Valuing Healthcare Improvement: Implicit Norms, Explicit Normativity, and Human Agency.
I argue that greater attention to human agency and normativity in both researching and practicing service improvement may be one strategy for enhancing improvement science, illustrating with examples from cancer screening. Improvement science tends to deliberately avoid explicit normativity, for par...
| Publicado en: | Health Care Analysis Vol. 26; no. 2; pp. 189 - 206 |
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| Formato: | Artículo |
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Springer Nature
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=129076687&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 129076687 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10653058 OFZ jtl: Health Care Analysis issn: 10653058 maglogo: N pubinfo: dt: Jun2018 vid: 26 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 129076687 10.1007/s10728-017-0350-x ppf: 189 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P size: 387KB tig: atl: Valuing Healthcare Improvement: Implicit Norms, Explicit Normativity, and Human Agency. aug: au: Carter, Stacy M. affil: Sydney Health Ethics, The University of Sydney, 2006, Camperdown, NSW, Australia su: Medical ethics Medical quality control Health policy Social values Patient participation Health literacy Quality assurance Evidence-based medicine Early detection of cancer sug: subj: Medical ethics Medical quality control Health policy Social values Patient participation Health literacy Administration of Public Health Programs Quality assurance Evidence-based medicine Early detection of cancer keyword: Cancer screening Community participation Ethics Evidence based medicine Implementation science Improvement science Knowledge translation Cancer screening Community participation Ethics Evidence based medicine Implementation science Improvement science Knowledge translation ab: I argue that greater attention to human agency and normativity in both researching and practicing service improvement may be one strategy for enhancing improvement science, illustrating with examples from cancer screening. Improvement science tends to deliberately avoid explicit normativity, for paradigmatically coherent reasons. But there are good reasons to consider including explicit normativity in thinking about improvement. Values and moral judgements are central to social life, so an adequate account of social life must include these elements. And improvement itself is unavoidably normative: it assumes that things could and should be better than they are. I seek to show that normativity will always be implicated in the creation of evidence, the design of programs, the practice of healthcare, and in citizens’ judgements about that care, and to make a case that engaging with this normativity is worthwhile. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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