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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

A broader view of justice.

Nancy S Jecker¹

¹University of Washington School of Medicine, Department of Bioethics and Humanities, Seattle, WA 98195-7120, USA. nsjecker@u.washington.edu

The American Journal of Bioethics : AJOB

|November 13, 2008

Summary

Bioethics often uses a narrow medical model for justice, focusing on distributing scarce resources. A broader social model, considering social determinants of health, offers a more comprehensive approach to justice and well-being.

Area of Science:

Bioethics
Public Health
Social Determinants of Health

Background:

The dominant view of justice in bioethics literature adopts a medical model.
This model narrowly focuses on the fair distribution of scarce medical resources to the sick.
It overlooks the upstream factors contributing to disease and suffering.

Purpose of the Study:

To critique the narrow, medical model of justice in bioethics.
To advocate for a broader, social model of justice in health.
To illustrate the limitations of the medical model using health care coverage as an example.

Main Methods:

Conceptual analysis of justice in bioethics.
Comparison of medical and social models of justice.
Examination of social determinants of health, including health care coverage.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Main Results:

The medical model of justice is limited in addressing health disparities.
Social determinants like clean water, education, and safe environments significantly impact population health.
Health care coverage is a crucial social determinant, highlighting the need for a broader justice perspective.

Conclusions:

A narrow, medical model of justice in bioethics is insufficient.
A broader social model, considering social determinants, is essential for achieving health equity.
Rethinking justice requires looking upstream at the social factors influencing health and disease.