scholarly journals Some good news for psychiatry: resource allocation preferences of the public during the COVID‐19 pandemic

2021 ◽  
Vol 20 (2) ◽  
pp. 301-302
Author(s):  
Georg Schomerus ◽  
Eva Baumann ◽  
Christian Sander ◽  
Sven Speerforck ◽  
Matthias C. Angermeyer
2006 ◽  
Vol 82 (3) ◽  
pp. 204-210 ◽  
Author(s):  
G. Schomerus ◽  
H. Matschinger ◽  
M.C. Angermeyer

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Bartelink ◽  
D Yacaman Mendez ◽  
A Lager

Abstract Issue Public health problems and interventions are often addressed in sub-optimal ways by not prioritizing them based on the best available evidence. Description of the Problem The public health report 2019 for the Stockholm region aims to inform decision makers, politicians, and public health workers about the risk factors and diseases that account for the biggest part of the burden of disease with a clear focus on high quality evidence and communication of main messages. How did the public health report 2019 affect public health policy in the Stockholm region? Results The public health report 2019 influenced agenda setting, resource allocation and priority setting in the Stockholm region. Lessons We identified the following facilitating factors in the process, of which most also are supported in scientific literature, in chronological order: 1) understanding the policymaking context to be aware of windows of opportunity, 2) establishing relationships with relevant policymakers, engage with them routinely in the decision-making process, and being accessible for questions, 3) doing high-quality research by considering the latest scientific literature, multiple data sources and involving academic experts in the field, 4) communicating clear and relevant messages for generalists by translating research into easy-understandable texts and attractive figures, and 5) active dissemination of the report through multiple channels. In addition, the following barriers were identified: 1) the timeframe of the policymaking process was not in line with the research process, and 2) involving politicians in an early stage can potentially harm the objectivity of research in media messages. Key messages By focussing on major problems, high quality evidence and clear messages a public health report can contribute to more evidence-informed policy making. Engaging decision makers in the process of public health reporting is critical for the impact on agenda setting, resource allocation, and priority setting.


2021 ◽  
pp. 103985622110250
Author(s):  
Jeffrey C L Looi ◽  
Stephen Allison ◽  
Stephen R Kisely ◽  
Tarun Bastiampillai

Objective: To discuss and reflect upon the role of medical practitioners, including psychiatrists, as health advocates on behalf of patients, carers and staff. Conclusions: Health advocacy is a key professional competency of medical practitioners, and is part of the RANZCP framework for training and continuing professional development. Since advocacy is often a team activity, there is much that is gained experientially from volunteering and working with other more experienced health advocates within structurally and financially independent (of health systems and governments) representative groups (RANZCP, AMA, unions). Doctors may begin with clinically proximate advocacy for improved healthcare in health systems, across the public and private sectors. Health advocacy requires skill and courage, but can ultimately influence systemic outcomes, sway policy decisions, and improve resource allocation.


Author(s):  
Ian Olver

IntroductionData linkage of population data sets often across jurisdictions or linking health data sets or health data with non-health data often involves balancing ethical principles such as privacy with beneficence as represented by the public good. Similar ethical dilemmas occur in health resource allocation decisions. The NHMRC have published a framework to guide policy on health resource allocation decisions that could be applied to ensure the justification of data linkage projects that is defensible as in the interest of the public good. Objectives and ApproachThe four main conditions for legitimacy of policy decisions about access to healthcare in a democracy with a public health system and limited resources wereexamined for their relevance to decisions about the use of public data and linking data sets. ResultsPublic policy decisions must be defensible and responsive to the interests of those affected. Decision-makers should articulate their reasoning and recommendations so that citizens can judge them. While the context of policy decisions will differ, their legitimacy depends upon (1) the transparency of the reasoning which should be free from conflicts of interest, the basis for decisions recorded and report widely, (2) the accountability of the decision-makers to the wider community, (3) the testability of the evidence used to inform the decision-making, which usually means that it will stand up to independent review and(4) the inclusive recognition of those the decision affects which often requires that the implications for disadvantaged groups are considered, even if they can’t always be accommodated. These conditions are interrelated but ensure that the good of society in general and not just specific dominant groups are accommodated. Conclusion / ImplicationsIt these principles are applied to decisions about data linkage projects they have clear applicability in society accepting data linkage projects having balanced the good against the ethical risks involved.


2020 ◽  
Vol 1 (2) ◽  
pp. 143-164
Author(s):  
Efriyandi Efriyandi ◽  
Anis Endang SM ◽  
Indria Indria

In this era of globalization, the need for information is fast becoming very important for society. With this speed, online media has become one of the mass media that has a lot of interests and readers. On the other hand, it also gave birth to business interest for capital owners to establish large online media such as more than one, making the practice of conglomeration. As in Vicent Mosco's theory the conglomeration is a merging of a media company into a larger company that is in charge of the media. Ultimately, it also had an impact on reporting to the public and evidenced by conducting research on qualitative methods, namely by conducting interviews, observation and documentation with Miles model analysis techniques to media owners as well as to online media reporters SMSI group. In-depth interviews with discussions that have been determined previously in order to obtain data on this study. From this practice that there is a lot of space played by media owners, one of whom occupies as the editor and as the leader of the media, then all practical policies are all determined by the editor of good news that will be covered by journalists in the field. Technically, all news has been conceptualized by the editor, such as issues that will become news. Issues raised provide opportunities for journalists or media owners to find income for companies, such as cooperation with the government or political figures and the news is one of the priorities of the conceptual media owner.


2021 ◽  
pp. medethics-2021-107741
Author(s):  
Harald Schmidt ◽  
Sonia Jawaid Shaikh ◽  
Emiily Sadecki ◽  
Sarah Gollust

Implementing equity principles in resource allocation is challenging. In one approach, some US states implemented race-based prioritisation of COVID-19 vaccines in response to vast racial inequities in COVID-19 outcomes, while others used place-based allocation. In a nationally representative survey of n=2067 US residents, fielded in mid-April 2021 (before the entire US population became eligible for vaccines), we explored the public acceptability of race-based prioritisation compared with place-based prioritisation, by offering vaccines to harder hit zip codes before residents of other zip codes. We found that in general, a majority of respondents supported the place-based approach, and a substantial proportion supported the race-based plan. Support was higher among Democrats compared with Republicans. All US residents became eligible for vaccines on 19 April 2021 but as of this writing, equitable uptake of vaccines remains urgent not only for first doses for adults but also for boosters and for children. Our findings also provide a benchmark for future pandemic planning that racial and social justice in vaccine allocation are salient considerations for the public. The findings may furthermore be of interest to policy makers designing vaccine allocation frameworks in countries with comparable health disparities across social, ethnic and racial groups, and more broadly, for those exploring ways of promoting equity in resource allocation outside of a pandemic setting.


2019 ◽  
Vol 75 (1) ◽  
pp. 213-228 ◽  
Author(s):  
John Buschman

PurposeLibrary and Information Science (LIS) has seen an explosion of responses to fake news in the aftermath of the 2016 US election, political in nature, eschewing “neutrality” supporting democracy. The purpose of this paper is to trace the definition of fake news, the challenges, the roots of recent respondes to fake news, notes that the theoretical understanding of democracy must keep pace with these efforts.Design/methodology/approachConceptual analysis of the LIS literature concerning fake news and its underlying themes; unpacking of actually existing democracy, re-linked to LIS practices.FindingsDemocracy does not require a space cleared of distorting claims but spaces suited to grappling with them, a call to address fake news, and not simply a matter of clearing up information sources; librarians should prepared to engage at the next level. Libraries stand for the proposition that there is more-true information which is worth accessing, organizing, etc., and for inclusion. Whether explicitly political or not, the imaginative uses to which libraries are put do enrich civil society and the public sphere. Libraries help to counter fake news both through specific educative actions aimed at it and as broadly educative institutions with a coherent notion of their relationship to informational discernment in democracy.Originality/valueLIS discourse on fake news has value, and references democracy, but assumes a set of traditional relationships between informing, libraries and democracy. This paper goes at both the lesser role of informing and highlights the (arguably) greater social role of libraries in democratic society.


2021 ◽  
pp. 157-182
Author(s):  
James E. Sabin ◽  
Norman Daniels

Resource allocation in mental health occurs at four levels. First, within the total allocation a society makes to health care, how much should go to mental health? In most societies, mental health services have been discriminated against. The quest for parity with medical and surgical services reflects the effort to undo this discrimination. In the Oregon priority-setting process, mental health conditions ranked high among community choices. Second, within the mental health sector, which conditions should receive priority? Some priority should be given to those with the most severe impairments, but no principles tell us just how much priority the sickest should receive. Third, within a particular area, such as schizophrenia, how much resource should be devoted to prevention, treatment of acute episodes, or rehabilitation of those with chronic conditions? Finally, in the care of individual patients, how much treatment is ‘enough’? Where and how is the line drawn between interventions regarded as ‘medically necessary’ versus interventions that are desirable but ‘optional’? In the absence of shared principles for making these allocational decisions, societies must establish fair decision-making processes, in which the rationales for policies and decisions are shared with the public, the rationales address meeting population needs in the context of available resources, and a robust appeals process allows patients, families, and clinicians to challenge decisions and policies. Because societies will develop their own distinctive approaches to resource allocation, progress requires looking at the allocation process in an international context.


2003 ◽  
Vol 4 (1) ◽  
pp. 75-102 ◽  
Author(s):  
Diana ben-Aaron

Most research studies of news assume a bias toward the extreme, the unusual, and the new. However, much of the content of newspapers consists of the routine and the predictable. Using a collection of articles from the New York Times sampled from 1852 to the present, this paper examines news about one subject, national holidays, with a view to explaining the pragmatic functions of such formally unnewsworthy articles. In the national holiday news cycle, the newspaper first announces or forecasts the observances, and after they have taken place the public response is evaluated for enthusiasm and decorum. The standard of behaviour is reinforced through small human interest stories that contain inferential gaps encouraging readers to draw on their knowledge of human conduct. The basic principle being inferred is politeness toward the nation, in the sense of respecting its positive face by anticipating and following its wishes, and respecting its negative face by avoiding challenges and focusing on citizen responsibilities rather than citizen rights. The result is news stories that violate some of the most important “hard” news values previously identified by researchers, by being predictable, ambiguous, static, and generally “good news”. The analysis also shows how news which is apparently free of conflict can prepare readers for future consumption of conflict-oriented news.


2018 ◽  
Vol 79 (8) ◽  
pp. 430
Author(s):  
Callie Wiygul Branstiter ◽  
Rebecca Orozco ◽  
Carmen Orth-Alfie ◽  
Karna Younger

Since 2016, the public eye has turned to the problems of mis- and disinformation. As a result, many librarians sprang into action to spread the good news about information and media literacies. At the University of Kansas (KU), we initially joined the rush and created a media literacy LibGuide.1


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