The ethical imperative to move to a seven-day care delivery model

Bell, Anthony, McDonald, Fiona, & Hobson, Tania (2016) The ethical imperative to move to a seven-day care delivery model. Journal of Bioethical Inquiry, 13(2), pp. 251-260.

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Whilst the nature of human illness is not determined by time of day or day of week, we currently structure health service delivery in this way around a five-day delivery model. At least one country is endeavouring to develop a systems based approach to planning a transition from five to seven day health care delivery models and some services are independently instituting program reorganisation to achieve these ends as research, amongst other things, highlights increased mortality and morbidity for weekend and after hours admissions to hospitals. In this article, we argue that this issue does not merely raise instrumental concerns but also opens up a normative ethical dimension, recognising that clinical ethical dilemmas are impacted on and created by systems of care. Using health policy ethics, we critically examine whether our health services, as currently structured, are at odds with ethical obligations for patient care and broader collective goals associated with the provision of publicly funded health services. We conclude by arguing that a critical health policy ethics perspective applying relevant ethical values and principles needs to be included when considering whether and how to transition from five-day to seven-day models for health delivery.

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ID Code: 96462
Item Type: Journal Article
Refereed: Yes
Keywords: Ethics, Seven-day health care delivery model, Health care reform, Health policy
DOI: 10.1007/s11673-016-9708-2.
ISSN: 1872-4353
Subjects: Australian and New Zealand Standard Research Classification > LAW AND LEGAL STUDIES (180000) > OTHER LAW AND LEGAL STUDIES (189900) > Law and Legal Studies not elsewhere classified (189999)
Australian and New Zealand Standard Research Classification > PHILOSOPHY AND RELIGIOUS STUDIES (220000) > APPLIED ETHICS (220100) > Bioethics (human and animal) (220101)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > QUT Faculties and Divisions > Faculty of Law
Current > Research Centres > Australian Centre for Health Law Research
Current > Schools > School of Law
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2016 Springer
Deposited On: 30 Jun 2016 04:01
Last Modified: 03 Jul 2016 06:36

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