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By Charles Guest; et al
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Example text
Equity The basic principle of equity (fairness) is that people with similar needs should be treated similarly. This principle should be applied consistently at different times and in different settings, with no discrimination on grounds that are irrelevant to the need for healthcare. In developing the principles on which equity is based, two broad approaches can be taken: • maximizing the welfare of patients within the budget available (a utilitarian approach), often expressed in terms of the costeffectiveness of different health services • giving priority to those in most need (a rights approach).
Indd 25 11/7/2012 6:59:12 PM 26 PART 1 Assessment seat belts and therefore considered themselves protected. As in the case for alcohol taxation, it is necessary to consider evidence and rational argument very carefully and to balance the respective ethics principles when formulating policy. 4), England, was driven by the market culture of the mid-1990s, and in particular the contract culture and extra-contractual referrals. The election of a new government in 1997 brought with it changes in political philosophy, as well as policy.
How responsible is he in his health behaviours? Evidence is also needed on the consequences of imposing coercive measures. Will other patients go underground to avoid detention? Will detention discourage ill persons from seeking diagnosis? What will be the economic and social consequences to the patient and his family of detention? Does detention pose the risk of discrimination, stigma, and marginalization? Are there any other alternatives to detention that might work better for the patient? Would you choose to detain other patients in the same situation or is there something about this patient that leads to you treating him differently?