ABSTRACT
As digital healthcare services are expanding in use and purpose in a Danish context so are the functionalities embedded in these, constituting citizens' access to healthcare services and personal health data. In Denmark, the impact of inequalities in digital healthcare remains largely unexplored, making it crucial to pay close attention to this aspect as the digital transformation of the sector progresses. According to the Danish Health Act (2019), the Danish healthcare system is required to ensure easy and equal access to healthcare, high-quality treatment, coherent patient pathways, freedom of choice, easy access to information, transparency, and short waiting times for every citizen. These are focal law-based requirements influenced by the digitalisation of healthcare. Hence, based on insights from a highly digitalised country, in this case, Denmark, this paper aims to initiate a discussion on inequities in digital healthcare, address current challenges, and consider future directions by elaborating on conceptual, ethical, evidence-informed, and methodological issues linked to inequities in digital healthcare. Specifically, this paper discusses why inequities in digital healthcare in a Danish context need increased attention, how health equity is embedded in Danish legislation and how it can be approached from an ethical perspective. The central focus revolves around the essential principles of empowerment, emancipation, and equity, which are being highlighted to emphasise that the digitalisation of healthcare should actively work towards preventing and avoiding the perpetuation of healthcare inequalities. The paper concludes by discussing future directions for ensuring a more sustainable, robust, and equitable digital healthcare system.
ABSTRACT
Resumen: El artículo investiga criterios de acceso a tecnologías de mejoramiento cognitivo farmacológico, especialmente modafinilo y metilfenidato, en caso de adultos sanos. Desde la perspectiva de la justicia igualitaria, tomando como referencia la teoría de justicia de Rawls, se argumenta a favor de una política de acceso libre mediante mecanismos de mercado, pero facilitado en caso de los peor situados de la sociedad.
Abstract: The article addresses criteria for access to pharmacological cognitive enhancement technologies, especially modafinil and methylphenidate, to healthy adults. From the perspective of equalitarian justice and taking as point of reference Rawls' theory of justice it argues in favor of a policy of open market access, but facilitated for the worst-off.
Resumo: O artigo investiga os critérios para o acesso às tecnologias de aprimoramento cognitivo farmacológica, especialmente o modafinil e o metilfenidato, no caso de adultos saudáveis. Na perspectiva da justiça igualitária, tendo como referência a teoria da justiça de Rawls, argumenta-se a favor de uma política de acesso livre através de mecanismos de mercado, porém com acesso facilitado no caso dos piores situados na sociedade.
Subject(s)
Humans , Drug Prescriptions , Cognition , Health Equity , Ethics, Medical , Modafinil , MethylphenidateABSTRACT
O objetivo deste estudo foi verificar e discutir como ocorre o desenvolvimento da justiça distributiva da infância para a adolescência, com ênfase na justiça igualitária. Responderam a uma entrevista estruturada que continha uma história sobre crianças que passavam fome e que poderiam ser alimentadas por um personagem fictício, o Sr. Pedro, 158 estudantes de escolas públicas e privadas, de 8 a 18 anos. As informações sobre as crianças variavam: em uma história, as crianças moravam na mesma cidade que a pessoa que podia ajudá-las; em outra, as crianças eram de um país distante; em outra, as crianças eram filhos de terroristas; e, na última, eram crianças que roubavam. Ao final de cada história, perguntou-se se as crianças deveriam receber os alimentos e o porquê. Os resultados demonstraram uma variação das respostas em função da faixa etária dos participantes e da situação-estímulo. Esses resultados foram discutidos, sobretudo, com base na visão epistemológica piagetiana
This study aims at analyzing and discussing how the development of distributive justice occurs from childhood to adolescence, emphasizing egalitarian justice. 158 students from public and private schools, aged between 8 and 18 years old, answered a structured interview containing a story about children who experienced starvation and were supposed to be fed by a fictional character, called Pedro. The information about the children varied: in one of the stories the children all lived in the same town as the person who should help them; in a second story the children lived in a different country; in a third story the children's parents were terrorists; in the last story the children were thieves. At the end of each story the interviewers asked whether the children should be fed and why. The results show the answers vary according to the age of the participants and the stimulus-situation. These results were discussed mainly on the basis of Piaget's epistemological view
El objetivo de este estudio fue verificar y discutir como ocurre el desarrollo de la justicia distributiva de la infancia a la adolescencia, con énfasis en la justicia igualitaria. 158 estudiantes de escuelas públicas y privadas, de 8 a 18 años respondieron a una entrevista estructurada que contenía una historia sobre niños que padecían hambre y que podrían ser alimentados por un personaje ficticio, el Sr. Pedro. Las informaciones sobre los niños variaban: en una historia, los niños vivían en la misma ciudad que la persona que podía ayudarlas; en otra, los niños eran de un país distante; y en la última, eran niños que robaban. Al final de cada historia, se preguntó si los niños deberían recibir los alimentos y el porqué. Los resultados demostraron una variación en las respuestas, en función de la franja etaria de los participantes y de la situación-estímulo. Esos resultados fueron discutidos con base sobre todo en la visión epistemológica piagetiana
