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Relevance and Premises of Values-Based Practice for Decision Making in Brain Health.

Panagiotis Alexopoulos1,2,3,4, Iracema Leroi2, Irina Kinchin2,5

  • 1Mental Health Services, Patras University Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, 26504 Patras, Greece.

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|July 27, 2024
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Summary

Values-based practice (VBP) offers a structured approach to decision-making in complex fields like brain health. It ensures all stakeholders feel ownership by focusing on inclusive processes and balancing diverse values effectively.

Keywords:
brain healthdelivery of healthcareethicsevidence-based medicinemeta-valuesvalue diversity

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Area of Science:

  • Neuroscience
  • Public Health
  • Ethics

Background:

  • Brain health is influenced by multifaceted determinants including physical health, environment, safety, social connection, and healthcare access.
  • Decision-making in brain health involves diverse values, conflicting interests, and unequal stakeholder influence.

Purpose of the Study:

  • To highlight the relevance of Values-based Practice (VBP) principles for balancing diverse values in brain health decision-making.
  • To argue for the necessity of higher-order meta-values for successful VBP implementation.

Main Methods:

  • Analysis of two case vignettes illustrating VBP principles in practice.
  • Discussion of the ten core principles of VBP.

Main Results:

  • VBP provides a toolkit for democratic and inclusive decision-making, fostering stakeholder ownership.
  • The ten VBP principles are relevant for satisfying concerned parties in decision processes.
  • Successful VBP implementation requires meta-values like mutual regard, reciprocity, autonomy, and egalitarianism.

Conclusions:

  • Values-based Practice is crucial for navigating complex decision-making in brain health.
  • Meta-values are essential for effective VBP implementation beyond existing ethical and legal frameworks.