+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The evolution of public health ethics frameworks: systematic review of moral values and norms in public health policy

The evolution of public health ethics frameworks: systematic review of moral values and norms in public health policy

Medicine, Health Care, and Philosophy 21(3): 387-402

Given the evolution of the public health (PH) and the changes from the phenomenon of globalization, this area has encountered new ethical challenges. In order to find a coherent approach to address ethical issues in PH policy, this study aimed to identify the evolution of public health ethics (PHE) frameworks and the main moral values and norms in PH practice and policy. According to the research questions, a systematic search of the literature, in English, with no time limit was performed using the main keywords in databases Web of Science (ISI) and PubMed. Finally, the full text of 56 papers was analyzed. Most of the frameworks have common underpinning assumptions and beliefs, and the need to balance PH moral obligation to prevent harm and health promotion with respect for individual autonomy has been specified. As such, a clear shift from liberal values in biomedical ethics is seen toward the community's collective values in PHE. The main moral norms in PH practice and policy included protecting the population against harm and improving PH benefits, utility and evidenced-based effectiveness, distributive justice and fairness, respect for all, privacy and confidentiality, solidarity, social responsibility, community empowerment and participation, transparency, accountability and trust. Systematic review of PHE frameworks indicates utilization of the aforementioned moral norms through an practical framework as an ethical guide for action in the PH policy. The validity of this process requires a systematic approach including procedural conditions.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 060348949

Download citation: RISBibTeXText

PMID: 29124449

DOI: 10.1007/s11019-017-9813-y

Related references

EVIDENCE-BASED PUBLIC HEALTH POLICY AND PRACTICE: "Profits before people"? A systematic review of the health and safety impacts of privatising public utilities and industries in developed countries. Journal of Epidemiology & Community Health 61(10): 862-870, 2007

Public health ethics: from foundations and frameworks to justice and global public health. Journal of Law, Medicine and Ethics 32(2): 232-42, 190, 2004

Ethics in public health: call for shared moral public health literacy. European Journal of Public Health 27(Suppl_4): 49-51, 2018

What does social justice require for the public's health? Public health ethics and policy imperatives. Health Affairs 25(4): 1053-1060, 2006

Which public and why deliberate?--A scoping review of public deliberation in public health and health policy research. Social Science and Medicine 131: 114-121, 2015

Public Health Service--Grants for traineeships in health administration, hospital administration, or health policy analysis and planning at public or nonprofit private educational institutions other than schools of public health. Final rule. Federal Register 45(217): 73658-9, 1980

Supplement 1: Public health, health sector reforms, and policy implementation in South Africa: Studies and perspectives on the 24th anniversary of the Centre for Health Policy || Linking public health training and health systems development in sub-Saharan Africa: Opportunities for improvement and collaboration. Journal of Public Health Policy 32: S44-S51, 2011

Systematic training for occupational physicians in schools of public health in the US and its application to Japan's system--Master of Public Health Program at Harvard School of Public Health. Sangyo Eiseigaku Zasshi 53(2): 33-38, 2011

Ethics in public health research: privacy and public health at risk: public health confidentiality in the digital age. American Journal of Public Health 98(5): 793-801, 2008

Insights in public health: taxing sugar sweetened beverages to improve public health: policy action in Hawai'i. Doctoral Health Policy Seminar, Spring 2013. Hawai'i Journal of Medicine and Public Health 72(8): 286-291, 2014

The ethics of public health practice: balancing private and public interest within tobacco policy. British Medical Bulletin 91: 7-22, 2011

Public health, public policy and "neon" issues in ethics. Medical Journal of Australia 143(3): 104-107, 1985

Public health economics: a systematic review of guidance for the economic evaluation of public health interventions and discussion of key methodological issues. Bmc Public Health 13: 1001, 2015

Ethics, Politics and Public Health: Essay review of recent books on public health ethics: Beauchamp DE, Steinbock B (eds): New Ethics for the Public's Health. New York, Oxford: Oxford University Press, 1999. Feldman EA, Bayer R (eds): Blood Feuds: AIDS, Blood, and the Politics of Medical Disaster. New York, Oxford: Oxford University Press, 1999. Callahan D (ed.): Promoting Healthy Behavior; How Much Freedom? Whose Responsibility? Washington DC: Georgetown University Press, 2000. International Journal of Epidemiology 30(1): 187-188, 2001

Moral Discourse and Public Policy in Aging: Framing Problems, Seeking Solutions, and Public Ethics. Canadian Journal on Aging 12(04): 485-508, 1993