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Information Knowledge Management Evolution of Bioethics Dr

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Information Knowledge Management Evolution of Bioethics Dr
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Information Knowledge
Management
Evolution of Bioethics
Dr. Richard Van West-Charles
Organización
Panamericana
de la Salud
Evolution of Bioethics
(i) Paradigm of Traditional Medical Ethics
(ii) Biomedical Ethics
(iii)Public Health Ethics
Organización
Panamericana
de la Salud
Domain of Bioethics
Biomedical
Public Health
Individual Level
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Population
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Organización
Panamericana
de la Salud
Health is Central to Development
Definition of Health
(i) WHO:
Health is a state of complete physical, mental and social
well being, deals with the absence of illness and disease.
(ii) IOM
Public Health is what we as a society do collectively to
assure the conditions for people to be healthy.
Organización
Panamericana
de la Salud
Who’s Definition Places the Focus at the
•
Individual
•
Population level.
IOM – Focuses on the Collective
Bioethics is relevant to both definitions but the difficulty
is in the details which makes Bioethics critical as to how
we operationalise.
Organización
Panamericana
de la Salud
Declaration of Human Rights (Art.:25)
• Acknowledges right to health as a component of a standard
for humans, adequate for health and well being.
• Likewise the International Convenant on Economic, Social
and Cultural Rights adapts health as a human right.
Organización
Panamericana
de la Salud
Application of these Definitions and
statement highlights the importance of
Bioethics
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Additionally – Road to democracy demands
Access to information for informed decision making.
Agency relationship diminishing
Consumer empowerment is an important Bioethical Issue
Rights and responsabilities – bear Ethical implications.
Organización
Panamericana
de la Salud
Access to Information and Knowledge
• Critical for the operational aspects of the Definitions:
• Institutional – Individual level
• Community – Population level
Organización
Panamericana
de la Salud
Essential Public Health Function
• Monitor health status to identify Community Health
Problems.
• Diagnosing and investigating health problems and risks in
community.
• Providing information and education on health topics and
empowering people.
• Modifying the Community Associations to identify and solve
health problems.
• Divulging policies and plans to support individual and
collective health.
Organización
Panamericana
de la Salud
• Compliance with laws and regulations that Prptect health
and assure safety.
• Linking people with health services and guaranteeing health
service delivery.
• Guaranteeing competent human resources for public health
and individual health care.
• Evaluating the effectiveness, access to, and quality of
personal and public health services.
• Research on news approaches and innovation solutions for
health problem.
Organización
Panamericana
de la Salud
Research
Core Function – Not yet achieved or understood as a
core function
• Process and approach needs review
• Ethical Review Boards – Role & Responsabilities not well
defined
• Intelectual properties / Informed consent
Organización
Panamericana
de la Salud
Regional Programme
• Needs to heighten awareness of Bioethics as cross
cutting discipline for health and development.
• Understanding of the relevance of Bioethics for efficient and
effective health systems.
• Build capacity among the member states.
• Promote organizational and institutional processes for
application of Bioethics.
Organización
Panamericana
de la Salud
• Sensitize member states to bioethical implications of
research at the global level.
• Be a forum to access information and knowledge – VHL,
etc. – Consider various means of communications.
Organización
Panamericana
de la Salud
• Human Genetics / Genomics
• Health Care Ethics
• Research Ethics
• Biotechnology
Organización
Panamericana
de la Salud
Public Health Ethics
• Health Sector Reform
• Resource Allocation
• Inequities
• Health Awareness within the Organization
Organización
Panamericana
de la Salud
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