AMA Journal of Ethics. November 2017
This month in Journal of Ethics
Ethics of Collaborative Health Systems Design
Co-creation refers to interactive practices that help critical stakeholders—patients, clinicians, and administrators, for example—work together to discern mutual values, develop strategies to address shared challenges, promote common goals, and motivate desired outcomes. Popularized in the 1990s as a means of improving consumer satisfaction, co-creation efforts began by inviting consumer participation in designing, marketing, and delivering products and services. In the health care sector, co-creation seeks to maximize health systems performance, support efficiency in cross-disciplinary collaboration among clinicians, and personalize patients’ health care experiences. This issue of the AMA Journal of Ethics considers ethical dimensions of what it means to implement and operationalize this kind of strategic planning in health care, both at the micro level of patient-clinician relationships, for example, and at the macro level among providers, payers, and policymakers.
Using Principles of Co-Production to Improve Patient Care and Enhance Value Puja Turakhia, MS, and Brandon Combs, MD Improving health outcomes through patient-centered care is one way to build value for stakeholders in health care.
How Co-Creation Helped Address Hierarchy, Overwhelmed Patients, and Conflicts of Interest in Health Care Quality and Safety Sigal Israilov and Hyung J. Cho, MD Co-creative health systems planning requires engaging patients and learning from peers.
What Should Leaders Do When Inefficiency Is Perceived as a Cost of Inclusivity in Strategic Planning Processes in Health Care? Commentary by Aveena Kochar, MD, and Alia Chisty, MS, MD Co-creative teams can overcome conflict by drawing on quality improvement principles.
How Should Organizations Promote Equitable Distribution of Benefits from Technological Innovation in Health Care? Satish Nambisan, PhD, and Priya Nambisan, PhD Fair distribution demands new strategies for engaging patients in co-creation.
December Health Care Ethics and Professionalism in the Era of Climate Change
January Clinicians’ Responsiveness to Violence
February Graphic Medicine and Health Care Ethics
March Global Reproductive Health Ethics in the 21st Century
April Ethical Considerations in Plastic and Reconstructive Surgery
May Trauma Surgery Ethics
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