This report explores the principles of ethics and law in public health, including justice, beneficence, non-maleficence, autonomy, efficiency, fidelity, and individual rights.
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Running Head: Issues of Public Health0 Issues of Public Health September 7 2019
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Issues of Public Health1 Table ofContents Introduction......................................................................................................................................2 Public Health...................................................................................................................................2 Principles of Ethics and Law in Public Health................................................................................2 Justice..........................................................................................................................................2 Beneficence..................................................................................................................................3 Non-Maleficence.........................................................................................................................3 Autonomy....................................................................................................................................4 Efficiency.....................................................................................................................................4 Fidelity.........................................................................................................................................4 Individual Rights.............................................................................................................................5 Conclusion.......................................................................................................................................5 References........................................................................................................................................6
Issues of Public Health2 Introduction The report is completely based upon the ethic in public health; the main aim is to understand the principles of ethical laws which are implemented in public health.Ethics in the public health have been used with the six different principles this report all the principles will be defined briefly. The principles which are categorized have their own specific purpose but at some stages, these principles violate the laws. However, these principles were designed to provide support the Law in the report the violation of law will be briefly explained with the suitable example. In healthcare sector every individual has his/her for safety; these rights protect from different consequences. Public Health The term public health can be explained that the medium to protect the health of the population. The health professionals continuously try to prevent the risk factors from arising and with the help of different health programs, explaining the policies, conducting research they motivate people to maintain the healthy lifestyle(Tacconelli, & Pezzani, 2019). A major part of public health care has focused on equity, quality, and responsibility. The fields which are the part of public health are described below: Principles of Ethics and Law in Public Health Generally, the laws are designed by considering the moral values of the specific society, by the support of these laws the basic behavior of human beings can be described. The minimum standards of the human behavior are represented by through laws i.e. ethical behavior. The ethical principle and laws help human society to maintain moral values as well as motivates people to follow them instead of violating. These are the guidelines through which an individual can understand about activity that is to be performed or not to performed. Justice According to this principle, there should be transparency and equality in the medical decision, it will help to distribute the resources and new treatments equally amongst everyone. This principle also helps the medical practitioners while making the choices for the validation of laws and legislation(Lee, 2019). The Elder Justice Act was proposed for defining the quality continence care for older adults. This act is basically fulfilling the requirement of Ethical
Issues of Public Health3 principle of Justice which states to treat everyone equally. This act was proposed for the adult who has the age of 60 years or more and detected with the concerns of abuse and inequality. Consolidated Omnibus Budget Reconcilation Act of 1985announced to provide health coverage to the employee who has faced the issue of job loss. The employee who was associated with private companies is eligible for this benefit. Those who work for the companies of federal government or the organization related to church are not liable to get the benefit from this Act. Beneficence This principle states that every patient of the health care provider must receive the benefit in any situation. The procedures or the treatments which are performed with the patient must be done with good intentions. It is the responsibility of the medical practitioner that they must have entire knowledge and skills to conduct any treatment(Ungchusak, Heymann, & Pollack, 2019). They must perform their training under the latest and good medical practices.The Consumer Benefit Actwhich was proposed in 1986 is interconnected with the Beneficence as it states to defend the patients to get the service and care from health care organization in worst situation whileHealth Insurance Portability and AccountabilityActwhich was imposed to minimize or eliminate fraud where the patient has to provide the details and before that neither the procedure starts nor able to receive other benefits(Honein, Boyle, & Redfield, 2019). Non-Maleficence The principle which is based upon the aim of ‘doing no harm’ associated with the decision which is conducted by the medical practitioner or health provider. In another word, the decision or action performed by the health care experts shall not harm the society or the population even when the decision is made for the benefit of any particular individual(Lulé, Kübler, & Ludolph, 2019). The law which is associated supported by the Non-Maleficence is Social Securitry Amendment act of 1965which states that individual whose age is 65 or more than 65 years is eligible for the insurance of health program conducted by the hospital in for their treatment by maintaining the quality of services so that no harm can occur with the patient. However theMental Treatment Act of 1988violates this principle as according to this act the children or the adults up to 65 years who are suffering from mental health issues will be eligible for the treatment according to severe condition by the hospital(de Vries, Banister, Dening, & Ochieng, 2019).
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Issues of Public Health4 Autonomy This principle describes the rights of the patients in order to maintain control of their own body. According to this principle, a health care expert can provide suggestions or advice for the treatment but for performing an action related to it without the acceptance of the patient then it is theviolationoftheprinciple.TheLawofinformedconsentandGuardianshipand Administration Act 1986completely satisfy the ethical principle of Autonomy according to which before filling the form the medical professional cannot start the procedure of treatment (Berman, & Killeen, 2019). According toEmergency Medical Treatment and Active Labor Act of 1986any individual who is in the critical situation and not in condition paying charges to health care providers then the medical professionals have to start the treatment in order to stabilize the situation of patient without any asking the details. Efficiency This principle state that the medical experts have to perform their actions more efficient way so that more benefit can generate in the favor of more people. Usually, the cost and benefits are correlated with the principle of efficiency. It means the programs which are planned for the public healthcare or the treatmentproceduresperformedwith the patientsshall not be compromised by factorHealth Information Technology for Economy and clinical Helathit was proposed to provide the treatment or medical service for the patients who are not able to afford to get quality receive or able to pay the fees for the treatment(Prasad, & Sengupta, 2019). In some of the cases it is examined thatThe Affordable care Act of 2010violates the principle of efficiency where the quality gets compromised in order to maintain the cost of treatment. Fidelity The principle which explains to maintaining the trust so that a relationship between the healthcareprovider andthe patientcan be developedisknown asFidelity.Itisthe responsibility of the nurses and health care experts to complete the promises and must be faithful towards their action. This principle helps the health care providers to maintain and deliver the services with quality to their patients(Marseille, & Kahn, 2019).Health Practitioner Regulation National Law (Victoria) Act 2009waswas proposed so that the patients and health experts can understand each other before the treatment because it is mandatory to develop a relationship before treating any person. In some of the cases it is observed that for getting the benefits from
Issues of Public Health5 the health care providers fromHealth Insurance Portability and AccountabilityActsome patients or family provides incorrect information which violates the principle. Individual Rights The individual rights are designed which provides an individual a medium to survive with dignity, freedom, equality, justice, and peace. These rights are proposed for every individual withoutmakingdifferencebyrace,color,sexlanguage,religiousorotherfactors.For maintaining the health of the community individual right plays an important role and keep balanced(Tacconelli,&Pezzani,2019).Healthcareorganizationsunderstandtheir responsibility for the care of their patients, these rights give authority to understand the procedure of the treatment and side effects which might arise by the medication. If in any case the individual founds it improperly or not in the systematic he/she can deny for the treatment (Cole, Boydell, Hardee, & Bellows, 2019). Without the approval of the patient, no health expert can perform the practice. In some of the cases the conflicts are found between the individual rights and regulations of the health care providers.The principle of Autonomy restricts the patients for getting benefits and treatment on time. From the perception of many researchers the principle of Autonomy for the modern society is not absolute. In any case if the family or patients not able to fulfill the regulations of ethical principle or law then the rights of the individual are compromised. Conclusion The report concludes about the relationship between the principles of ethics and law in public health. This report is totally based upon the principle of ethics and its impact on the people for maintaining their health. This report described the principles of the ethics as well as the law which is co-related with the ethics. In the assignment, the violation of ethical principle by the law and support of the law through ethical principle is described. The importance of the individual right in developing a healthy community is briefly explained.
Issues of Public Health6 References Berman, P. C., & Killeen, K. W. (2019). Professional Ethics in a Legal Context.Evidence- Informed Interventions for Court-Involved Families: Promoting Healthy Coping and Development, 375. Cole, M. S., Boydell, V., Hardee, K., & Bellows, B. (2019). The Extent to Which Performance- BasedFinancingPrograms'OperationsManualsReflectRights-BasedPrinciples: Implications for Family Planning Services.Global Health: Science and Practice,7(2), 329-339. de Vries, K., Banister, E., Dening, K. H., & Ochieng, B. (2019). Advance care planning for older people: The influence of ethnicity, religiosity, spirituality and health literacy.Nursing ethics, 0969733019833130. Honein, M. A., Boyle, C., & Redfield, R. R. (2019). Public Health Surveillance of Prenatal Opioid Exposure in Mothers and Infants.Pediatrics,143(3), e20183801. Laczniak, G. R., & Murphy, P. E. (2019). The role of normative marketing ethics.Journal of Business Research,95, 401-407. Lee, L. M. (2019). Public Health Surveillance: Ethical Considerations.The Oxford Handbook of Public Health Ethics, 320. Lulé, D., Kübler, A., & Ludolph, A. (2019). Ethical principles in patient-centered medical care to support quality of life in amyotrophic lateral sclerosis.Frontiers in Neurology,10, 259. Marseille,E., & Kahn, J. G. (2019). Utilitarianismand the ethicalfoundationsof cost- effectiveness analysis in resource allocation for global health.Philosophy, Ethics, and Humanities in Medicine,14(1), 5. Prasad, V., & Sengupta, A. (2019). Perpetuating health inequities in India: global ethics in policy and practice.Journal of Global Ethics,15(1), 67-75. Tacconelli, E., & Pezzani, M. D. (2019). Public health burden of antimicrobial resistance in Europe.The Lancet Infectious Diseases,19(1), 4-6. Ungchusak, K., Heymann, D., & Pollack, M. (2019). Public Health Surveillance: A Vital Alert and Response Function. InThe Palgrave Handbook of Global Health Data Methods for Policy and Practice(pp. 183-203). Palgrave Macmillan, London.