Hodges' Model: Welcome to the QUAD: compliance

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label compliance. Show all posts
Showing posts with label compliance. Show all posts

Monday, September 04, 2017

Ethical concerns: Four principles approach (in Hodges' model)

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
autonomy
non-maleficence
beneficence
justice


Noordraven, E.L., Maartje H. N. Schermer, M.H.N., Blanken, P., Mulder, C.L. & Wierdsma, A.I. (2017). Ethical acceptability of offering financial incentives for taking antipsychotic depot medication: patients’ and clinicians’ perspectives after a 12-month randomized controlled trial. BMC Psychiatry, 17: 313. https://doi.org/10.1186/s12888-017-1485-x

Priebe, S., Bremner, S.A., Lauber, C., Henderson, C. & Burns, T. (2016). Financial incentives to improve adherence to antipsychotic maintenance medicationin non-adherent patients: a cluster randomised controlled trial. Health Technology Assessment, 20 (70). pp. 1-122. ISSN 1366-5278 DOI: 10.3310/hta20700

My source:

Gillon (below) highlights a debate that is ongoing and even more acute given the ethical challenges of today. Interesting also that in 1994 attention to scope could provide a level of assurance(?):

Gillon, R. Medical ethics: four principles plus attention to scope. BMJ. 1994;309(6948):184–8.


Tuesday, October 11, 2016

Diagnosing Corruption in Healthcare - new Transparency International publication

Dear All,

Corruption has become prevalent in healthcare to the point that it is normalised. From the politician to the patient, individuals routinely place their own private interests above public health goals and patient health outcomes. That was the conclusion from speaking to thirty public health experts and anti-corruption specialists across the globe, as part of our most recent research project.

Our earlier research had shown that those working in the healthcare sector have a low understanding of corruption. Previous attempts at providing an overview of the types of corruption in the sector, while providing an excellent resource for those dedicated to the subject, had been complex and lacked comprehensiveness. Our new publication Diagnosing Corruption in Healthcare [http://www.transparency.org.uk/publications/diagnosing-corruption-in-healthcare/], which we launched at the opening session of the World Health Summit yesterday, aims to bring all the relevant information into one space. We have produced a "map" of corruption in healthcare that contains 37 types of corruption that are clustered into eight areas in health systems.

On our new website ti-health.org you can explore the map fully. Take a look at the explanations of each type of corruption, understand better how they occur in practice by examining some case studies, and if you still want to learn more there are links to other resources on the web.

Please also note that we will be publishing an eight-episode podcast series. Each episode will cover one of the eight corruption categories identified in our research. The first episode will be published this Wednesday, providing an introduction to corruption in healthcare and exploring how corruption can occur in the high-level governance of a health system.

We hope that those working in the healthcare sector, from doctors and nurses to company compliance officers and directors, will be able to use this "map" to better understand the corruption risks in the work. We also hope this map will prompt policy makers, in the public health and anti-corruption fields, to tackle this formidable challenge that endangers health outcomes around the world.

Best wishes,

Sophie

Sophie Peresson
Director
Pharmaceuticals & Healthcare Programme
Transparency International UK

Be GREEN, keep it on the SCREEN
Healthcare. Environment. Media. Education. Business. #TransparencyMatters to us all. Tell us your story here .

HIFA profile: Sophie Peresson is Director of the Pharmaceutical & Healthcare Programme, Transparency International, UK. Email address: sophie.peresson AT transparency.org.uk

My source: HIFA: Healthcare Information For All: www.hifa.org

Sunday, May 23, 2010

63rd World Health Assembly unanimously adopts the WHO global Code of practice on the international recruitment of health personnel

Dear HIFA2015 colleagues,

Please find below a press release from the Global Health Workforce Alliance. In the words of Dr Mubashar Sheikh, GHWA Executive Director: "The world is now a significant step closer to ensuring health workers are available and accessible to all".

WHO/Jess HoffmanPRESS RELEASE: 'Sixty-third World Health Assembly unanimously adopts the WHO global Code of practice on the international recruitment of health personnel. Alliance members and partners applaud Member States. The Alliance 21/05/2010.

[Photo: WHO/Jess Hoffman. Dr Pierre François Unger, State Councillor of the Canton of Geneva, addresses delegates at the opening of the Sixty-third World Health Assembly.]

'Geneva, 21 May 2010 - In a historic move today, the Sixty-third World Health Assembly unanimously passed a resolution to adopt the voluntary WHO global Code of practice on the international recruitment of health personnel. With this step, the world's nations acknowledge the global dimension and complexities of the health workforce crisis and the interconnected nature of both the problems and the solutions.

'With this resolution, Member States commit themselves to the voluntary principles and practices for the ethical international recruitment of health personnel taking into account the responsibilities and rights of source and destination countries, other stakeholders, and those of the migrant health personnel themselves. The Code provides ethical principles applicable to the international recruitment of health personnel in a manner that strengthen the health systems of developing countries.

'A drafting committee was established on the first day of the Assembly and after three days of negotiations, stayed up till 4:30 am on Thursday, 20 May 2010 to seek consensus on a draft resolution that retained the principles and spirit of the Code while also representing a way forward for all countries.

'The draft was unanimously accepted at the tenth session of Committee A late evening on 20 May 2010 and brought long awaited joy and celebration to the many organizations and individuals, campaigners and professionals, institutions and Member States who had been working tirelessly since the last three years to see a meaningful and equitable resolution on the Code be adopted at the World Health Assembly.

'"The process was not always easy, but there was commitment from all Member States to see a resolution adopted. This helped to keep the process moving and the results are there to see" says Alliance Board member, Bjarne Garden, Assistant Director, Global Health and AIDS Department, NORAD, a member of the Norwegian delegation.

'"This brings to fruition the pioneering work seeded by the Alliance three years ago with the creation of the Health Worker Migration Initiative bringing together the Health Worker Migration Global Policy Advisory Council and WHO led team of technical experts. It is the result of the work of multiple stakeholders who have effectively rallied around together. The world is now a significant step closer to ensuring health workers are available and accessible to all", says Dr Mubashar Sheikh, Executive Director, Global Health Workforce Alliance.

'World Health Organization (WHO) has played a key role in coordinating the process. "The Code sets out a roadmap for implementation. Within 2 years WHO will provide guidance to countries on monitoring implementation of the Code, and then report to the Assembly on the progress against implementation. The Code is voluntary, but progress on implementation will be monitored and reviewed" explained Dr Manuel Dayrit, Director, WHO department of Human Resources for Health.

'Health personnel migration has been a clearly identified priority for the Alliance since its inception. During the First Global Forum on Human Resources for Health in March 2008, the Alliance endorsed the Kampala Declaration and Agenda for Global Action, which sparked broad interest in the creation of the Code.

'Progress on the code has been achieved as a result of consultations and discussions, particularly at all six WHO Regional Committees and national consultations, involving participation by a wide range of stakeholder groups. The UN ECOSOC meeting and the G8 Summit in July 2009, and the UN General Assembly in December 2009 had strongly supported and encouraged WHO to move forward in finalizing the draft code of practice. The 126th Session of the WHO Executive Board, January 2010, had discussed a revised draft of the Code and recommended that it be submitted to the 63rd World Health Assembly.

'At this momentous milestone, the Alliance and WHO call upon Member States and all its partners to reinforce its spirit of working together as they now gear up to implementing the code. The Alliance remains committed to facilitating the process and supporting sharing of information among Member States and all stakeholders.'

The Draft Resolution, dated 20 May 2010, is available here:
http://www.who.int/workforcealliance/knowledge/themes/migration/wha_A63_A_Confpaper_11.pdf

Key elements of the draft code (as described in The Lancet, 15 May) are:

  • Establishment of voluntary global standards for ethical international recruitment of health personnel, balancing rights and obligations of source states, destination states, and health personnel.
  • Promotion of coordination of national policies and international cooperation among states and their partners in health professions and civil society.
  • Recommendation that states strive to meet their domestic needs for health services with their own human resources through planning, education, and training for health workforce.
  • Recommendation that states ensure that international migration should have net positive effect on developing countries through technical assistance, support for health personnel training and retention, twinning of health facilities, and specialised technology and skills transfers.
  • Recommendation that states establish voluntary financial mechanisms to support efforts of developing countries to strengthen health systems.
  • Recommendation that states protect rights of migrant health workers through fair labour practices. In all terms of employment and conditions of work, migrant health personnel should enjoy same legal rights and responsibilities as domestically trained health workforce, without discrimination.
  • Recognition that health personnel have ethical responsibilities to cooperate with local authorities in interests of patients, health systems, and society.
  • Recommendation for national data collection and information exchange on health personnel migration, including establishment of national centre for information exchange, expansion and coordination of national research, and periodic reporting to WHO.
  • Promotion of compliance through periodic state reporting to WHA of measures taken to implement the code; and recommendation that WHA periodically reviews the code's implementation with input from non-governmental sources.
Allyn L Taylor & Lawrence O Gostin. International recruitment of health personnel. The Lancet, 375(9727)1673-1675, 15 May 2010
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2960596-X/fulltext?_eventId=login&&version=printerFriendly
(free access after free registration)


My source: HIFA2015 with photo addition