Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation
Ethics is an essential element in the provision of healthcare services. Fundamental ethical values determine the manner in which the professional behavior is implemented in the healthcare area. These ethical principles find meaning in time and place and in the social context of ethical values and a...
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Tehran University of Medical Sciences
2018-08-01
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doaj-470059cf4d844029ae67d51e080d13c22020-11-25T01:46:22ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942018-08-015675329Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful ImplementationFataneh Sadat Bathaie0Bagher Ardeshir Larijani1Farshad Farzadfar2Saharnaz Nedjat3Seyed Hassan Emami-Razavi4Maliheh Kadivar5Farzaneh Zahedi Anaraki6Peyman Zinati7Payam Roshanfekr8Alireza Olyaeimanesh9Davoud Nezamoleslami10Department of Medical Ethics, Tehran University of Medical Sciences, Tehran, Iran.Medical Ethics and History of Medicine Research Center, Endocrinology and Metabolism Institute, Tehran University of Medical Sciences, Tehran, Iran.Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Institute, Tehran University of Medical Sciences, Tehran, Iran.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Institute, Tehran University of Medical Sciences, Tehran, Iran.Department of Social Planning, University of Tehran, Tehran, Iran.Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran.Social Development and Health Promotion Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Medical Ethics, Tehran University of Medical Sciences, Tehran, Iran. Ethics is an essential element in the provision of healthcare services. Fundamental ethical values determine the manner in which the professional behavior is implemented in the healthcare area. These ethical principles find meaning in time and place and in the social context of ethical values and among children as vulnerable groups. So, this study examined the ethical principles of providing health care services for children and barriers to their application in Iran from key informants’ perspective. Therefore, qualitative content analysis method was used by means of semi-structured questionnaire to theoretical saturation scale with the participation of 20 key informants. Each interview underwent the process of implementation, evaluation, coding, and analysis, and then its findings were presented in two dimensions: desirable principles and barriers for its application, including 15 classes. Desirable principles include autonomy, beneficence, non-maleficence, justice, confidentiality, accent, consent, and participation. Obstacles to their compliance also included weakness of the policy landscape, weakness of the judicial system, cultural conservatism, socio-economic inequality, services commodification with unequal distribution, resource mismanagement (limitation), weakness of the professional education system, and the emergence of complex situations. From the key informants’ point of view, codes of ethics do not differ significantly from international principles, but their application is faced with difficulties, and they are likely to be improved through evidence-based policies according to the results of scientific studies. https://acta.tums.ac.ir/index.php/acta/article/view/6812Medical ethicsProfessional ethicsEthics of health careApplied ethicsChild healthcareChildren |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fataneh Sadat Bathaie Bagher Ardeshir Larijani Farshad Farzadfar Saharnaz Nedjat Seyed Hassan Emami-Razavi Maliheh Kadivar Farzaneh Zahedi Anaraki Peyman Zinati Payam Roshanfekr Alireza Olyaeimanesh Davoud Nezamoleslami |
spellingShingle |
Fataneh Sadat Bathaie Bagher Ardeshir Larijani Farshad Farzadfar Saharnaz Nedjat Seyed Hassan Emami-Razavi Maliheh Kadivar Farzaneh Zahedi Anaraki Peyman Zinati Payam Roshanfekr Alireza Olyaeimanesh Davoud Nezamoleslami Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation Acta Medica Iranica Medical ethics Professional ethics Ethics of health care Applied ethics Child healthcare Children |
author_facet |
Fataneh Sadat Bathaie Bagher Ardeshir Larijani Farshad Farzadfar Saharnaz Nedjat Seyed Hassan Emami-Razavi Maliheh Kadivar Farzaneh Zahedi Anaraki Peyman Zinati Payam Roshanfekr Alireza Olyaeimanesh Davoud Nezamoleslami |
author_sort |
Fataneh Sadat Bathaie |
title |
Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation |
title_short |
Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation |
title_full |
Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation |
title_fullStr |
Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation |
title_full_unstemmed |
Provision of Healthcare Services for Children in Iran: Common Ethical Principles and Obstacles to Successful Implementation |
title_sort |
provision of healthcare services for children in iran: common ethical principles and obstacles to successful implementation |
publisher |
Tehran University of Medical Sciences |
series |
Acta Medica Iranica |
issn |
0044-6025 1735-9694 |
publishDate |
2018-08-01 |
description |
Ethics is an essential element in the provision of healthcare services. Fundamental ethical values determine the manner in which the professional behavior is implemented in the healthcare area. These ethical principles find meaning in time and place and in the social context of ethical values and among children as vulnerable groups. So, this study examined the ethical principles of providing health care services for children and barriers to their application in Iran from key informants’ perspective. Therefore, qualitative content analysis method was used by means of semi-structured questionnaire to theoretical saturation scale with the participation of 20 key informants. Each interview underwent the process of implementation, evaluation, coding, and analysis, and then its findings were presented in two dimensions: desirable principles and barriers for its application, including 15 classes. Desirable principles include autonomy, beneficence, non-maleficence, justice, confidentiality, accent, consent, and participation. Obstacles to their compliance also included weakness of the policy landscape, weakness of the judicial system, cultural conservatism, socio-economic inequality, services commodification with unequal distribution, resource mismanagement (limitation), weakness of the professional education system, and the emergence of complex situations. From the key informants’ point of view, codes of ethics do not differ significantly from international principles, but their application is faced with difficulties, and they are likely to be improved through evidence-based policies according to the results of scientific studies.
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topic |
Medical ethics Professional ethics Ethics of health care Applied ethics Child healthcare Children |
url |
https://acta.tums.ac.ir/index.php/acta/article/view/6812 |
work_keys_str_mv |
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