Background: To date, there is a lack of published information on the utilization of the Deliberative dialogue methodology and the right to a dignified death in minors under 18 years of age in Colombia and Latin America.
Objective: To examine the issue of children and adolescents' entitlement to a dignified death, including the criteria for exclusion, and to formulate a comprehensive plan for pediatric palliative care. A public policy document will be created with the aim of supporting the implementation of Resolution 825/2018.
Methods: Participatory Action Research utilizing a Deliberative dialogue methods that has been adapted based on feminist epistemological principles.
Results: The outcome of the exercise was the production of a document containing Public Policy recommendations regarding euthanasia in minors and its submission to the Ministry of Health and Social Protection of Colombia a few days prior to the release of the Resolution regulating the right to a dignified death for this population. Additionally, the conclusions of this event enabled the creation of a guide for the implementation of Citizen Council, in which girls, boys, and adolescents are included, trans-disciplinarity is encouraged, and feminist epistemological foundations are explored.
Conclusions: The deliberative dialogue method may serve as a cost-efficient alternative to replace or complement participatory approaches utilized in the development of public health guidelines and policies.
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http://dx.doi.org/10.25100/cm.v53i4.5148 | DOI Listing |
Health Res Policy Syst
December 2024
Health Information System, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo.
Background: There is widespread enthusiasm for scaling interventions to strengthen health systems. However, little is known about the scalability of such interventions in Africa. In this study, we seek to assess the scalability of interventions for improving the functionality of health systems in Africa, as a key to large-scale implementation strategy of interventions with potential for impact.
View Article and Find Full Text PDFDialogues Hum Geogr
November 2024
University of British Columbia, Canada.
In dialogue with responses to my article on the emergent practice of conjunctural methodologies, I pick up the question of collaboration and the shared challenges of developing, in a deliberative and reflexive manner, this demanding approach to problem specification, research design, and contextual theorizing. Although explicit engagement with conjunctural methodologies is a relatively recent phenomenon, its connections and resonances with geographical research practice run deeper. This means that there is much for geographers to give as well as to gain from the interdisciplinary conversation around conjunctural analysis.
View Article and Find Full Text PDFInt J Technol Assess Health Care
December 2024
Department of Public Health, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Context: Healthcare stakeholders in Latin America, including payers, manufacturers, and patients, seek to expedite access to technologies. However, uncertainty sometimes surrounds their true benefits and budgetary implications. Managed entry agreements (MEAs) are proposed to address this uncertainty by redistributing risks among key actors.
View Article and Find Full Text PDFBMJ Open
November 2024
Department of Medicine, McGill University, Montreal, Quebec, Canada
Introduction: Transition of care from hospital to primary care has been recognised globally as a high-risk scenario for older patients' safety by the WHO. Indeed, sub-optimal care transitions are associated with increased mortality, morbidity and adverse events.Improving communication through timely and accurate clinical information transfer has been identified as a key component of optimal care transitions.
View Article and Find Full Text PDFBMC Health Serv Res
November 2024
Department of Family Medicine, McGill University, Montreal, QC, Canada.
Background: Persons living with dementia and their care partners encounter many challenges within the health and social care system, including lack of information, support, counselling, and access to community services, as well as significant staff turnover in home care services. The objective of this study was to work with multiple stakeholders to formulate relevant and feasible recommendations to improve care for persons living with dementia and their care partners in Quebec, Canada.
Methods: We conducted deliberative dialogues in the context of a large mixed methods study on the care of persons living with dementia and care partners.
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