perspective, publicity is one component of promotion and marketing. The other elements of the ''promotional mix'' are advertising, sales promotion, direct marketing and personal selling. Organizations will sometimes organize events designed to attract media coverage, and subsequently, provide positive publicity; these events are known as ' ...
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Bioethics
Bioethics is both a field of study and professional practice, interested in ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society (what decisions are "good" or "bad" and why) and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine (" the ethics of the ordinary"), ethical education in science, animal, and environmental ethics, and public health. Etymology The term ''bioethics'' (Greek , "life"; , "moral nature, behavior") was coined in 1927 by Fritz Jahr in ...
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Renal Replacement Therapy
Renal replacement therapy (RRT) is therapy that replaces the normal blood-filtering function of the kidneys. It is used when the kidneys are not working well, which is called kidney failure and includes acute kidney injury and chronic kidney disease. Renal replacement therapy includes dialysis (hemodialysis or peritoneal dialysis), hemofiltration, and hemodiafiltration, which are various ways of filtration of blood with or without machines. Renal replacement therapy also includes kidney transplantation, which is the ultimate form of replacement in that the old kidney is replaced by a donor kidney. These treatments are not truly cures for kidney disease. In the context of chronic kidney disease, they are more accurately viewed as life-extending treatments, although if chronic kidney disease is managed well with dialysis and a compatible graft is found early and is successfully transplanted, the clinical course can be quite favorable, with life expectancy of many years. Likew ...
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Organ Transplantation
Organ transplantation is a medical procedure in which an organ is removed from one body and placed in the body of a recipient, to replace a damaged or missing organ. The donor and recipient may be at the same location, or organs may be transported from a donor site to another location. Organs and/or tissues that are transplanted within the same person's body are called autografts. Transplants that are recently performed between two subjects of the same species are called allografts. Allografts can either be from a living or cadaveric source. Organs that have been successfully transplanted include the heart, kidneys, liver, lungs, pancreas, intestine, thymus and uterus. Tissues include bones, tendons (both referred to as musculoskeletal grafts), corneae, skin, heart valves, nerves and veins. Worldwide, the kidneys are the most commonly transplanted organs, followed by the liver and then the heart. J. Hartwell Harrison performed the first organ removal for transplant ...
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Guideline
A guideline is a statement by which to determine a course of action. It aims to streamline particular processes according to a set routine or sound practice. They may be issued by and used by any organization (governmental or private) to make the actions of its employees or divisions more predictable, and presumably of higher quality. A guideline is similar to a rule, but are legally less binding as justified deviations are possible. List of guidelines Examples of guidelines are: * Code of practice * EASE Guidelines for Authors and Translators of Scientific Articles * Federal Sentencing Guidelines * Guidelines for Examination in the European Patent Office * Medical guidelines * Publicly Available Specification A Publicly Available Specification or PAS is a standardization document that closely resembles a formal standard in structure and format but which has a different development model. The objective of a Publicly Available Specification is to speed up ... * Programmi ...
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Enforcement
Enforcement is the proper execution of the process of ensuring compliance with laws, regulations, rules, standards, and social norms. Governments attempt to effectuate successful implementation of policies by enforcing laws and regulations. Enactment refers to application of a law or regulation, or carrying out of an executive or judicial order. Theories of enforcement Enforcement serves a number of functions; the enforcement of social norms can ensure conformity within insular communities, the enforcements of laws can maximize social benefits and protect the public interest, and enforcement may also serve the self-interest of the institutions that oversee enforcement. Enforcement can be effectuated by both public institutions and private, non-governmental actors. Enforcement is often accomplished through coercive means or by utilizing power disparities to constrain action. Some scholars, such as Kate Andrias, have also argued that institutions enforce rules when deciding "whe ...
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Stakeholder Management
Stakeholder management (also project stakeholder management) is the managing of stakeholders of a project, programme, or activity. A stakeholder is any individual, group or organization that can affect, be affected by, or perceive itself to be affected by a programme. The process Project stakeholder management is considered as a continuous process, specifically a four-step process of identifying stakeholders, determining their influence, developing a communication management plan and influencing stakeholders through engagement. Within the field of marketing, it is believed that customers are one of the most important stakeholders for managing a business's long-term value, with a firm's major objective being the management of customer satisfaction. History The origin of stakeholder engagement can be traced back to the 1930s. In 1963, the Stanford Research Institute first defined the concept of stakeholder. In 1984, Edward Freeman’s book ''Strategic Management: A Stakeholder A ...
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Health Care Providers
A health professional, healthcare professional (HCP), or healthcare worker (sometimes abbreviated as HCW) is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a nurse, physician (such as family physician, internist, obstetrician, psychiatrist, radiologist, surgeon etc.), physician assistant, registered dietitian, veterinarian, veterinary technician, optometrist, pharmacist, pharmacy technician, medical assistant, physical therapist, occupational therapist, dentist, midwife, psychologist, audiologist, or healthcare scientist, or who perform services in allied health professions. Experts in public health and community health are also health professionals. Fields The healthcare workforce comprises a wide variety of professions and occupations who provide some type of healthcare service, including such direct care practitioners as physicians, nurse practitioners, physician assistants, nurses ...
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Decision-making
In psychology, decision-making (also spelled decision making and decisionmaking) is regarded as the Cognition, cognitive process resulting in the selection of a belief or a course of action among several possible alternative options. It could be either Rationality, rational or irrational. The decision-making process is a reasoning process based on assumptions of value (ethics and social sciences), values, preferences and beliefs of the decision-maker. Every decision-making process produces a final choice, which may or may not prompt action. Research about decision-making is also published under the label problem solving, particularly in European psychological research. Overview Decision-making can be regarded as a Problem solving, problem-solving activity yielding a solution deemed to be optimal, or at least satisfactory. It is therefore a process which can be more or less Rationality, rational or Irrationality, irrational and can be based on explicit knowledge, explicit or tacit ...
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Relevance
Relevance is the connection between topics that makes one useful for dealing with the other. Relevance is studied in many different fields, including cognitive science, logic, and library and information science. Epistemology studies it in general, and different theories of knowledge have different implications for what is considered relevant. Definition "Something (''A'') is relevant to a task (''T'') if it increases the likelihood of accomplishing the goal (''G''), which is implied by ''T''." A thing might be relevant, a document or a piece of information may be relevant. Relevance does not depend on whether we speak of "things" or "information". Epistemology If you believe that schizophrenia is caused by bad communication between mother and child, then family interaction studies become relevant. If, on the other hand, you subscribe to a genetic theory of relevance then the study of genes becomes relevant. If you subscribe to the epistemology of empiricism, then only inte ...
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Rationing Principles
Rationing is the controlled distribution of scarce resources, goods, services, or an artificial restriction of demand. Rationing controls the size of the ration, which is one's allowed portion of the resources being distributed on a particular day or at a particular time. There are many forms of rationing, although rationing by price is most prevalent. Rationing is often done to keep price below the market-clearing price determined by the process of supply and demand in an unfettered market. Thus, rationing can be complementary to price controls. An example of rationing in the face of rising prices took place in the various countries where there was rationing of gasoline during the 1973 energy crisis. A reason for setting the price lower than would clear the market may be that there is a high input , which would drive the market price very high. High prices, especially in the case of necessities, are undesirable with regard to those who cannot afford them. However, economists ...
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