fpx 4050 Insights from Peer-Reviewed Articles for Ethical Considerations in the Design of Patient-Centered Health Interventions

 

In the realm of patient-centered health interventions, ethical considerations play a fundamental role in ensuring that care is both effective and morally sound. The ethical framework of person-centered care (PCC) is thoroughly discussed in a scoping review published in the journal “Frontiers in Psychology” where patient-centered care (PCC) not only respects the unique demands, preferences, and principles of patients but also fosters empowerment through active involvement in decision-making processes. This review highlights the shift from patient-centered to person-centered care, emphasizing the importance of a partnership between patient and provider, and acknowledging the patient’s narrative as crucial components of ethical healthcare delivery​ (Khatri et al., 2023).

PCC goes beyond mere medical treatment, incorporating the ethical foundation that recognizes the patient as an active participant and partner in care, bringing their history, strengths, and weaknesses into consideration for holistic treatment planning. This perspective aligns with Amartya Sen’s capability approach, which posits that all individuals, even when weak or sick, are seen as capable and should be engaged as such in their care plans. Lateral Sclerosis are examined in a paper published in “Frontiers in Neurology.” This article elaborates on ethical principles like autonomy and beneficence, which are pivotal in patient-centered interventions for individuals with severe and life-limiting conditions​

Furthermore, In another study found in BMC Nursing, the ethical considerations of psychiatric mental health nurses regarding the use of coercive measures were explored. Ethical considerations in patient-centered interventions encompass the principles of informed consent, respect for autonomy, beneficence, non-maleficence, and justice, even when they require coercive interventions for their own safety. This includes ensuring that patients are provided with information in a comprehensible manner, their choices are respected, benefits are maximized while harm is minimized, and fair treatment is afforded to all (Khatri et al., 2023). Trustworthiness and credibility of interventions are achieved through transparency and ongoing dialogue between healthcare providers and patients, which also serves to enhance the quality and dependability of care.

In the context of public health, a  study conducted by the World Health Organization and published in PLOS ONE reviewed the ethical issues in nutrition-related public health policies and interventions. This scoping review discusses the complexity of ethical considerations in public health, such as the importance of involving target populations in the development of policies and respecting cultural differences​ (PLOS)​.

Addressing ethical issues involves consideration of how these policies may affect diverse population groups and ensuring that interventions do not inadvertently exacerbate health disparities. These peer-reviewed articles collectively advocate for interventions that are ethically sound and emphasize the necessity for healthcare professionals to engage patients as active partners in their care, respecting their narratives, capabilities, and ensuring that ethical principles guide all health-related decisions (Khatri et al., 2023).

Health Policy Analysis for Enhanced Care Coordination

Recent research underscores the importance of health policy in improving care coordination and the continuum of care. High-quality studies from various countries have shown that transitional care interventions initiated in hospitals can effectively reduce readmission rates and hospital costs.

These interventions often include comprehensive care coordination efforts with follow-ups managed by specialized nurses and case managers. Positive outcomes such as increased patient confidence in managing their conditions, better quality of life post-discharge, and higher patient satisfaction have been noted. However, challenges like integration issues and resource limitations can impact the effectiveness and sustainability of these programs. This emphasizes the need for well-thought-out health policies that support effective care coordination models, integrating patient needs with organizational capabilities​ (Khatri et al., 2023).

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