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Updated: Jul 11, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Health, justice, and the environment.
1National Institute of Environmental Health Sciences, National Institutes of Health, Box 12233, Mail Drop NH 06, Research Triangle Park, NC 27709, USA. resnikd@niehs.nih.gov
The scope of bioethical discussions on health justice must broaden beyond healthcare access to include environmental factors. Prioritizing these factors requires considering their impact on health inequality and the feasibility of addressing them.
Area of Science:
- Bioethics
- Public Health
- Environmental Health
Background:
- Current bioethical debates on health justice primarily focus on healthcare access.
- Numerous environmental factors significantly influence health outcomes and disparities.
Purpose of the Study:
- To argue for an expanded scope of bioethical discourse on justice in health.
- To propose criteria for prioritizing environmental factors in policy and theory.
Main Methods:
- Conceptual analysis of bioethical principles.
- Review of literature on environmental determinants of health.
- Development of a framework for priority setting.
Main Results:
- Identified a wide range of environmental factors impacting health (e.g., housing, pollution, nutrition).
- Proposed two key considerations for prioritization: impact on health inequality and practicality of intervention.
Conclusions:
- Bioethical frameworks for health justice need to encompass environmental determinants.
- Prioritization based on health impact and feasibility is crucial for effective policy development.
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