Refining and implementing the Tavistock principles for everybody in health care Commentary: Justice in health care a response to Tavistock
| Autor: | D. Berwick, F. Davidoff, H. Hiatt, R. Smith, D. M Mirvis, J. E Bailey |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
business.industry Public health General Engineering General Medicine Patient advocacy Ethical debate Work (electrical) Multidisciplinary approach Health care Openness to experience medicine General Earth and Planetary Sciences Engineering ethics business General Environmental Science Ethical code |
| Zdroj: | BMJ. 323:616-620 |
| ISSN: | 1468-5833 0959-8138 |
| Popis: | Refining and implementing the Tavistock principles for everybody in health care {#article-title-2} The ethicist Will Gaylin argued that healthcare reform often fails because it attempts technical solutions to ethical problems.1 Agreeing with this position, the Tavistock Group tried to develop ethical principles that might be useful to everybody involved in health care.2–6 They were intended for those who are responsible for the healthcare system, those who work in it, and those who use it. This article describes the origins of the principles, discusses the thinking behind them, considers how they might be used, provides case studies, and reflects on where the venture might go now. #### Summary points The problems of health systems are in the last analysis ethical. Who will live, who will die, and who will decide and how? The ethical codes of individual professions may be divisive rather than helpful The Tavistock principles are intended to provide an ethical compass for all those involved in health care, including patients and owners of health systems The principles cover rights, balance, comprehensiveness, cooperation, improvement, safety, and openness Experience of using the principles is limited and not always encouraging; research is under way on how to implement and “validate” them The idea that it might be useful to develop ethical principles for everybody involved in health care stemmed from the recognition that much of health care is multidisciplinary yet ethical codes usually cover only one discipline.2 The codes may thus be used as ammunition in interdisciplinary battles rather than as tools to think about deep problems. We advanced the idea of developing ethical principles for everybody in the BMJ in 19972 and then convened a group to develop some principles. The Tavistock Group, a collection of people with long experience of health care and ethical debate, developed the principles, which they published in 1999. 3 4 The principles are … |
| Databáze: | OpenAIRE |
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