Delivery of Health Care

Publication Title: 
The Hastings Center Report
Author(s): 
Emery, D. D.
Schneiderman, L. J.
Publication Title: 
Aging (Milan, Italy)

One of the key paradoxes in gerontology is that, despite a higher longevity, aging women experience worse health and longer disability than men. However, there is growing evidence that changes in life-style, medical interventions and systematic screening for certain diseases may substantially reduce the excess risk of major chronic conditions and disability in aging women, and therefore improve the quality of their late life.

Author(s): 
Ferrucci, L.
Benvenuti, E.
Bartali, B.
Bandinelli, S.
Di Iorio, A.
Russo, C. R.
Lauretani, F.
Publication Title: 
Family Planning Perspectives

A survey of the attitudes and practices of general practitioners in Northern Ireland regarding contraception and abortion was carried out in 1994 and 1995 with a randomized sample of 154 physicians. The vast majority of doctors who received requests for contraceptives from their patients fulfilled those request (94%). Overall, 13% of the doctors said a married patient had requested an abortion in the past three months, and 34% had had a similar request from an unmarried patient.

Author(s): 
Francome, C.
Publication Title: 
Social Science & Medicine (1982)

HIV appeared in Ireland following an opiate epidemic in the early 1980s. Initially, however, the gay community mounted the only response to the spread of the virus while the implementation of early actions by the government was hampered by the constructions of the disease within Irish society. This paper considers the influence of the religious hierarchy in both the development of AIDS policy and in the shaping of public perceptions of the disease and those affected.

Author(s): 
Smyth, F.
Publication Title: 
Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health

Four case studies of successfully negotiated affiliations between Catholic and non-Catholic organizations reveal the strategies employed to address a range of reproductive health services.

Author(s): 
Weisman, C. S.
Khoury, A. J.
Cassirer, C.
Sharpe, V. A.
Morlock, L. L.
Publication Title: 
Stanford Law Review

In this note, Katherine A. White explores the conflict between religious health care providers who provide care in accordance with their religious beliefs and the patients who want access to medical care that these religious providers find objectionable. Specifically, she examines Roman Catholic health care institutions and HMOs that follow the Ethical and Religious Directives for Catholic Health Care Services and considers other religious providers with similar beliefs.

Author(s): 
White, K. A.
Publication Title: 
European Journal of Obstetrics, Gynecology, and Reproductive Biology

CONDENSATION: In the Netherlands, regional variations in trends in infant mortality due to perinatal conditions (1984-1994) exist, which could not be explained by health care characteristics (i.e., place or supervision of delivery and the presence of specialised neonatal care). The only sociodemographic factor that showed a consistent correlation with mortality was the percentage of Roman Catholic inhabitants of a region. OBJECTIVE: To describe and explain regional variations in trends in infant mortality due to perinatal conditions.

Author(s): 
Treurniet, H. F.
Looman, C. W.
van der Maas, P. J.
Mackenbach, J. P.
Publication Title: 
Kennedy Institute of Ethics Journal

Bioethics has focused on the areas of individual ethical choices -- patient care -- or public policy and law. There are however, important arenas for ethical choices that have been overlooked. Health care is populated with intermediate arenas such as hospitals, nursing homes, hospices, and health care systems. This essay argues that bioethics needs to develop a language and concepts for institutional ethics. A first step in this direction is to think about institutional conscience.

Author(s): 
Wildes, Keven Wm
Publication Title: 
Kennedy Institute of Ethics Journal

As the twentieth century closes, marked by triumphal strides in medical advances, the American society has yet to ensure that each person has access to affordable health care. To correct this injustice, this article calls on the nation's political and corporate leaders, providers, and faith-based groups to join all Americans in a new national conversation on systemic health care reform.

Author(s): 
Place, Michael D.
Publication Title: 
Christian Bioethics

Government and market forces have fundamentally transformed the religious healthcare sector. Religious healthcare organizations are struggling to define their identities and determine what it is that makes them different and what implications the differences have for the delivery of social services and for public life.

Author(s): 
Cochran, Clarke E.

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