Public Health Ethics: Cases Spanning the Globe
Date
2016Author
H. Barrett, Drue
W. Ortmann, Leonard
Dawson, Angus
Saenz, Carla
Reis, Andreas
Bolan, Gail
Advisor
H. Barrett, Drue
W. Ortmann, Leonard
Dawson, Angus
Saenz, Carla
Reis, Andreas
Bolan, Gail
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Abstract
Public health ethics can be seen both as the application of principles and norms to
guide the practice of public health and as a process for identifying, analyzing, and
resolving ethical issues inherent in the practice of public health. Public health ethics
helps us decide what we should do and why. Although the practice of public health
has always considered ethical issues, the emergence of public health ethics as a
discipline is relatively new. Although rooted in bioethics and clinical and research
ethics, public health ethics has many characteristics that set it apart. The defi ning
characteristics are its focus on achieving social goods for populations while respect-
ing individual rights and recognizing the interdependence of people.
Currently there are few practical training resources for public health practitio-
ners that consider ethical issues and dilemmas likely to arise in the practice of pub-
lic health. In public health ethics training, we have found it advantageous to use
cases to illustrate how ethical principles can be applied in practical ways to decision
making. The use of cases encourages refl ection and discussion of ethics, reinforces
basic ethical concepts through application to concrete examples, highlights practi-
cal decision making, allows learners to consider different perspectives, and sensi-
tizes learners to the complex, multidimensional context of issues in public health
practice. The case-based approach (known as casuistry) contrasts with the theoreti-
cal approach to considering moral principles, rules, and theories. By describing
scenarios, cases allow the learner to use ethical principles in the context of a realis-
tic situation that sheds light on ethical challenges and illustrates how ethical prin-
ciples can help in making practical decisions.
Palabras clave
Public Health; EthicsCreative Commons
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