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Organizing Health Care Networks: Balancing Markets Government and Civil Society

机译:组织医疗保健网络:平衡市场政府和民间社会

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摘要

Much is changing in health care organization today. A perspective or paradigm that is gaining ever increasing momentum is that of translational, extramural and integrated care. Current research suggests many potential benefits for integrated care and health care networks but the ethical issues are less frequently emphasized. Showing that integrated care can be beneficial, does not mean it is automatically ethically justified. We will argue for three ethical requirements such health care networks should meet. Subsequently we will look at the mechanisms driving the formation of networks and examine how these can cause networks to meet or fail to meet these ethical requirements or obligations. The three mechanisms we will examine are government, civil society and market mechanisms, which, we argue, should be balanced properly. Each mechanism is able to provide a relevant ethical perspective to health care networks. However, when the balance is skewed towards a single mechanism, health care networks might fail to promote one or more of the ethical requirements.
机译:今天,医疗保健机构正在发生许多变化。越来越多的观点或范例是翻译,壁外和综合护理的观点或范例。当前的研究表明,综合护理和医疗保健网络具有许多潜在的好处,但很少强调道德问题。证明综合护理是有益的,并不意味着它在伦理上是自动合理的。我们将为医疗保健网络应满足的三个道德要求辩护。随后,我们将研究驱动网络形成的机制,并研究它们如何导致网络满足或不满足这些道德要求或义务。我们将研究的三个机制是政府,公民社会和市场机制,我们认为应该适当平衡。每种机制都可以为卫生保健网络提供相关的道德观点。但是,当平衡偏向单一机制时,医疗保健网络可能无法促进一个或多个道德要求。

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