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. . Information Knowledge Management Evolution of Bioethics Dr. Richard Van West-Charles. Evolution of Bioethics. (i)Paradigm of Traditional Medical Ethics (ii) Biomedical Ethics (iii)Public Health Ethics. Domain of Bioethics. Health is Central to Development. Definition of Health - PowerPoint PPT Presentation
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OrganizaciónPanamericanade la Salud
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Information Knowledge Management
Evolution of Bioethics
Dr. Richard Van West-Charles
OrganizaciónPanamericanade la Salud
Evolution of Bioethics
(i)Paradigm of Traditional Medical Ethics
(ii) Biomedical Ethics
(iii)Public Health Ethics
OrganizaciónPanamericanade la Salud
Domain of Bioethics
Biomedical Public Health
Individual Level +++++ ++
Population ++ ++++
OrganizaciónPanamericanade 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) IOMPublic Health is what we as a society do collectively to assure the conditions for people to be healthy.
OrganizaciónPanamericanade 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 difficultyis in the details which makes Bioethics critical as to how we operationalise.
OrganizaciónPanamericanade 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.
OrganizaciónPanamericanade la Salud
Application of these Definitions and statement highlights the importance of Bioethics
• 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.
OrganizaciónPanamericanade la Salud
Access to Information and Knowledge
• Critical for the operational aspects of the Definitions:
• Institutional – Individual level• Community – Population level
OrganizaciónPanamericanade 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.
OrganizaciónPanamericanade 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.
OrganizaciónPanamericanade 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
OrganizaciónPanamericanade 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.
OrganizaciónPanamericanade 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.
OrganizaciónPanamericanade la Salud
• Human Genetics / Genomics
• Health Care Ethics
• Research Ethics
• Biotechnology
OrganizaciónPanamericanade la Salud
Public Health Ethics
• Health Sector Reform• Resource Allocation• Inequities
• Health Awareness within the Organization