Organizational ethics and social justice in practice: Choices and challenges in a rural-urban health region

Simpson, Christy; Kirby, Jeff

doi:10.1007/s10730-005-4283-7

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…In conjunction with the Politics of Difference, Young's Social Connection Model proposes that the same structure which creates inequalities for certain groups can simultaneously advance the opportunities and influence of other groups [81]. This highlighting of structural inequalities Multiple Statuses: (tally statuses below) [115][116][117][118][119] Poverty [120,121] Intellectual Disability [122,123] Physical Disability [124,125] Chronic Health & Chronic Mental Health [126,127] Addiction, including Neonatal Abstinence [128,129] Lifelong Caregiver [130,131] Foster Experience [132,133] Indigenous/ Aboriginal [134,135] Survivor of Abuse [136,137] Victim of Crime [138,139] Incarceration [140,141] Homelessness or Street/Shelter Experience [142,143] Race [144,145] Rural or Isolated Geography [146,147] Ageism: Children & Seniors [148] Gender [149,150] Hayvon International Journal for Equity in Health (2024) 23:106 is complemented by Young's argument for Five Faces of Oppression, which categorizes inequalities into: economic exploitation, socio-economic marginalization, powerlessness over one's work, cultural imperialism, and systematic violence [55]. In combination, Young's theories of social justice informs the synthesis of constructs number 1, 3, 5, 6, 7, 8.…”

Section: Results Of Individual Sources Of Evidencementioning

confidence: 99%

Action against inequalities: a synthesis of social justice & equity, diversity, inclusion frameworks

Hayvon

2024

Int J Equity Health

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Inequalities in health have long been recognized as interconnected with social, economic, and various other inequalities. The application of social justice and equity, diversity, inclusion (EDI) frameworks may help expand interdisciplinary perspectives in addressing inequalities. This review study conducted an environmental scan for existing syntheses of theories, models, and frameworks (TMFs) relevant to the social justice and EDI. Results from Web of Science, Scopus, PubMed, CINAHL, PsychINFO, and MEDLINE retrieved an existing implementation science framework intently centered upon health inequalities, and draws from a synthesis of postcolonial theory, reflexivity, intersectionality, structural violence, and governance theory. Given this high degree of relevance to the objective of this review, the framework was selected as a basis for expanded synthesis. Subsequent processes sought to identify social justice TMFs which could be integrated into the base framework selected, as well as to refine scope of the study. Based upon considerations of level of evidence and non-tokenistic integration, the following social justice and EDI TMFs were identified: John Rawls’ theory of justice; Amartya Sen’s Capabilities Approach; Iris Marion Young’s theories of justice; Paulo Freire’s critical consciousness; and critical race theory (CRT). The focus of the synthesis performed was scoped towards minimizing potential harms arising from actions intending to reduce inequalities. EDI considerations were not collated into a singular construct, but rather extended as a separate component assessing inequitable distribution of risks and benefits given population heterogeneity. Reflexive analysis amended the framework with two key decisions: first, the integration of environmental justice into a single construct, which helps to inform Rawls’ and Sen’s TMFs; second, a temporal element of sequential-analysis was employed over a unified output. The result of synthesis consists of a three-component framework which: (1) presents sixteen constructs drawn from selected TMFs, to consider various harms or potential reinforcement of existing inequalities; (2) aims to de-invisibilize marginalized groups who are noted to experience inequitable outcomes, and acknowledges the presence of individuals belonging to multiple groups; and (3) synthesizes seven considerations related to equitable dissemination and evaluation as drawn from TMFs, separated for sequential analysis after assessment of harms.

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Section: Results Of Individual Sources Of Evidencementioning

confidence: 99%

Action against inequalities: a synthesis of social justice & equity, diversity, inclusion frameworks

Hayvon

2024

Int J Equity Health

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“…Even though we limited our findings to U.S.-focused publications, the search identified many non-U.S. rural ethics articles, particularly those exploring ethics issues in England, Canada, and Australia, which are of value to discussions of ethics issues in rural U.S. settings. For example, the journal HEC Forum published a useful series of articles in a 2004 issue focusing on ethics issues and committees in Canada (see notes [68][69][70][71][72][73][74][75].…”

Section: Discussionmentioning

confidence: 99%

Rural Healthcare Ethics: No Longer the Forgotten Quarter

Nelson¹,

Greene²,

West³

2010

Camb Q Healthc Ethics

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The rural health context in the United States presents unique ethical challenges to its approximately 60 million residents, who represent about one quarter of the overall population and are distributed over three-quarters of the country’s land mass. The rural context is not only identified by the small population density and distance to an urban setting but also by a combination of social, religious, geographical, and cultural factors. Living in a rural setting fosters a sense of shared values and beliefs, a strong work ethic, self-reliance, and a tendency for close-knit extended social structures where overlapping relationships are commonplace.

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Introduction

Simpson¹,

McDonald²

2017

Rethinking Rural Health Ethics

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Organizational ethics and social justice in practice: Choices and challenges in a rural-urban health region

Cited by 7 publications

References 6 publications

Action against inequalities: a synthesis of social justice & equity, diversity, inclusion frameworks

Action against inequalities: a synthesis of social justice & equity, diversity, inclusion frameworks

Rural Healthcare Ethics: No Longer the Forgotten Quarter

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