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Health of We the People Journal of Ethics American

Details: Health of We the People. Audiey C. Kao, MD, PhD. AMA J Ethics. 2020;22 (9):E753-756. doi: 10.1001/amajethics.2020.753. We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.­­—.

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Health Equity and the Circle of Human Concern Journal of

Details: The US health care system has always had deep flaws and inequities. 1 Critics have pointed to its siloed structure in which care is separate from public health and coverage is tied to employment. 1 Furthermore, our approach to health, common among Western nations, tends to isolate health outcomes from the systems that produce them and to

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How Should Health Professionalism Be Redefined to Address

Details: Abstract. Increasing focus on health equity is placing a spotlight on health professionals’ roles. Recent public health crises—the opioid epidemic, maternal mortality, and the COVID-19 pandemic—have renewed focus on racial and ethnic inequity and underscored that trust is foundational to public health and health professionalism.

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What Should Health Care Organizations Do to Reduce Billing

Details: Jay Wolfson, DrPH, JD is the Distinguished Service Professor of Public Health, Medicine and Pharmacy and associate vice president for health law, policy, and safety at the University of South Florida Morsani College of Medicine in Tampa, where he is also the senior associate dean for health policy and practice. In addition, he is a faculty

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How to Apply the Fourteenth Amendment

Details: Health equity in the United States requires elimination of differentials in access to health services according to race, ethnicity, sex, gender identity, comorbidity, or ability. To achieve health equity, governments can use a variety of tools, including civil rights legislation and constitutional jurisprudence.

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How Should Clinicians Respond to Language Barriers That

Details: Efforts to address health inequities related to language barriers should be situated in and integrated with comprehensive efforts to improve health equity. 37 As one example, researchers demonstrated that Latinx children in their hospital’s pediatric intensive care unit (PICU) had a 3.7-fold higher risk of mortality than White and African

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Health Coaching Journal of Ethics American Medical

Details: Health coaches might be RNs, pharmacists, health educators, trained medical assistants, or other patients called peer coaches. Health coaches must have the training and protected time to provide this essential service and must be on the clinician’s team so that the clinician and health coach coordinate their messages to the patient.

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Performance-Enhancing Drugs in Sports, Commentary 3

Details: Health issues aside, this case also raises significant ethical issues for Jim, his team, and his community. Unfortunately, the decision to use performance-enhancing drugs does not just affect the athlete who is using them. There are some drugs that are …

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Performance-Enhancing Drugs in Sports, Commentary 1

Details: He therefore will indirectly endanger other players' health. The last factor is the physician's desire to buffer the patient's danger by "supervising" his drug abuse. This is the most ominous of the extraneous issues because it plays to an historically vulnerable area for physicians, and it has never, to my knowledge, ameliorated a situation.

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Climate Change and Health Equity Journal of Ethics

Details: As current and future health care professionals, we are in a position of responsibility, privilege, and power, and we need to add our voices to the climate change narrative. There has been—and will continue to be—a physical human toll due to climate change. 1 The World Health Organization reports that between 2030 and 2050, climate change

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Effects of Lifestyle on Health Status Journal of Ethics

Details: Effects of Lifestyle on Health Status. It has become increasingly clear in recent decades that lifestyle factors contribute significantly to the ever-growing burden of chronic disease. Two behavioral patterns in particular, diet and smoking, have especially potent effects on the health of individuals and communities.

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Ethics, Public Health, and Addressing the Opioid Crisis

Details: Opioid misuse has become one of the gravest and most consequential public health threats facing the United States today. 1 Per the National Institutes of Health, the number of US drug overdose deaths has increased markedly over the past 2 decades, primarily due to the role of opioids. 2,3 In 2018, there were 67 367 drug overdose deaths in the

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Integrating Health Equity Content Into Health Professions

Details: Abstract. Health equity is a common theme discussed in health professions schools, yet many educators are wary of addressing it. Avoidance of health equity content in health professions education leads to student frustration and missed opportunities to educate the next generation of health care professionals about sensitive yet important issues.

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How Ancestral Trauma Informs Patients’ Health Decision

Details: Quenette L. Walton, PhD, LCSW is an assistant professor at the University of Houston Graduate College of Social Work in Texas. She received her PhD from the University of Illinois at Chicago Jane Addams College of Social Work. Her research focuses on the intersection of social class as a social determinant of health, mental health disparities, and wellness and well-being among middle-class

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Behavior Change in America: Public Health, Medicine, and

Details: Anthony L. Schlaff, MD, MPH is the director of the Public Health Program and a professor in the Department of Public Health and Community Medicine at Tufts University School of Medicine in Boston. Board certified in both internal medicine and preventive medicine, Dr. Schlaff is currently president of the Association for Prevention Teaching and Research.

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Health Professionals, Human Rights Violations at the US

Details: Abstract. Health professionals caring for asylum seekers face decisions about whether to participate in force-feeding hunger strikers, performing and reviewing unnecessary x-rays to assess detainees’ ages, misusing detainees’ health information, and discharging patients based on immigration officials’ demands rather than patient safety.

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Overcoming Obstacles to Shared Mental Health Decision

Details: Sharing Mental Health Decisions. The 21st century has witnessed increasing support for shared decision making (SDM) as a model of the therapeutic relationship, including in mental health contexts. Unlike paternalism and consumerism, this model encourages a patient and health care professional (HCP) to partner in identifying and appreciating

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Transitions of Care: Putting the Pieces Together Journal

Details: Honora Englander, MD Honora Englander, MD, is an assistant professor of medicine at Oregon Health and Science University and an internist in OHSU’s Division of Hospital Medicine and the Old Town Clinic, a federally qualified health center in Portland. She is the medical director for the Care Transitions Innovation (C-TraIn), a transitional care improvement program for uninsured and low

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Ethical Dimensions of Meaningful Use Requirements for

Details: The American Recovery and Reinvestment Act (ARRA) [1] will stimulate medicine to adopt and “meaningfully” use electronic health records (EHR) within and across health organizations [2] to improve patient outcomes and accountability, aid in coordination of care, promote effective health management across organizations, and align incentives with good patient and population outcomes—in

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False Beliefs in Health Care Journal of Ethics

Details: False beliefs about health care can be quickly and widely perpetuated online, with serious consequences. This month on Ethics Talk, we spoke with Dr. Jennifer McCormick, Dr. Albert Ko, and Dr. Diane Griffin about why it’s important for clinicians to respond to health care-related false beliefs and how they can do so effectively.

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Virtuous Humor in Health Care Journal of Ethics

Details: The use of humor in health care generally entails the lighter comic styles; the use of the dark comic styles requires more caution. Fun, or good-hearted humor, is contagious and has a positive impact on other people’s moods. Benevolent humor can be useful …

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Reevaluating the Social Contract in American Medicine

Details: The health care education and delivery system has developed into one of the best in the world. Nevertheless, the crisis of access presents a new set of difficult contradictions, and it mandates a reevaluation of the social contract in American medicine. For, although medicine is a healing art, the exchange of medicine's goods and services is

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The Internet, Ethics, and False Beliefs in Health Care

Details: Annie J. Tsay, MPH is a third-year medical student at Penn State College of Medicine in Hershey, Pennsylvania. She majored in public health studies with an emphasis on international health at Johns Hopkins University and earned a master of public health degree in the epidemiology of microbial diseases from the Yale School of Public Health.

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Social Epidemiology: How Socioeconomic Risk Factors Become

Details: Lu N, Samuels ME, Wilson R. Socioeconomic differences in health: How much do health behaviors and health insurance coverage account for? J Health Care Poor Underserved. 2004;15(4):618-630. Isaacs SL, Schroeder SA. Class—the ignored determinant of the nation’s health. N Engl J Med. 2004;351(11):1137-1142.

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Does Health Information Technology Dehumanize Health Care

Details: The Health Information Portability and Accountability Act (HIPAA) laid out stringent privacy rules for electronic health information, but HIPAA is a long and extraordinarily complex set of rules. It is up to professional associations and trade organizations and is ultimately a core function of the government to ensure that effective rules are

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Creating Incentives for Accountability in Patient Care

Details: Thus in health care we have knowledge asymmetry, agency problems, lack of price transparency, and biased selection of patients, to name just a few issues. Adding to that complexity, Medicare, private insurers, and employers have now argued for incentives to increase care quality, decrease utilization, and improve overall outcomes [1].

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Community Health in Rural America During the Mid-20th

Details: The Council on Rural Health (1945-1975) of the American Medical Association (AMA) collaborated with domestic health care organizations in the mid-20th century to improve access to health care in rural areas. This council promoted health and farm safety education, public health measures, insurance plans, and construction of health facilities.

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Teaching Resource Allocation: And Why It Matters Journal

Details: Health care rationing—whether to do it, how to do it—is a highly debated topic, especially in light of health care reforms currently being pursued. The unavoidable truth is that society’s resources are limited even in the United States and we can no longer pretend that we can offer every patient every medical treatment. Health systems around the world face the same predicament, and

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What Should Health Science Journalists Do in Epidemic

Details: Health ministries and response organizations can launch these efforts. In the ongoing Ebola outbreak in the Democratic Republic of the Congo, local journalists have registered with designated Ministry of Health-led press associations to gain access to interviewees, while responders use the network to gain access to media when needed.

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The Jury Is Still Out on Health Courts Journal of Ethics

Details: In many physicians’ minds, patient safety is closely linked to medical malpractice and the legal and financial consequences doctors confront when something goes wrong. Medical malpractice is a booming $55.6-billion business that accounts for 2.4 percent of annual health care expenditures [1]. The implications of a runaway medical malpractice system for the cost of health care generally has

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Ethics Talk Podcast Transcript

Details: Episode: Health Equity After COVID-19 Guests: Uché Blackstock, MD Host: Tim Hoff Transcript by: Tom Wagner Listen to the podcast here [mellow theme music plays through introduction] Tim Hoff: Welcome to another special edition of Ethics Talk the American Medical Association Journal of Ethics podcast on ethics and health and health care.

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Should Immigration Status Information Be Considered

Details: Individually identifiable health information is information that is a subset of health information, including demographic information collected from an individual, and: (1) Is created or received by a health care provider, health plan, employer, or health care clearinghouse; and (2) Relates to the past, present, or future physical or mental

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Professional Boundaries and Meaningful Care Journal of

Details: Bharel, chief medical officer of the Boston Health Care for the Homeless Program (BHCHP), emphasizes the importance of building trust with homeless patients, sometimes before any medical concerns can be addressed. Emily Thompson recounts observing the close bond between pediatricians and their hospitalized patients, arguing that professional

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Health Care for Undocumented Immigrants

Details: health care facilities for underserved patients thus affect immigrant communities.6 Furthermore, a political climate that tolerates migration criminalization rhetoric has served to create what’s been called a chilling effect —reduction, due to fear rather than

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The Affordable Care Act: A New Way Forward Journal of

Details: Health care expenditures in the United States reached $2.6trillion in 2010, comprising 17.6 percent of gross domestic product [1]. Increases in health care expenditures are the driving force behind rising health insurance premiums, such that the average cost of insuring a family of four is now $13,770.

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Culture and Moral Distress: What’s

Details: Abstract. Culture is learned behavior shared among members of a group and from generation to generation within that group. In health care work, references to “culture” may also function as code for ethical uncertainty or moral distress concerning patients, families, or populations.

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How Should Public Health Schools Help Meet Millennium

Details: However, public health professionals were not heavily involved in the creation of the MDGs, 5 and the role of public health institutions and schools in actually meeting the MDGs has not been well defined. 5 The First International Conference on Sustainable Health Development, held at Tehran University of Medical Sciences in 2016, found a

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Weight Bias in Health Care Journal of Ethics American

Details: For example, many health care facilities are ill-equipped to effectively and accurately treat patients who are obese. In a study of bariatric patients, many reported dissatisfaction with ill-fitting hospital gowns, small blood pressure cuffs, and examination and x-ray tables not equipped to support their weight [16]. In fact, in a study by Amy

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Is International Trade Impacting Health

Details: The health and well-being—the very future—of the poorest depends on the ability of all to recognize that the world is, after all, one huge brimming marketplace where deals can frequently result in life or death. Read More. Global health/Global health system development,

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Patient Satisfaction: History, Myths, and Misperceptions

Details: Patient satisfaction is top of mind today for most health care organizations, from hospitals to physician practices to home health care agencies. Not only do a majority of senior health care executives have compensation tied to patient satisfaction scores, but hospital reimbursement is also being directly affected by inpatient satisfaction ratings as a part of the Centers for Medicare and

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