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Göteborgs universitets publikationer

On the need for an ethical understanding of health-care accountability

Författare och institution:
Jens Allwood (Institutionen för filosofi, lingvistik och vetenskapsteori); Inga-Lill Johansson (Företagsekonomiska institutionen); Lars-Eric Olsson (Institutionen för vårdvetenskap och hälsa); Gülüzar Tuna (Kollegium SSKKII (2010-))
Publicerad i:
Journal of Organisational Transformation and Social Change, 12 ( 2 ) s. 121-137
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
In Sweden, as in many other Western countries, public health care is challenged by increasing demands for care and continuing budget deficits. Person-centred care (PCC) has been introduced as a new strategy to ameliorate the perceived fragmentation in care and is expected to decrease treatment time, reduce the need for return visits, as well as increase patient satisfaction. However, the changing clinical practices necessary for the PCC approach are assumed to require new accountability practices. This article is primarily an attempt to provide a conceptual analysis of ethical accountability, i.e. a type of accountability that takes into account the human relational responsibility, partial incoherence, and power of reflection. On the grounds of this characterisation, the article aims to provide a basis, among other things, for a discussion of the possibilities of identifying and empirically studying the multimodal expressions in communication that are relevant for this type of accountability. After an initial discussion of the debate on the limits of viewing accountability as transparency, we then turn to our methodological approach and introduce a conceptual analysis of accountability. Next, we discuss some additional features of accountability. Finally, we discuss the possibilities of empirically studying the institutionalisation of ethically informed accountability within person-centred health care.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Accountability, Ethics, Health care, Linguistic approach, Multimodal communication, Person-centred care
Postens nummer:
Posten skapad:
2015-12-10 15:24
Posten ändrad:
2015-12-17 15:34

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