Conscientious objections, the nature of medicine, and the need for reformability

Bioethics ◽  
2021 ◽  
Author(s):  
Eric J. Kim ◽  
Kyle Ferguson
Keyword(s):  
Nature Of Medicine

The Wilkins Lecture 2000: Medical futures

2001 ◽  
Vol 55 (2) ◽  
pp. 309-323 ◽  
Author(s):  
R. S. Porter
Keyword(s):  
Early History ◽  
Perfect Health ◽  
Social Investigation ◽  
Thomas More ◽  
Complete Health ◽  
Sir Thomas More ◽  
Future Society ◽  
History Of ◽  
Nature Of Medicine

This paper examines forecasts made by writers, medical and non-medical alike, as to the nature of medicine in a future society. In particular, starting from Plato and Sir Thomas More, it explores what place (if any) has been envisaged for medicine in a future Utopian society. By way of an explanatory device, predictions concerning medicine are compared and contrasted to expectations as to the role of the sciences, natural and social. Investigation of the corpus of social prognostications in fact reveals a dearth of glorious expectations as to the future of medicine as such, although certain writings have held out great hopes for biologistic disciplines, such as eugenics. It is often in ‘golden age’ fantasies about the early history of mankind that the most glowing descriptions of complete health are painted. Similarly, perfect health is something often viewed not in social but in individualistic terms. Explanations are offered of these perhaps slightly surprising facts.

We Can Trust without Data, But We Are Accountable Only through Measurement

2017 ◽  
pp. 255-270
Author(s):  
Vahé A. Kazandjian
Keyword(s):  
Healthcare Providers ◽  
Quality And Safety ◽  
Policy Makers ◽  
The Core ◽  
Measurement Tools ◽  
Key Dimensions ◽  
Local Traditions ◽  
Analytical Tools ◽  
Probabilistic Nature ◽  
Nature Of Medicine

Traditional expectations about healthcare continue to be challenged by the umbrella concerns about accountability and trust. The core of this challenge is two-fold: healthcare providers have seen the absolute trust placed into their intentions and practices erode through the quantification of quality and safety of care, and, the recipients of care have been empowered with timely and specific data to demand accountability rather than unquestionably trust providers. The purpose of this chapter is to review the key dimensions of the operationalization of performance measurement and the translation of its findings to statements about quality and safety of care. The past four decades have seen the continuous discovery and refining of analytical tools to quantify what once was taken for granted: that patients always receive the best care possible. These tools have uncovered the probabilistic nature of medicine and the resulting nature of the relationships outcomes have to processes. Hence the expectations of patients, payers of care and policy makers require being continuously modified to reflect the limitations of medicine and healthcare. The education of various audiences as to what the measures mean not only is a necessary requisite for sound project design but also will determine how the accountability model is shaped in each environment based on the generic measurement tools results, local traditions of care and caring, and expectations about outcomes.

Nature of Medicine

2018 ◽  
pp. 101-104
Author(s):  
Iona Heath ◽  
John Berger
Keyword(s):  
Nature Of Medicine

scholarly journals The political nature of medicine

The Lancet ◽  
2020 ◽  
Vol 395 (10233) ◽  
pp. 1340-1341 ◽  
Author(s):  
Giampaolo Ghilardi ◽  
Laura Leondina Campanozzi ◽  
Massimo Ciccozzi ◽  
Giovanna Ricci ◽  
Vittoradolfo Tambone
Keyword(s):  
The Political ◽  
Nature Of Medicine

Medicine as a Lens to Examine Cross-Cultural Encounters: A Study of Medical Missionary Samuel Hayward Ford’s Writings in Nineteenth-Century New Zealand

2020 ◽  
Author(s):  
Kate Tilson
Keyword(s):  
New Zealand ◽  
Medical Knowledge ◽  
Cross Cultural ◽  
Cultural Encounters ◽  
Cultural Encounter ◽  
Close Study ◽  
Medical Reports ◽  
Medical Missionary ◽  
Nature Of Medicine ◽  
The Church

Summary Medical missionary Samuel Hayward Ford arrived in New Zealand’s Bay of Islands in the late 1830s, a few years before the formal colonisation of the country. His letters and medical reports to the Committee of the Church Missionary Society revealed the complicated and malleable nature of medicine in the cross-cultural encounter. Through close study of Ford’s writings, this article argues that medicine worked to transform and interweave Māori and missionary worlds in precolonial New Zealand. Experiencing the spread of disease in the Bay of Islands, Ford practised and was influenced by evangelical humanitarianism, and he was also entangled in the politics of empire. More than this, his medicine exposed the missionary objective to transform Māori society, and it showcased not just cultural differences regarding medical knowledge but also the exchange of ideas and treatments between Māori and the missionaries.

scholarly journals Why are there Escalating Incidences of Confrontations in Nepali Hospitals? An Anthropological Critique

2020 ◽  
pp. 43-55
Author(s):  
Kapil Dahal
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Service Providers ◽  
Explanatory Models ◽  
Negotiation Process ◽  
Health Care Sector ◽  
Third Party ◽  
Communication Gap ◽  
Anthropological Critique ◽  
Nature Of Medicine

This article deals with the emerging phenomenon of confrontations and vandalism in hospitals in Nepal. It interrogates how far paternalism and commodification has become the feature of the Nepali health care sector and their interrelationships with each other. With the esoteric nature of medicine and different explanatory models of understanding illness episodes and healing outcomes, there is always a communication gap between the service providers and the patient party. The unfolding of the confrontation process creates space for and paves way for third party involvement in the conflict and negotiation process. The increasing confrontation also reflects falling trust between the service providers and the health seekers. This paper is based on information generated from a qualitative research carried out in two hospital settings in Kathmandu and Chitawan in different periods in 2019.

The Development of Medical Liability in Germany, 1800–1945

2019 ◽  
Author(s):  
Colm Peter McGrath
Keyword(s):  
Civil Law ◽  
Formative Period ◽  
Medical Liability ◽  
Medical Practitioners ◽  
Legal Development ◽  
Technological Advances ◽  
Medical Narratives ◽  
The Law ◽  
Nature Of Medicine ◽  
Rich Interaction

This volume examines the development of medical liability in Germany during its intense formative period from 1800–1945. It focuses on how the fault requirement in civil law was conceptualised and applied to liability for errors in the diagnosis and treatment of a patient. By focusing on the development of the law, and how it related and responded to changes in the nature of medicine, medical practitioners and healthcare over this period, it uncovers a rich interaction between the legal and medical narratives concerning fault. It offers an account of legal development where the law and lawyers were deeply embedded in, and influenced by, the broader social context, identifying a gradual shift towards asserting the independence of courts from accepted medical narrative in the light of technological advances.

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