Healthcare Development Requires Stakeholder Consultation: Palliative Care in the Caribbean

Stakeholder consultation is part of the democratic process, embraces respect for persons, and is necessary for upholding the principle of justice. People are more likely to uphold standards they have participated in setting, so stakeholder consultation encourages adherence to societal and institutio...

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Bibliographic Details
Main Author: Macpherson, Cheryl Cox (Author)
Format: Electronic Article
Language:English
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Published: Cambridge Univ. Press 2006
In: Cambridge quarterly of healthcare ethics
Year: 2006, Volume: 15, Issue: 3, Pages: 248-255
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Summary:Stakeholder consultation is part of the democratic process, embraces respect for persons, and is necessary for upholding the principle of justice. People are more likely to uphold standards they have participated in setting, so stakeholder consultation encourages adherence to societal and institutional standards as these evolve. Stakeholder consultation is also responsive to the call to “resocialize” ethics by contextualizing dilemmas and involving the destitute in choices about their healthcare. In resource-poor settings, such consultation promotes local “ownership” of, and leadership within, development programs, which enhances effectiveness and sustainability. Stakeholder consultation is, therefore, a form of capacity building. To succeed, it must be responsive to regional, national, and individual constraints, including socioeconomic, cultural, and political ones. Several such constraints impact on the demand for, and availability of, palliative healthcare in the Caribbean.David Joranson and Jody Garthwaite at the Pain and Policy Studies Group kindly provided morphine consumption data and Figure 1. Bert Braithwaite and Trevor Noel provided useful comments on the manuscript.
ISSN:1469-2147
Contains:Enthalten in: Cambridge quarterly of healthcare ethics
Persistent identifiers:DOI: 10.1017/S0963180106060312