Browsing by Subject "Social Responsibility"
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Item Being trustworthy in today's medical world(2014-09-09) Potter, Nancy NyquistIs there still a place for trust in today's health care practices? Is it even possible to make time for trusting relations? The short answer is, yes -- depending on how we think about issues of trust. The framework for arguing that trust is still an inviolable quality in health care is that of trust and trustworthiness as virtues. Despite time pressures and the dominance of technologies, being trustworthy is part of professional ethical practices. We will talk about what trust is, when and why there are reasons to care about being trustworthy, and consider what should be done when trust goes wrong. Cases for discussion will be presented.Item How can a safety net be the catalyst for creating a healthier community?(2012-09-11) Anderson, Ron J.The Parkland Health & Hospital System is one of the Nation's largest and most complicated safety net institutions. It provides care for over 40,000 admissions, 12,000 deliveries and 1.3 million outpatient and ED visits per year. It is a Level 1 Trauma and Burn Center, a Level 3 Neonatal Unit (one of the largest in the US), and it is part of the UTSW campus NCI designation for Cancer Care. Parkland has achieved many firsts as an innovator of the safety net, but must now rise to the challenges of "moving upstream" to invest in prevention, health promotion, earlier interventions in primary care, and care management in a fashion that is lead by a spirit of servant leadership, evidence based practice (competency) and the ethical tenets of beneficience, nonmaleficience, promotion of autonomy, distributive and social justice. The next evolutionary steps for Parkland involve collaboration with our competitors (so-called Co-optician) through a 1115 Medicaid Waiver to find and address gaps in service delivery for our most vulnerable residents. It requires the discipline to study health disparities, population health outcomes and the impact of the socioeconomic determinants of health. We have and will continue to use appreciate inquiry, dialogue and "deep listening" to guide us so as to avoid paternalism or exploitation and get the community's buy-in and participation. Enormous strength, innovation and vitality can come from the community's partnership with the safety net to effect health delivery reform at the local and regional level. We can, and must, do better by being better stewards of scarce resources, by putting quality and safety in both process and outcome at the forefront of our efforts. These efforts must be patient and community centered, not just provider centered to achieve an accountable, sustainable and affordable future.Item Physician advocacy: influencing our future(2019-05-03) Solow, BlairItem Physician stewardship of healthcare resources(2013-01-08) Goold, Susan DorrStewardship may be defined as the judicious management of resources that others entrust to one's care. Physicians are entrusted with decision-making authority in health care; decision making that often draws on pooled community resources, whether through private insurance or government programs. Physicians' roles and responsibilities in stewardship are a matter of intense and pressing concern for professional organizations, physicians, policy makers and patients. Most agree that physicians should play a leadership role in controlling costs through, for instance, identifying unnecessary services and developing evidence based practice guidelines. The proper role for physicians as stewards when caring for individual patients "at the bedside," however, remains in dispute. Knowledge of clinical alternatives and of patients' preferences and needs enable physicians to individualize recommendations and minimize harms, unlike decision-makers who are more distant from the bedside. On the other hand, allocation decisions should be transparent and open to critique, and limits on individual patient advocacy could undermine trust. This presentation will first describe and justify existing professional norms and values related to stewardship. Second, it will review existing empirical research on doctors' knowledge, attitudes and behaviors related to practicing within resource constraints and analyze how that evidence compares to existing professional ethical norms and values. Finally, questions will be posed to the attendees about professional ethics, trust and stewardship.Item Proviso partners for health: a model for REAL cultural consciousness(2019-03-12) Hatchett, Lena A.Proviso Partners for Health is a multi-sector coalition convened by the Loyola University Stritch School of Medicine. Over the last three years, our team has established a health and economic opportunity movement with low income communities of color. The vision is to establish sustainable local policies, systems and environmental strategies to promote community health, well-being and equity. The REAL framework for equity includes, 1) resilience, 2) economics, 3) accountability, and 4) love. First, the presentation will introduce our practice of shared power and shared leadership as a vital role for sustainability. Second, trust and relationship building to leverage organizational assets is discussed. The lessons learned will guide ethical analysis of trust and collaboration among cross-sector partners from schools, community, and public health care to explore pathway towards sustainability.Item Serious ethical violations in medicine: dealing effectively with outlier peers(2020-02-11) DuBois, James M.[Note: The video is not available from this event.] This presentation will engage the problem of serious ethical violations in medicine (SEMs). Examples of SEMs include criminal prescribing of controlled substances, performing unnecessary surgeries for profit, and sexually abusing patients. SEMs harm patients, waste scarce resources, and profoundly damage trust in medicine, particularly when institutions are perceived as enabling abuse. Drawing from his NIH-funded study of more than 300 cases of SEMs, DuBois will share findings on the motives and environmental factors that enable violations to occur. While SEMs are relatively rare, the current oversight system is ineffective at preventing repeat instances of SEMs by offenders. DuBois will share consensus recommendations offered by a diverse panel of physician leaders and educators, lawyers, ethicists, and patient advocates, and explore the ethical and practical challenges involved in reforming oversight and disciplinary systems.Item (SYN) biology without borders: understanding the complexities and power of life?(2021-09-14) Kuiken, ToddOne of the many pressing issues the global community will confront in the next decade is whether the arsenal of biotechnologies should be deployed for conservation and environmental protection, or whether they are anathema to nature itself. How did we get to a point where we are contemplating whether to alter the DNA of species to save them from the impacts of humans? Do we really understand the complexities and power of life well enough to control it? Why are we so quick to alter and engineer nature, but so slow and unwilling to alter ourselves to protect it? Emerging biotechnologies, societies and environments are complex. Understanding these complexities requires a convergence of disciplinary study and thinking. Integrating knowledge from a variety of fields, cultures, and ethics. This talk will examine these complexities and how scientists, funders, businesses, regulators, and society at-large are contemplating if, how, and when these emergent biotechnologies should be used.