This document discusses several topics related to moral decision-making and the allocation of health resources. It outlines four principles of moral discernment and judgment. It also describes strategies for the moral decision-making process, including gathering data, identifying stakeholders, determining moral perspectives, and evaluating outcomes. Additionally, it examines two approaches to allocating limited health resources: cost-effectiveness, which aims to maximize health benefits, and equity, which is concerned with fairly distributing benefits and costs. Under equity, it lists several issues involving access to care.
This document discusses several topics related to moral decision-making and the allocation of health resources. It outlines four principles of moral discernment and judgment. It also describes strategies for the moral decision-making process, including gathering data, identifying stakeholders, determining moral perspectives, and evaluating outcomes. Additionally, it examines two approaches to allocating limited health resources: cost-effectiveness, which aims to maximize health benefits, and equity, which is concerned with fairly distributing benefits and costs. Under equity, it lists several issues involving access to care.
This document discusses several topics related to moral decision-making and the allocation of health resources. It outlines four principles of moral discernment and judgment. It also describes strategies for the moral decision-making process, including gathering data, identifying stakeholders, determining moral perspectives, and evaluating outcomes. Additionally, it examines two approaches to allocating limited health resources: cost-effectiveness, which aims to maximize health benefits, and equity, which is concerned with fairly distributing benefits and costs. Under equity, it lists several issues involving access to care.
This document discusses several topics related to moral decision-making and the allocation of health resources. It outlines four principles of moral discernment and judgment. It also describes strategies for the moral decision-making process, including gathering data, identifying stakeholders, determining moral perspectives, and evaluating outcomes. Additionally, it examines two approaches to allocating limited health resources: cost-effectiveness, which aims to maximize health benefits, and equity, which is concerned with fairly distributing benefits and costs. Under equity, it lists several issues involving access to care.
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Moral Decision-Making
⮚ refers to the ability to discern what is morally right from
morally wrong that requires moral reflectiveness on the meaning of good and bad, Olson (2002) ⮚ It refers to ability to draw conclusions from the discernment to develop convictions. 1. Principle of formal cooperation FOUR PRINCIPLES 2. Principle of Material cooperation OF MORAL 3. Principle of lessser evil DISCERNMENT/JU 4. Principle of double effect DGMENT ⮚ Informed consent to medical treatment is fundamental in both Principle of ethics and law.
well-formed ⮚ Patients have the right to receive information and ask questions
conscience about recommended treatments so that they can make well-
considered decisions about care. Ethical Dilemma Strategies of ⮚ is a problem in the decision-making process between two Moral Decision- possible options, neither of which is absolutely acceptable from Making Process an ethical perspective; 1. Gather data and identify conflicting moral claims 2. Identify key participants 3. Determine moral perspective and phase of moral development of key participants PROCESS OF ETHICAL DECISION 4. Determine desired outcomes
MAKING 5. Identify options
6. Act on the choice 7. Evaluate outcomes of actions MeaningKristine and Service Value of Joy F. Anonuevo, Medical Care RN,MAN A. Cost-effective
- limited resources for health should be allocated to maximize the
health benefits for the population served Allocation of - Costs are measured in monetary terms; benefits are measured in Health health improvements. Resources - Cost-effectiveness is not merely an economic concern, because improving people's health and well-being is a moral concern, and an allocation of resources that is not cost-effective produces fewer benefits than would have been possible with a different allocation B. Equity
- Is concerned with the distribution of benefits and costs to
distinct individuals or groups. Allocation of Health - Equity in health care distribution is complex and embodies Resources several distinct moral concerns or issues that this chapter delineates (Brock 2003a) 1. Access to Quality Care - Patients want to be able to access their healthcare when they want and need it. 2. Geographic and Manpower Shortage Issues involving 3. Limited education access to care 4. Poor infrastructures 5. Cost 6. Scientific evidence vs Cultural Practice THANK YOU