Mellom samfunnsstrukturer og profesjon: om avgrensning, kultivering og premisser for adekvat skjønnsutøvelse i legerollen

Bærøe, Kristine

doi:10.5324/eip.v5i2.1769

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…At the same time we do allow, and are to some extent forced to allow, health-care workers discretionary power to individualize appropriate health care. To carry out individualized health care in institutions at 'street-level' is intrinsically based on health-care workers' normative assumptions about 'needs' and traceable, distributive principles regarding 'who should get what when' (Baerøe, 2011). The lack of democratic control over the normative premises for the distribution at the street-level implementation of health care, is appropriately referred to as 'the black hole of democracy' (Eriksen, 2001;Rothstein, 2010).…”

Section: Epistemic Challenges In Reaching Reasonable Limit Setting Inmentioning

confidence: 99%

Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health Care

Nedlund

Bærøe

2014

Public Health Ethics

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The concept of legitimacy is often used and emphasized in the context of setting limits in health care, but rarely described is what is actually meant by its use. Moreover, it is seldom explicitly stated how health-care workers can contribute to the matter, nor what weight should be apportioned to their viewpoints. Instead the discussion has focused on whether they should take on the role of the patients' advocate or that of gatekeeper to the society's resources. In this article, we shed light on the role of health-care workers in limit setting and how their conferred legitimacy may support subordinators' (i.e. citizens') conferred legitimacy. We argue that health-care workers have an important role to play as both moral and political agents in limit setting, and delineate normative conditions that justify and facilitate health-care workers in conferring legitimacy on this kind of decision. Their role and potential impact on political limit setting does not-theoretically-affect the idea of democratic legitimacy negatively. Rather, as we suggest, by designing for limit-setting policymaking accordingly, healthcare workers, as well as citizens, are more justified in conferring democratic legitimacy to health-care limitsetting decisions than if these concerns were not addressed.

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Section: Epistemic Challenges In Reaching Reasonable Limit Setting Inmentioning

confidence: 99%

Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health Care

Nedlund

Bærøe

2014

Public Health Ethics

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Pursuing impact in research: towards an ethical approach

et al. 2022

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Background Research proactively and deliberately aims to bring about specific changes to how societies function and individual lives fare. However, in the ever-expanding field of ethical regulations and guidance for researchers, one ethical consideration seems to have passed under the radar: How should researchers act when pursuing actual, societal changes based on their academic work? Main text When researchers engage in the process of bringing about societal impact to tackle local or global challenges important concerns arise: cultural, social and political values and institutions can be put at risk, transformed or even hampered if researchers lack awareness of how their ‘acting to impact’ influences the social world. With today’s strong focus on research impacts, addressing such ethical challenges has become urgent within in all fields of research involved in finding solutions to the challenges societies are facing. Due to the overall goal of doing something good that is often inherent in ethical approaches, boundaries to researchers’ impact of something good is neither obvious, nor easy to detect. We suggest that it is time for the field of bioethics to explore normative boundaries for researchers’ pursuit of impact and to consider, in detail, the ethical obligations that ought to shape this process, and we provide a four-step framework of fair conditions for such an approach. Our suggested approach within this field can be useful for other fields of research as well. Conclusion With this paper, we draw attention to how the transition from pursuing impact within the Academy to trying to initiate and achieve impact beyond the Academy ought to be configured, and the ethical challenges inherent in this transition. We suggest a stepwise strategy to identify, discuss and constitute consensus-based boundaries to this academic activity. This strategy calls for efforts from a multi-disciplinary team of researchers, advisors from the humanities and social sciences, as well as discussants from funding institutions, ethical committees, politics and the society in general. Such efforts should be able to offer new and useful assistance to researchers, as well as research funding agencies, in choosing ethically acceptable, impact-pursuing projects.

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Mellom samfunnsstrukturer og profesjon: om avgrensning, kultivering og premisser for adekvat skjønnsutøvelse i legerollen

Cited by 2 publications

References 15 publications

Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health Care

Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health Care

Pursuing impact in research: towards an ethical approach

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