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The spectrum of ethical issues in a Learning Health Care System: a systematic qualitative review
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4479627
Author(s) McLennan, Stuart; Kahrass, Hannes; Wieschowski, Susanne; Strech, Daniel; Langhof, Holger
Author(s) at UniBasel Mc Lennan, Stuart Roger
Year 2018
Title The spectrum of ethical issues in a Learning Health Care System: a systematic qualitative review
Journal International journal for quality in health care
Volume 30
Number 3
Pages / Article-Number 161-168
Abstract To determine systematically the spectrum of ethical issues that is raised for stakeholders in a 'Learning Health Care System' (LHCS).; The systematic review was conducted in PubMed and Google Books between the years 2007 and 2015.; The literature search retrieved 1258 publications. Each publication was independently screened by two reviewers for eligibility for inclusion. Ethical issues were defined as arising when a relevant normative principle is not adequately considered or two principles come into conflict.; A total of 65 publications were included in the final analysis and were analysed using an adapted version of qualitative content analysis. A coding frame was developed inductively from the data, only the highest-level categories were generated deductively for a life-cycle perspective.; A total of 67 distinct ethical issues could be categorized under different phases of the LHCS life-cycle. An overarching theme that was repeatedly raised was the conflict between the current regulatory system and learning health care.; The implementation of a LHCS can help realize the ethical imperative to continuously improve the quality of health care. However, the implementation of a LHCS can also raise a number of important ethical issues itself. This review highlights the importance for health care leaders and policy makers to balance the need to protect and respect individual participants involved in learning health care activities with the social value of improving health care.
Publisher Pergamon
ISSN/ISBN 1353-4505
edoc-URL https://edoc.unibas.ch/64173/
Full Text on edoc No
Digital Object Identifier DOI 10.1093/intqhc/mzy005
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/29394354
ISI-Number WOS:000429440500002
Document type (ISI) Review
 
   

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02/05/2024