Editorial: Ethics in health care priority‐setting: a north–south double standard?

Stefanini, Angelo

doi:10.1046/j.1365-3156.1999.00502.x

Cited by 15 publications

(9 citation statements)

References 9 publications

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“…Self-help groups are being prescribed to alleviate the effects of a utilitarian approach to priority setting in the health sector of low-income countries that resulted in "rationing by exclusion" [56]. Again, it is being overlooked that self-help is not free of cost.…”

Section: Discussionmentioning

confidence: 99%

Self-help: What future role in health care for low and middle-income countries?

Nayar

Kyobutungi

Razum

2004

Int J Equity Health

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In the debate on 'Third options' for health care delivery in low- and middle-income countries it is proposed that self-help should play a larger role. Self-help is expected to contribute towards improving population health outcomes and reducing government health care expenditure. We review scope and limitations of self-help groups in Europe and South Asia and assess their potential role in health care within the context of health sector reform.Self-help groups are voluntary unions of peers, formed for mutual assistance in accomplishing a health-related purpose. In Europe, self-help groups developed out of dissatisfaction with a de-personalised health care system. They successfully complement existing social and health services but cannot be instrumentalized to improve health outcomes while reducing health expenditure.In South Asia, with its hierarchical society, instrumental approaches towards self-help prevail in Non-governmental Organizations and government. The utility of this approach is limited as self-help groups are unlikely to be sustainable and effective when steered from outside. Self-help groups are typical for individualistic societies with developed health care systems – they are less suitable for hierarchical societies with unmet demand for regulated health care. We conclude that self-help groups can help to achieve some degree of synergy between health care providers and users but cannot be prescribed to partially replace government health services in low-income countries, thereby reducing health care expenditure and ensuring equity in health care.

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Section: Discussionmentioning

confidence: 99%

Self-help: What future role in health care for low and middle-income countries?

Nayar

Kyobutungi

Razum

2004

Int J Equity Health

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“…We second the call of Christensen and Murphy (2004, p. 37) that ''[b]usinesses should adopt corporate social responsibility standards on taxation, including requirements to publish all necessary accounting information and to refrain from the use of profits-laundering vehicles created without substantial economic purpose''. Furthermore, in the international setting, the maintenance of double standards can be seen to widen the gap in social justice between the ''Rich North'' and ''Global South'' (Castleman 1983;Stefanini 1999). The quality of products and processes should be of the same standard regardless of context (Heikkurinen and Ketola 2012), that is to say, the absence of stakeholder pressure should not signify weaker environmental and social performance.…”

Section: Organisational Implicationsmentioning

confidence: 99%

Synthesising Corporate Responsibility on Organisational and Societal Levels of Analysis: An Integrative Perspective

Heikkurinen

Mäkinen

2016

J Bus Ethics

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This article develops an integrative perspective on corporate responsibility by synthesising competing perspectives on the responsibility of the corporation at the organisational and societal levels of analysis. We review three major corporate responsibility perspectives, which we refer to as economic, critical, and politico-ethical. We analyse the major potential uses and pitfalls of the perspectives, and integrate the debate on these two levels. Our synthesis concludes that when a society has a robust division of moral labour in place, the responsibility of a corporation may be economic (as suggested under the economic perspective) without jeopardising democracy and sustainability (as reported under the critical perspective). Moreover, the economic role of corporations neither signifies the absence of deliberative democratic mechanisms nor business practices extending beyond compliance (as called for under the politico-ethical perspective). The study underscores the value of integrating different perspectives and multiple levels of analysis to present comprehensive descriptions and prescriptions of the responsibility phenomenon.

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“…Priority setting becomes particularly important in contexts where resources are limited. Different approaches to priority setting, mainly economical, have been advanced (Nair et al 2014; Stefanini 1999). Notwithstanding these elements, the kind of evidence to be considered in public health should include not only the different perspectives of scientific research but also other factors such as the knowledge and views of the diverse stakeholders participating in maternal health programs (Nair et al 2014; Panisset et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Using systematized tacit knowledge to prioritize implementation challenges in existing maternal health programs: implications for the post MDG era

Becerril‐Montekio

Alcalde‐Rabanal

Darney

et al. 2016

Health Policy Plan.

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Strategic priority setting and implementation of strategies to reduce maternal mortality are key to the post Millennium Development Goal (MDG) 2015 agenda. This article highlights the feasibility and the advantages of using a systematized tacit knowledge approach, using data from maternal health program personnel, to identify local challenges to implementing policies and programs to inform the post MDG era. Communities of practice, conceived as groups of people sharing professional interests, experiences and knowledge, were formed with diverse health personnel implementing maternal health programs in Mexico and Nicaragua. Participants attended several workshops and developed different online activities aiming to strengthen their capacities to acquire, analyze, adapt and apply research results and to systematize their experience and knowledge of the actual implementation of these programs. Concept mapping, a general method designed to organize and depict the ideas of a group on a particular topic, was used to manage, discuss and systematize their tacit knowledge about implementation problems of the programs they work in. Using a special online concept mapping platform, participants prioritized implementation problems by sorting them in conceptual clusters and rating their importance and feasibility of solution. Two hundred and thirty-one participants from three communities of practice in each country registered on the online concept mapping platform and 200 people satisfactorily completed the sorting and rating activities. Participants further discussed these results to prioritize the implementation problems of maternal health programs. Our main finding was a great similarity between the Mexican and the Nicaraguan general results highlighting the importance and the feasibility of solution of implementation problems related to the quality of healthcare. The use of rigorously organized tacit knowledge of health personnel proved to be a feasible and useful tool for prioritization to inform implementation priorities in the post MDG agenda.

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Editorial: Ethics in health care priority‐setting: a north–south double standard?

Cited by 15 publications

References 9 publications

Self-help: What future role in health care for low and middle-income countries?

Self-help: What future role in health care for low and middle-income countries?

Synthesising Corporate Responsibility on Organisational and Societal Levels of Analysis: An Integrative Perspective

Using systematized tacit knowledge to prioritize implementation challenges in existing maternal health programs: implications for the post MDG era

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