Maintaining Integrity in Times of Scarse Resources
Part of the International Library of Ethics, Law, and the New Medicine book series (LIME, volume 26)
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KeywordsHealth Care System Medical Practice World View Cost Containment Professional Character
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- 1.This term is derived from Williamson O.E., (1989), The economic institutions of capitalism, New York, who introduced the term governance structures. A governance instrument is a measure at the meso-or macro-level taken by the government or other actors in health care to bring about changes in the functioning of the health care system.Google Scholar
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- 4.For the difference between goal and finality see: Dooyeweerd H. (1953-1958), A new critique of theoretical thought. Amsterdam/Philadelphia: The Presbyterian and Reformed Publishing Company, vol. III p.570, 571.Google Scholar
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- 7.See for example Unschuld, PU. Professionalisierung und ihre Folgen. In: Schipperges H, Seidler E, Unschuld PU. (eds). Krankheit, Heilkunst, Heilung. Freiburg/München 1978: p.519,520. Unschuld concludes that the central meaning of the concept of profession is the pursuit of the selfless rendering of a public service and the independence in practicing the work typical for the particular profession.Google Scholar
- 9.Cf. Puolimatka T. (1989), Moral realism and justification. Helsinki: Suomalainen Tiedeakatemia, p.143–154. Puolimatka defines benevolence as “a normative attitude which regards the well-being of others as intrinsically valuable”, p.144.Google Scholar
- 11.Figure 2 is based on literature on the characteristics of economic systems. See, for instance Gregory PR, Stuart RC, Comparative Economic Systems. Boston: Houghton Mifflin Company, 1989.Google Scholar
- 12.In addition to efficiency arguments ideals of liberty are important, cf.:R.E. Moffit.(1994), Personal freedom and responsibility: the ethical foundations of a market-based health care reform. The Journal of Medicine and Philosophy, vol.19:471–81.Google Scholar
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