34. PUBLIC HEALTH ETHICS Flashcards
- An unvaccinated child has MMR and gets Measles. What can be said about the threat that they pose?
- THEY POSE A THREAT TO THEMSELVES AS AN
INDIVIDUAL
- this is because they are dealing with the symptoms of
measles - THEY POSE A THREAT TO PUBLIC HEALTH
- the child can infect others
- the disease can spread
- What pressure does Public Health Ethics place on the Individual?
PUBLIC HEALTH ETHICS:
- imposes some kind of cost on individuals
- this is for the sake of the Public Good
- What Balance to all Doctors have to try and find in this field?
- the balance between looking after the health of the
General Public - and caring for the Individual patient’s needs
- What do Public Health Policies take into consideration?
- INDIVIDUAL LIBERTY
- the autonomy of individuals - EXPECTED UTILITY OF THE POLICY
- this aims to maximise human well being
- it tries to bring about the best outcome for the most
people - JUSTICE
- this aims to make sure that everyone contributes their
fair share to the public good
- the individuals should also be able to receive their fair
share of benefits from Public Health - THE HARM PRINCIPLE
- this justifies why there would be a need to interfere
with the liberty of an individual against their will
- this would only happen to prevent harm to others
- What is the Nuffield Council’s Intervention Ladder?
- it shows the different ways that the Public Health
policies can affect people’s choices - interventions that are higher up on the ladder are
much more intrusive - there needs to be a stronger justification as to why this
is being done to the individual
- What are the levels of the Nuffield Council’s Intervention Ladder?
NB:
- these are ranked from the most severe action to the
least severe
THE LADDER GOES AS FOLLOWS:
- Eliminate Choice
- Restrict Choice
- Guide the choice by disincentives
- Guide the choice by incentives
- Guide the choice by changing the Default Policy
- Enable Choice
- Provide information
- Do nothing
- Define: Communicable Disease Reporting.
- this is a measure that is done when a patient has a
disease that is dangerous and contagious
DOCTOR-PATIENT CONFIDENTIALITY MUST BE BROKEN:
- the disease needs to be reported
- it has to be reported to the Health Department
- the patient’s disease should only be reported to those
who must have access to this information to save the
public from harm
- What are some examples of Notifiable Diseases?
- Covid 19
- Smallpox
- Measles
- Rabies
- What aspects need to be covered when we deal with a Health Promoting measure?
- THE ULTIMATE GOALS
- for Public Health practice need to be decided on - THE METHOD
- that will be used to distribute this Health promoting
Measure in the Population - THE MEANS THAT CAN BE USED
- to achieve this measure and promote it - THE COST-EFFECTIVENESS OF THE MEASURE
- THE INTERFERENCE THAT THIS MEASURE HAS WITH
FREE CHOICE
- Does Equality result in Equity?
- not always
- What methods can we use to educationally promote health in Primary Care Clinics?
- posters
- leaflets
- educational sessions
- What methods can we use to promote Well-being in Primary Care Clinics?
- life style counselling
- What methods can we use to promote Prevention in Primary Care Clinics?
- Vaccination
- Screening
- Behaviour Changes
- Stopping Health-Harming Habits
- What methods can we use to promote Policy in Primary Care Clinics?
- Creating Breast-feeding friendly spaces
- Creating Tobacco-free Zones
- Advocating for specific policies
- What is an example of Advocacy?
- using certain Legislation to promote health
EXAMPLE:
- there was a prohibition of advertising specific junk
food related content on TV
- this was aimed at preventing childhood obesity
- this was put into place in 2007
- Answer this question.
C.
