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The patient perspective in health care networks

Overview of attention for article published in BMC Medical Ethics, June 2018
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (63rd percentile)

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2 Facebook pages

Citations

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119 Mendeley
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Title
The patient perspective in health care networks
Published in
BMC Medical Ethics, June 2018
DOI 10.1186/s12910-018-0298-x
Pubmed ID
Authors

Kasper Raus, Eric Mortier, Kristof Eeckloo

Abstract

Health care organization is entering a new age. Focus is increasingly shifting from individual health care institutions to interorganizational collaboration and health care networks. Much hope is set on such networks which have been argued to improve economic efficiency and quality of care. However, this does not automatically mean they are always ethically justified. A relevant question that remains is what ethical obligations or duties one can ascribe to these networks especially because networks involve many risks. Due to their often amorphous and complex structure, collective responsibility and accountability may increase while individual responsibility goes down. We argue that a business ethics approach to ethical obligations for health care networks, is problematic and we propose to opt for a patient perspective. Using the classic four principles of biomedical ethics (justice, nonmaleficence, beneficence and autonomy) it is possible to identify specific ethical duties. Based on the principle of justice, health care networks have an ethical duty to provide just and fair access for all patients and to be transparent to patients about how access is regulated. The principle of nonmaleficence implies an obligation to guarantee patient safety, whereas the principle of beneficence implies an obligation for health care networks to guarantee continuity of care in all its dimensions. Finally, the principle of autonomy is translated into a specific obligation to promote and respect patient choice. Networks that fail to meet any of these conditions are suspect and cannot be justified ethically. Faced with daunting challenges, the health care system is changing rapidly. Currently many hopes ride on integrated care and broad health care networks. Such networks are the topic of empirical debate, but more attention should be given to the ethical aspects. Health care networks raise new and pressing ethical issues and we are in need of a framework for assessing how and when such networks are justified.

X Demographics

X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 119 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 119 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 19 16%
Student > Master 15 13%
Student > Ph. D. Student 9 8%
Researcher 8 7%
Other 6 5%
Other 14 12%
Unknown 48 40%
Readers by discipline Count As %
Nursing and Health Professions 24 20%
Medicine and Dentistry 17 14%
Social Sciences 5 4%
Business, Management and Accounting 2 2%
Biochemistry, Genetics and Molecular Biology 2 2%
Other 10 8%
Unknown 59 50%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 April 2021.
All research outputs
#7,174,980
of 23,881,329 outputs
Outputs from BMC Medical Ethics
#587
of 1,009 outputs
Outputs of similar age
#120,215
of 331,872 outputs
Outputs of similar age from BMC Medical Ethics
#31
of 40 outputs
Altmetric has tracked 23,881,329 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 1,009 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.9. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 331,872 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 40 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.