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" Si les médecins pouvaient passer une radio de ma vie, ils comprendraient ce que j'ai dans le corps. " Ce cri lancé par une femme très pauvre résume ce que François-Paul Debionne partage dans cet ouvrage. Les politiques de santé cherchent en effet de plus en plus à répondre aux situations de pauvreté. Mais suffit-il de créer un SAMU social ou d'instaurer la Couverture maladie universelle pour faire de la santé un droit pour tous ? Qu'en est-il du droit de chacun à devenir acteur de sa santé ? Médecin de santé publique, l'auteur raconte ici l'engagement qu'a provoqué sa découverte de la misère. Cinq années comme médecin généraliste dans un quartier défavorisé l'ont convaincu de la nécessité d'apprendre des personnes très pauvres ce qui conditionne leur accès à la santé et ce qui leur permet d'agir avec d'autres pour sa promotion. Il a en même temps compris que lorsqu'on vit dans la misère, on ne peut vraiment se fier qu'à des professionnels refusant avec vous l'ensemble des privations qui étouffent votre vie. Il n'a eu alors de cesse d'entrer en dialogue, au niveau régional, national et international, avec les professionnels de la santé comme avec les responsables publics et des citoyens de tous horizons pour faire avancer le droit de tous à la santé. En partageant son expérience et sa réflexion, il invite chacun à prendre part au combat pour rendre effectif le respect de l'égale dignité de tous.
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toegang tot de gezondheidszorg --- patiëntenrechten (rechten van de patiënt) --- gezondheidseconomie (gezondheidszorgeconomie) --- accès aux soins de santé --- droits du patient (droits des malades) --- économie de la santé (économie des soins de santé) --- Medical care --- Patients --- Medical laws and legislation --- Patients' rights --- Law and legislation --- Legal status, laws, etc
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Les ressources allouées à la médecine et aux soins sont limitées. Or, face aux limites, la soif de nos contemporains en matière de santé semble croître de façon exponentielle.Comment concilier cette soif avec nos obligations envers les pauvres, les vieillards, les personnes handicapées ? Comment orienter les choix politiques et économiques de gestion de la santé, en conciliant justice et charité ? Comment être de bons Samaritains au XXIe siècle ?Les contributions qui figurent dans ce livre sont, pour l'essentiel, de spécialistes éminents de questions de santé, ainsi que de philosophes et théologiens moralistes.
toegang tot de gezondheidszorg --- rechtvaardigheid (rechtvaardigheidsprincipe, distributieve rechtvaardigheid) --- gezondheidseconomie (gezondheidszorgeconomie) --- socio-economische aspecten (socio-economische factoren) --- accès aux soins de santé --- justice (principe de justice, justice distributive, justice sociale) --- économie de la santé (économie des soins de santé) --- aspects socio-économiques (facteurs socio-économiques) --- Conferences - Meetings
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The aim of "The Ethical Challenges of Ageing" is to bring together some of the most significant contributions to the Fourth International Congress on Ethics that took place from 23 March 2011 to 26 March 2011 in Strasbourg. The Congress was organized by the University of Strasbourg European Centre for Ethics Teaching and Research (CEERE), in collaboration with the Universities of Lausanne, Geneva and Amsterdam, and under the patronage of Thorbjørn Jagland, Secretary General of the Council of Europe, and Roselyne Bachelot, French Minister of Solidarity and Social Cohesion, with the involvement of Philippe Richert, French Minister with responsibility for local government and President of the Alsace Regional Council, and the support of several other organizations. This edition includes a number of contributions from the Fourth JIE and associated activities. All the papers can be viewed on the website (www.ethique-alsace.unistra.fr; see video on Canal Ethique/CanalC2 under "Dans la série: Centre Européen d'Enseignement et de Recherche en Ethique"; direct link: http://www.canalc2.tv/video.asp?idEvenement=569), and will help stimulate a debate that is in no doubt about its objective. It displays all the colours of the autumn, from the brightest to the darkest. It deconstructs the concept of old age with a view to clarifying issues raised by different forms of practice and by representations concerned with older people.
ouderenzorg --- toegang tot de gezondheidszorg --- ouderdom --- veroudering (verouderingsproces) --- dementie (Alzheimer, ouderdomsdementie) --- levensverwachting (levensduur) --- levenseinde (einde van het leven, levenseindebeslissing) --- levenskwaliteit --- discriminatie --- ethiek (ethische aspecten) --- vergrijzing (veroudering van de bevolking) --- soins aux personnes âgées --- accès aux soins de santé --- vieillesse --- vieillissement --- démence --- espérance de vie (longévité, durée de vie) --- fin de vie (décision de fin de vie) --- qualité de vie (années de vie ajustées sur la qualité) --- discrimination --- ethique (aspects ethiques) --- viellissement de la population (viellissement démographique)
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Human rights --- Basic rights --- Burgerrechten --- Civil liberties --- Civil rights --- Constitutional rights --- Droits civils --- Droits fondamentaux --- Fundamental rights --- Grondrechten --- Rights [Civil ] --- Droits de l'homme (Droit international) --- Droits de l'homme --- Human rights. --- Human rights--Europe. --- mensenrechten (rechten van de mens) --- menswaardigheid (waardigheid) --- toegang tot de gezondheidszorg --- 34 <082> --- droits de l'homme --- dignité humaine --- accès aux soins de santé --- Rechtswetenschappen.--Feestbundels. Festschriften --- 34 <082> Rechtswetenschappen.--Feestbundels. Festschriften --- Human Rights. --- Civil rights (International law) --- Rights, Human --- Rights of man --- Human security --- Transitional justice --- Truth commissions --- Law and legislation --- Marcus Helmons, Silvio. --- Europe
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This collection of articles, mostly by philosophers, but including two doctors and an economic historian, is intended as a contribution to applied ethics and medical ethics. The articles tackle two questions: how can the autonomy of the elderly be increased, and how can a just proportion of medical resources be secured for them? The seven articles dealing with the first question apply work in the theory of ethics on the nature and limits of autonomy to the particular case study of the elderly: there are a number of detailed conclusions about what can and should be done, and a general consensus that, while the right to die with dignity is important, even more important is the improvement of the quality of life. The seven articles dealing with resources examine the problems created by an ageing population and the arguements for discriminating against the elderly: the main conclusions is that none of these arguments are sound or convincing. Overall the book seeks to make both a theoretical and a practical contribution to this field.
#GBIB:CBMER --- ouderdom --- bejaarde --- recht op gezondheidszorg --- rechtvaardigheid (rechtvaardigheidsprincipe, distributieve rechtvaardigheid) --- non-discriminatie (discriminatie) --- autonomie van de patiënt --- toegang tot de gezondheidszorg --- ethiek (ethische aspecten) --- vieillesse --- personne agée --- droit aux soins de santé --- justice (principe de justice, justice distributive, justice sociale) --- non-discrimination (discrimination) --- autonomie du patient --- accès aux soins de santé --- ethique (aspects ethiques) --- Aging --- Autonomy (Psychology) in old age --- Older people --- Medical care --- Moral and ethical aspects --- Services for --- Aged --- Aging people --- Elderly people --- Old people --- Older adults --- Older persons --- Senior citizens --- Seniors (Older people) --- Age groups --- Persons --- Gerontocracy --- Gerontology --- Old age --- Age --- Ageing --- Senescence --- Developmental biology --- Longevity --- Age factors in disease --- Psychology --- Physiological effect
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The population is rapidly aging while access to proper and affordable medical treatment is becoming more and more limited. This impasse challenges us to make ethical decisions regarding the rationing of health care. Arguing that de facto rationing is already taking place due to economic necessity and that proper management of this rationing is essential to the fair and ethical treatment of all seeking care, Choosing Who's to Live directly addresses one of the most challenging moral questions of our day. Appearing in the wake of increasing awareness of health care reform, this volume identifies four compelling arguments for managed health care rationing: the number of citizens over age eighty-five will increase 500 percent by the year 2040; current baby boomers could live longer than today's elderly by seven to fifteen years; new medical technologies are appearing every day; and the ratio of workers to retirees will be 1:4 in forty years instead of the current 1:2.5.In this volume, six leading scholars take the discussion of rationing health care beyond the simple idea of withholding government-funded, life-saving treatment from the very old to a more ethical, effective treatment plan for all.
toegang tot de gezondheidszorg --- gezondheidseconomie (gezondheidszorgeconomie) --- vergrijzing (veroudering van de bevolking) --- accès aux soins de santé --- économie de la santé (économie des soins de santé) --- viellissement de la population (viellissement démographique) --- Health care rationing. --- Health care rationing --- Older people --- Aged --- Aging people --- Elderly people --- Old people --- Older adults --- Older persons --- Senior citizens --- Seniors (Older people) --- Age groups --- Persons --- Gerontocracy --- Gerontology --- Old age --- Health resources rationing --- Medical care rationing --- Rationing of health care --- Rationing of medical care --- Medical economics --- Medical policy --- Rationing --- Medical care&delete& --- Economic aspects --- Moral and ethical aspects --- Medical care --- Economic aspects. --- Moral and ethical aspects.
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This volume is the result of a conference sponsored by the Medical Alumni Association of the University of California, Davis and held in Sacramento, California, in January, 2000, The purpose of this conference was to examine the impact ofvarious health care structures on the ability of health care professionals to practice in an ethically acceptable manner. One of the ground assumptions made is that ethical practice in medicine and its related fields is difficult in a setting that pays only lip service to ethical principles. The limits of ethical possibility are created by the system within which health care professionals must practice. When, for example, ethical practice necessitates—as it generally does—that health care professionals spend sufficient time to come to know and understand their patients’ goals and values but the system mandates that only a short time be spent with each patient, ethical practice is made virtually impossible. One of our chief frustrations in teaching health care ethics at medical colleges is that we essentially teach students to do something they are most likely to find impossible to do: that is, get to know and appreciate their patients’ goals and values. There are other ways in which systems alter ethical possibilities. In a system in which patients have a different physician outside the hospital than they will inside, ethical problems have a different shape than if the treating physician is the same person.
Medical ethics --- Medical economics --- Social medicine --- Ethique médicale --- Economie de la santé --- Médecine sociale --- Congresses. --- Congrès --- Social medicine. --- #GBIB:CBMER --- gezondheidszorg --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidseconomie (gezondheidszorgeconomie) --- toegang tot de gezondheidszorg --- ethiek (ethische aspecten) --- cultuur (culturele aspecten) --- Medical care --- Medical sociology --- Medicine --- Medicine, Social --- Public health --- Public welfare --- Sociology --- Medical sociologists --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Bioethics --- Professional ethics --- Nursing ethics --- Economics, Medical --- Health --- Health economics --- Hygiene --- soins de santé --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- économie de la santé (économie des soins de santé) --- accès aux soins de santé --- ethique (aspects ethiques) --- culture (aspects culturels) --- Social aspects --- Moral and ethical aspects --- Economic aspects --- Medical ethics. --- Ethics. --- Management. --- Theory of Medicine/Bioethics. --- Administration --- Industrial relations --- Organization --- Deontology --- Ethics, Primitive --- Ethology --- Moral philosophy --- Morality --- Morals --- Philosophy, Moral --- Science, Moral --- Philosophy --- Values
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Roman Catholic moral theology is the point of departure for this multifaceted exploration of the challenge of allocating scarce medical resources. This volume begins its exploration of discerning moral limits to modern high-technology medicine with a consensus statement born of the conversations among its contributors. The seventeen essays use the example of critical care, because it offers one of the few areas in medicine where there are good clinical predictive measures regarding the likelihood of survival. As a result, the health care industry can with increasing accuracy predict the probability of saving lives - and at what cost. Because critical care involves hard choices in the face of finitude, it invites profound questions about the meaning of life, the nature of a good death, and distributive justice. For those who identify the prize of human life as immortality, the question arises as to how much effort should be invested in marginally postponing death. In a secular culture that presumes that individuals live only once, and briefly, there is an often-unacknowledged moral imperative to employ any means necessary to postpone death. The conflict between the free choice of individuals and various aspirations to equality compounds the challenge of controlling medical costs while also offering high-tech care to those who want its possible benefits. It forces society to confront anew notions of ordinary versus extraordinary, and proportionate versus disproportionate, treatment in a highly technologically structured social context. This cluster of discussions is enriched by five essays from Jewish, Orthodox Christian, and Protestant perspectives. Written by premier scholars from the United States and abroad, these essays will be valuable reading for students and scholars of bioethics and Christian moral theology.
Medical ethics. --- Christian ethics --- Catholic authors. --- 241.63*2 --- Medical ethics --- -gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidseconomie (gezondheidszorgeconomie) --- toegang tot de gezondheidszorg --- spoedgevallen (triage) --- ethiek (ethische aspecten) --- moraaltheologie --- theologische ethiek --- katholicisme --- jodendom (judaïsme) --- orthodox christendom --- protestantisme --- Ethical theology --- Moral theology --- Theology, Ethical --- Theology, Moral --- Christian life --- Christian philosophy --- Religious ethics --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Theologische ethiek: medische ethiek: dokter; verpleegster; ziekenhuis --- Catholic authors --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- économie de la santé (économie des soins de santé) --- accès aux soins de santé --- urgences (triage) --- ethique (aspects ethiques) --- théologie morale --- éthique théologique --- catholicisme --- judaïsme --- christianisme orthodoxe --- Moral and ethical aspects --- 241.63*2 Theologische ethiek: medische ethiek: dokter; verpleegster; ziekenhuis --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Christian ethics - Catholic authors.
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Medical ethics. --- Ethics, Medical --- bio-ethiek (medische, biomedische ethiek, bio-ethische aspecten) --- ethische theorie --- abortus (vrijwillige zwangerschapsafbreking) --- pasgeborene (zuigeling, neonatus, pasgeboren kind) --- euthanasie --- ras en gender --- aids (HIV) --- arts-patiëntrelatie --- ethiek van het onderzoek (onderzoeksethiek) --- genetica (genen) --- reproductieve technologie (voortplantingstechnologie, medisch begeleide voortplanting, MBV, artificiële voortplanting, kunstmatige voortplanting) --- toegang tot de gezondheidszorg --- bioéthique (éthique médicale, biomédicale, aspects bioéthiques) --- théorie éthique --- avortement (interruption volontaire de grossesse, IVG) --- nouveau-né --- race et genre --- sida (VIH) --- relation médecin-patient --- éthique de la recherche --- génétique (gènes) --- technique de reproduction (technique de procréation, procréation médicalement assistée, PMA, procréation artificielle) --- accès aux soins de santé --- Medical ethics --- Biomedical ethics --- Clinical ethics --- Health care ethics --- Medical care --- Medicine --- Moral and ethical aspects --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Ethics, Medical - collected works.
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