Ethics

The use of the concept of vulnerability in public health

Vulnerability is a concept that remains poorly defined and widely debated. Its many applications in different contexts and disciplines are constantly transforming its contours and redefining its form. Thus, vulnerability can be seen as immanent to all forms of life, or it can be reduced to a potential risk of being injured or affected in a well-defined context (e.g., the risk of suffering from a respiratory disease in a context of repeated exposure to air pollution).

Reference framework

The use of the concept of vulnerability in public health

Vulnerability is a concept that remains poorly defined and widely debated. Its many applications in different contexts and disciplines are constantly transforming its contours and redefining its form. Thus, vulnerability can be seen as immanent to all forms of life, or it can be reduced to a potential risk of being injured or affected in a well-defined context (e.g., the risk of suffering from a respiratory disease in a context of repeated exposure to air pollution).

Reference framework

Reducing Social Inequalities in Health (SIH): Working together Toward a More Equitable, Healthier and Resilient Society

For ministries and organizations to be better positioned to collaboratively design new ways to reduce social inequalities in health (SIH), there is a need to clarify the pivotal role of reducing social inequalities across all levels of government and cross-sectoral efforts in preventing negative impacts on population health, and the potential contribution of multiple sectors to improving the health and well-being of the Québec population.​

Highlights

The health of the population is…

Synthesis and summary

Utilitarianism in Public Health

How can we perceive and address ethical challenges in public health practice and policy? One way is by using ethical concepts to shed light on everyday practice. One does not have to be a specialist in ethics to do so. This document is part of a series of papers intended to introduce practitioners to some concepts, values, principles, theories and approaches that are important to public health ethics.

Synthesis and summary

“Principlism” and Frameworks in Public Health Ethics

How can we perceive and address ethical challenges in public health practice and policy? One way is by using ethical concepts to inform our thinking. One does not have to be a specialist in ethics to do so. This document is part of a series of papers intended to introduce practitioners to some values, principles, theories and approaches that are important in public health ethics.

Synthesis and summary

Introduction to Public Health Ethics 2: Philosophical and Theoretical Foundations

In this second1 of three briefing notes2 on public health ethics, we provide an overview of various philosophical and theoretical perspectives that have informed the development, evolution, and application of public health ethics throughout its short history. We believe it is important for public health practitioners to understand these ideas because they inform, either explicitly or implicitly, ethical decision making in public…

Synthesis and summary

Introduction to Public Health Ethics 3: Frameworks for Public Health Ethics

The first document in this series of briefing notes began with the observation that public health practitioners often struggle with ethical decisions in their practice but may not have relevant tools and resources to deal with these challenges. An assumption underlying this third paper is that by providing public health practitioners and decision makers with some guidance about practical public health ethics frameworks, they will be supported in making difficult ethical decisions that are……

Synthesis and summary

Solidarity in Public Health Ethics and Practice: Its Conceptions, Uses and Implications

Increasingly, the concept of solidarity is being brought into discussion as one of the principles and values that should guide the ethical practices of public health actors.1 Reflecting on ethical issues specific to solidarity as it relates to public health practice appears worthwhile because solidarity is a concept that first and foremost concerns groups or communities of people. Viewed from this perspective, solidarity is a value that, for some authors, seems…

Synthesis and summary

Introduction to Public Health Ethics 1: Background

A public health ethics must begin with recognition of the values at the core of public health, not a modification of values used to guide other kinds of health care interactions (Baylis, Kenny, & Sherwin, 2008, p. 199).

Public health practitioners have long grappled with ethical issues in their practice but, until recently, there have been few relevant ethics frameworks that take into account the values base of public health.1 Historically, those…

Synthesis and summary

An Ethics Framework for Analyzing Paternalism in Public Health Policies and Interventions

The purpose of this document is to equip public health actors to conduct an ethical analysis of policies that are said to be paternalistic. It aims to provide the conceptual tools needed to identify paternalistic policies and assess the ethical burden with which they may be associated. The document also offers practitioners a clear and structured approach intended to guide ethical deliberation about paternalistic policies.

Paternalism in a nutshell Some examples of policies called…
Synthesis and summary