The ethical imperative to move to a seven-day care model

Bell, Anthony, McDonald, Fiona and Hobson, Tania (2016) The ethical imperative to move to a seven-day care model. Journal of Bioethical Inquiry, 13 2: 251-260. doi:10.1007/s11673-016-9708-2

Author Bell, Anthony
McDonald, Fiona
Hobson, Tania
Title The ethical imperative to move to a seven-day care model
Journal name Journal of Bioethical Inquiry   Check publisher's open access policy
ISSN 1872-4353
Publication date 2016-02-16
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s11673-016-9708-2
Open Access Status Not Open Access
Volume 13
Issue 2
Start page 251
End page 260
Total pages 10
Place of publication Dordrecht, Netherlands
Publisher Springer Netherlands
Language eng
Subject 3306 Health (social science)
2719 Health Policy
Abstract Whilst the nature of human illness is not determined by time of day or day of week, we currently structure health service delivery around a five-day delivery model. At least one country is endeavouring to develop a systems-based approach to planning a transition from five- to seven-day healthcare delivery models, and some services are independently instituting program reorganization to achieve these ends as research, amongst other things, highlights increased mortality and morbidity for weekend and after-hours admissions to hospitals. In this article, we argue that this issue does not merely raise instrumental concerns but also opens up a normative ethical dimension, recognizing that clinical ethical dilemmas are impacted on and created by systems of care. Using health policy ethics, we critically examine whether our health services, as currently structured, are at odds with ethical obligations for patient care and broader collective goals associated with the provision of publicly funded health services. We conclude by arguing that a critical health policy ethics perspective applying relevant ethical values and principles needs to be included when considering whether and how to transition from five-day to seven-day models for health delivery.
Keyword Delivery of healthcare
Ethics, institutional
Healthcare ethics
Healthcare reform
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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