Person-centred care is becoming a key component of quality in health systems worldwide. Although the term can mean different things, it typically entails paying attention to the needs and background of health system users, involving them in decisions that affect their health, assessing their care goals and implementing a coordinated plan of care that aligns with their unique circumstances. The ...

Article history: Received: 18-06-2015 Revised: 24-09-2015 Accepted: 11-11-2015

this article examines capacity of rational dialogues to achieve ethical universalism. in positive attitude, rational ability considered as most important reason for possibility of achievement to common social-political norms and rights. rational dialogue, by creating a suitable space for dialogue beyond the private interests and involvement of state power; searches consensus on foundation of so...

This paper proposes a low-cost, easily realizable strategy to equip a reinforcement learning (RL) agent the capability of behaving ethically. Our model allows the designers of RL agents to solely focus on the task to achieve, without having to worry about the implementation of multiple trivial ethical patterns to follow. Based on the assumption that the majority of human behavior, regardless wh...

Attempts to improve survival demand that intensivists practice at the forefront of technology. In the present millennium, ethical challenges will arise during the development and use of emerging therapeutics, and when helping patients and families to decide how these tools should be used in the context of individual and societal goals, values and beliefs. The future of critical care depends on ...

Three key ethical issues should inform the broader debate about health reform: (1) Why pursue universal coverage? (2) Why is cost containment an ethical issue? (3) What is fairness in financing? After examining these issues, we conclude that the core ethical values underlying each of these goals-including expanding opportunity, sharing burdens equally, and respect for persons-limit the means th...

A scenario of dismissal is used to illustrate a business ethical reflection that is guided by the method of reflective equilibrium. Several rules of dismissal are considered with respect to an already proved practice and to the goals of the corporation. The deliberation shows how the demand for coherence between norms and practice and for the achievement of certain purposes works. The limits an...

INTRODUCTION Care coordination (CC) is an important fulcrum for pursuing a range of health care goals. Current research and policy analyses have focused on aggregated data rather than on understanding what happens within individual cases. At the case level, CC emerges as a complex network of communications among providers over time, crossing and recrossing many organizational boundaries. Micro-...

Because of the importance of including ethical considerations in planning efforts for pandemic influenza, in February 2005 the Centers for Disease Control and Prevention requested that the Ethics Subcommittee of the Advisory Committee to the Director develop guidance that would serve as a foundation for decision making in preparing for and responding to pandemic influenza. Specifically, the eth...