Ethical considerations

Distributive justice and value trade-offs in antibiotic use in aged care settings – Jane Williams, Sittichoke Chawraingern & Chris Degeling

2024-07-30T10:12:09+10:00Ageing, Antibiotics, End of life, Ethical considerations, Overuse, Publications|

Residential aged care facilities (RACF) are sites of high antibiotic use in Australia. Misuse of antimicrobial drugs in RACF contributes to antimicrobial resistance (AMR) burdens that accrue to individuals and the wider public, now and in the future. Antimicrobial stewardship (AMS) practices in RACF, e.g. [...]

Nurses’ Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities – Saniya Singh et al.

2024-06-03T14:49:32+10:00Ageing, Antibiotics, End of life, Ethical considerations, Overuse, Prescribing, Publications, Risk|

Diagnostic uncertainty, risk perceptions, time constraints, and pressure from resident/family members and nurses have been identified as potential barriers to reducing antibiotic prescribing in residential aged-care facilities. The current study investigated the relationship between nurses’ anxiety, clinical tolerance of uncertainty, and behaviors that favor antimicrobial [...]

Cutting back on low-value healthcare practices supports sustainable kidney care – Scott McAlister et al.

2024-04-05T15:12:07+11:00Carbon footprint, Carbon neutral, Climate change, Ethical considerations, Kidney, Low-value care, Publications, Shared decision making, Sustainable health care|

July 2023 marked the hottest month on record, underscoring the urgent need for action on climate change. The imperative to reduce carbon emissions extends to all sectors, including health care, with it being responsible for 5.5% of global emissions. In decarbonizing health care, although much [...]

‘Integrating Ethics and Equity with Economics and Effectiveness for newborn screening in the genomic age: A qualitative study protocol of stakeholder perspectives – Didu S. Kariyawasam et al.

2024-04-05T14:50:00+11:00Ethical considerations, Genetic testing, Genomics, Health policy, Publications, Risk, Screening|

Newborn bloodspot screening is a well-established population health initiative that detects serious, childhood-onset, treatable conditions to improve health outcomes. With genomic technologies advancing rapidly, many countries are actively discussing the introduction of genomic assays into newborn screening programs. While adding genomic testing to Australia’s newborn [...]

Participant characteristics and reasons for non-consent to health information linkage for research: experiences from the ATHENA COVID-19 study – Kim Greaves et al.

2024-02-13T14:12:53+11:00COVID-19, Ethical considerations, Patient-led surveillance, Primary Care, Publications, Research, Research ethics|

The linkage of primary care, hospital and other health registry data is a global goal, and a consent-based approach is often used. Understanding the attitudes of why participants take part is important, yet little is known about reasons for non-participation. The ATHENA COVID-19 feasibility study [...]

Corporate Influences on Science and Health—the Case of Spinal Cord Stimulation – Adrian C. Traeger & Lisa A. Bero

2024-02-13T13:27:54+11:00Conflicts of interest, Ethical considerations, Musculoskeletal, Pain, Publications, Research ethics, Spinal, Treatment|

Corporations have been developing tactics to undermine independent science for decades. In the 1950s, on learning of the damaging effects of tobacco on health, the tobacco industry used campaigns of criticism to defend their products and the substantial revenue they were generating. Corporations could effectively [...]

Why ethical frameworks fail to deliver in a pandemic: Are proposed alternatives an improvement? – Chris Degeling et al.

2024-02-11T15:19:49+11:00COVID-19, Ethical considerations, Publications|

In the past decade, numerous ethical frameworks have been developed to support public health decision-making in challenging areas. Before the COVID-19 pandemic began, members of the authorship team were involved in research programmes, in which the development of ethical frameworks was planned, to guide (a) [...]

“It’s not a one operation fits all”: A qualitative study exploring fee setting and participation in price transparency initiatives amongst medical specialists in the Australian private healthcare sector – Hana Sabanovic et al.

2023-12-04T12:53:51+11:00Ethical considerations, Health policy, Health professionals, Health system, Insurance, Low-value care, Publications|

The Australian government, through Medicare, defines the type of medical specialist services it covers and subsidizes, but it does not regulate prices. Specialists in private practice can charge more than the fee listed by Medicare depending on what they feel ‘the market will bear’. This [...]

Multi-stakeholder preferences for the use of artificial intelligence in healthcare: A systematic review and thematic analysis – Vinh Vo et al.

2023-12-01T14:16:09+11:00AI, Ethical considerations, Health professionals, Publications|

Despite the proliferation of Artificial Intelligence (AI) technology over the last decade, clinician, patient, and public perceptions of its use in healthcare raise a number of ethical, legal and social questions. We systematically review the literature on attitudes towards the use of AI in healthcare [...]

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