From Informed Consent to Informed Compliance从知情同意，知情依从性.pptVIP

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From Informed Consent to Informed Compliance从知情同意，知情依从性.ppt

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From Informed Consent to Informed Compliance从知情同意，知情依从性

From Informed Consent to Informed Compliance:Population health Kevin Dew Immunisation and informed consent Issues Science and advocacy Public health as a moral authority Rationality and Irrationality Public health perceptions and public perceptions Institutional arrangements there is no well-developed set of ethical principles or a framework that informs decision-making of doctors working in public health Vaccination resistance and rationality Compulsory vaccination Vaccination resistance and rationality Vaccine critical groups Hobson-West, P. (2007) Trusting blindly can be the biggest risk of all: organised resistance to childhood vaccination in the UK, Sociology of Health Illness, 29, 2, 198-215 Reason and advocacy One can enter an argument prepared to be moved by reasoning or “the force of the better argument” (Habermas) Alternative public health Utilitarian Risk averse Realistic hedonism Purism Holism Dew. K, and Carroll, P. Public Health and CAM perspectives: An exploration of overlap, contrast and dissonance. In Researching Complementary and Alternative Medicine, J. Adams, ed. Abingdon and New York, Routledge (2007) 117-132. Immunisation and science 1984/5 measles epidemic 1997 measles epidemic We estimate that 45,000 New Zealand children will be hit by the Measles epidemic this year. Of these, four thousand will have ear infections, pneumonia or diarrhoea. Approximately nine hundred will be hospitalized. Thirty will suffer brain inflammation. Up to nine will be left with permanent brain damage. At least four will die. You have a choice. Talk to your doctor about free immunisation and remove the risk of Measles forever. Or pray your child doesn’t join the dots. Measles. It’s not a pretty picture. Immunisation and academic freedom Meningococcal meningitis campaign 2004 Academic Freedom Dew, K. Academic freedom and its limits. In Challenging Science: Issues for New Zealand Society in the 21st Century. K. Dew and R. Fitzgerald eds. Palmerston North, Du