• Title/Summary/Keyword: public health ethics

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Ethical Issues on Environmental Health Study

  • Hyein WOO
    • Journal of Research and Publication Ethics
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    • v.4 no.1
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    • pp.9-14
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    • 2023
  • Purpose: Adequate public input and participation in environmental health research must be provided to ensure accurate results from studies involving human exposure to potentially hazardous substances. By addressing these ethical issues associated with environmental health research, this study can help reduce risks for individuals participating in studies and whole communities affected by their impactful findings. Research design, data and methodology: The current research should have followed the rule of qualitative textual research, searching and exploring the adequate prior resources such as books and peer-reviewed journal articles so that the current author could screen proper previous works which are acceptable for the content analysis. Results: The current research has figured out four ethical issues to improve environmental health study as follows: (1) Lack of Guidance for Collecting and Utilizing Data Ethically, (2) Insufficient Consideration Is Given to Vulnerable Populations When Conducting Studies, (3) Unclear Standards Exist for Protecting the Privacy Of Participant's Personal Information, and (4) Conducting Socially and Religiously Acceptable Research in Various Communities. Conclusions: This research concludes that future researchers should consider implementing anonymization techniques where possible so that findings are still accessible, but the risk posed by disclosing identifying information remains minimized during the analysis/publication stages.

Ethical Considerations in Genomic Cohort Study (유전체 코호트 연구의 윤리적 고려 사항)

  • Choi, Eun-Kyung;Kim, Ock-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.2
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    • pp.122-129
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    • 2007
  • During the last decade, genomic cohort study has been developed in many countries by linking health data and genetic data in stored samples. Genomic cohort study is expected to find key genetic components that contribute to common diseases, thereby promising great advance in genome medicine. While many countries endeavor to build biobank systems, biobank-based genome research has raised important ethical concerns including genetic privacy, confidentiality, discrimination, and informed consent. Informed consent for biobank poses an important question: whether true informed consent is possible in population-based genomic cohort research where the nature of future studies is unforeseeable when consent is obtained. Due to the sensitive character of genetic information, protecting privacy and keeping confidentiality become important topics. To minimize ethical problems and achieve scientific goals to its maximum degree, each country strives to build population-based genomic cohort research project, by organizing public consultation, trying public and expert consensus in research, and providing safeguards to protect privacy and confidentiality.

Systematizing Information Use to Address Determinants of Health Worker Health in South Africa: A Cross-sectional Mixed Method Study

  • Muzimkhulu Zungu;Annalee Yassi ;Jonathan Ramodike;Kuku Voyi;Karen Lockhart;David Jones;Spo Kgalamono;Nkululeko Thunzi;Jerry Spiegel
    • Safety and Health at Work
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    • v.14 no.4
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    • pp.368-374
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    • 2023
  • Background: Recognizing that access to safe and healthy working conditions is a human right, the World Health Organization (WHO) calls for specific occupational safety and health (OSH) programs for health workers (HWs). The WHO health systems' building blocks, and the International Labour Organization (ILO), highlight the importance of information as part of effective systems. This study examined how OSH stakeholders access, use, and value an occupational health information system (OHIS). Methods: A cross-sectional survey of OSH stakeholders was conducted as part of a larger quasi experimental study in four teaching hospitals. The study hospitals and participants were purposefully selected and data collected using a modified questionnaire with both closed and open-ended questions. Quantitative analysis was conducted and themes identified for qualitative analysis. Ethics approval was provided by the University of Pretoria and University of British Columbia. Results: There were 71 participants comprised of hospital managers, health and safety representatives, trade unions representatives and OSH professionals. At least 42% reported poor accessibility and poor timeliness of OHIS for decision-making. Only 50% had access to computers and 27% reported poor computer skills. When existing, OHIS was poorly organized and needed upgrades, with 85% reporting the need for significant reforms. Only 45% reported use of OHIS for decision-making in their OSH role. Conclusion: Given the gap in access and utilization of information needed to protect worker's rights to a safe and healthy workplace, more attention is warranted to OHIS development and use as well as education and training in South Africa and beyond.

Communication of dentists with geriatric dental patients (임상가를 위한 특집2 - 치과의사-노인환자 커뮤니케이션)

  • Kang, Myoung-Sheen
    • The Journal of the Korean dental association
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    • v.49 no.10
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    • pp.599-608
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    • 2011
  • Dentist-patient communication has long been recognized as an important part of dental care. It has many positive outcomes, including reducing patient dental anxiety and increasing patient satisfaction and patient compliance. Above all, the need to communicate through conversation with dentist must be perceived as a basic dental patient's need for good clinical outcomes. In the future, increasing geriatric dental patients will pose challenges to dental profession. Factors influencing dentist-geriatric patient communication should be researched and relevant techniques should be shared among dentists.

The Influence of Nursing Students' Ethical Awareness, Ethical Decision-making and Attitude toward Performance on Intention about Performance of Infection Control Guidelines in Pandemic Infectious Diseases (팬데믹 상황에서 간호대학생의 윤리인식, 윤리적 의사결정 및 감염관리지침 수행태도가 감염관리지침 수행의도에 미치는 영향)

  • Choi, Dongwon
    • Journal of Korean Public Health Nursing
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    • v.35 no.3
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    • pp.343-355
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    • 2021
  • Purpose: This study aimed to identify the effects of nursing students' ethical awareness, ethical decision-making and attitude toward performance on intention about performance of infection control guidelines in pandemic infectious diseases. Methods: The survey was performed on 163 nursing students in three universities. Data were collected using a structured questionnaires and analyzed with t-test, analysis of variance (ANOVA), Pearson's correlation and multiple regression analysis. Results: Perceived health status, ethical awareness and attitude toward performance of infection control guidelines about major commitment were significant predictive variables. These variables accounted for 48.1% of the variance in major commitment. Conclusion: The findings indicate the necessity of developing educational programs to enhance nursing students's ethical awareness, and increase performance of control guidelines to prepare for the pandemic infectious diseases.

Pitfalls in Reimbursement Decisions for Oncology Drugs in South Korea: Need for Addressing the Ethical Dimensions in Technology Assessment

  • Cho, Eun;Park, Eun-Cheol;Kang, Myoung Sheen
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3785-3792
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    • 2013
  • This study aimed to discover to what extent ethical issues are considered in the reimbursement decision process based on health technology assessment (HTA) in Korea, especially for oncology medications. Public summary documents (PSDs) published by the Health Insurance Review and Assessment Service (HIRA) were analyzed for empirical and normative factors. For external comparison, PSDs presented by corresponding institutions of Australia and the United Kingdom were employed. Furthermore, the opinions of eight expert oncologists were obtained regarding the accountability of the evidence in PSDs. Among 7 oncology drugs, there were differences in the final decisions and empirical factors considered, such as selected comparators and interpretation of evidence between the PSDs from the three institutions. From an ethical viewpoint, the following matters were deficient in the HTA decision-making process for oncology drugs: clear and reasonable standards; identifying and evaluating ethical values; and public accountability for reasonableness about decisions and due process.

Public Preferences for Allocation Principles for Scarce Medical Resources in the COVID-19 Pandemic in Korea: Comparisons With Ethicists' Recommendations

  • Lee, Ji-Su;Kim, Soyun;Do, Young Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.5
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    • pp.360-369
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    • 2021
  • Objectives: The purpose of this study was to investigate public preferences regarding allocation principles for scarce medical resources in the coronavirus disease 2019 (COVID-19) pandemic, particularly in comparison with the recommendations of ethicists. Methods: An online survey was conducted with a nationally representative sample of 1509 adults residing in Korea, from November 2 to 5, 2020. The degree of agreement with resource allocation principles in the context of the medical resource constraints precipitated by the COVID-19 pandemic was examined. The results were then compared with ethicists' recommendations. We also examined whether the perceived severity of COVID-19 explained differences in individual preferences, and by doing so, whether perceived severity helps explain discrepancies between public preferences and ethicists' recommendations. Results: Overall, the public of Korea agreed strongly with the principles of "save the most lives," "Koreans first," and "sickest first," but less with "random selection," in contrast to the recommendations of ethicists. "Save the most lives" was given the highest priority by both the public and ethicists. Higher perceived severity of the pandemic was associated with a greater likelihood of agreeing with allocation principles based on utilitarianism, as well as those promoting and rewarding social usefulness, in line with the opinions of expert ethicists. Conclusions: The general public of Korea preferred rationing scarce medical resources in the COVID-19 pandemic predominantly based on utilitarianism, identity and prioritarianism, rather than egalitarianism. Further research is needed to explore the reasons for discrepancies between public preferences and ethicists' recommendations.