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Support services
Published in Janet Thomas, Understanding and Supporting Professional Carers, 2021
Experience shows that if both parties in a dispute can be brought together with a trained mediator it is often possible to reach a mutually acceptable solution. A mediator offers a model of fairness and willingness to negotiate. If mediation is unsuccessful, formal procedures come into play. If an EAP chooses to provide this service, mediation training is required, as the necessary skills are not the same as those required for counselling.
Introduction to the healthcare system, health laws and regulations
Published in Gary Chan Kok Yew, Health Law and Medical Ethics in Singapore, 2020
In civil litigation, parties may be referred to third-party mediation to settle the dispute instead of going through the entire court proceedings. The mediator seeks a resolution of the medical dispute based on the agreement of the parties without imposing a binding ruling on the litigants. The Healthcare Mediation Scheme149 promotes the use of mediation to resolve disputes between patients and healthcare institutions. It is administered by MOH Holdings Pte Ltd through its Mediation Unit with the support of the Singapore Mediation Centre.
Balancing Theoretical Autonomy and Practical Engagement1
Published in Evelyn Brister, Robert Frodeman, A Guide to Field Philosophy, 2020
Tsjalling Swierstra, Merel Noorman
As a mediator one can perform an important role in bringing together various stakeholders. This matched with our normative agenda, as involving stakeholders is an important procedural innovation to make smart cities more democratic. On the other hand, if the dialogues cannot generate mutual understanding or collective decisions because the innovation process is too ‘agile’ and the entrepreneurs do not want to give up control over their product, it is questionable whether organizing stakeholder meetings is worth the effort. If the rules of engagement prohibit open, representative, and transparent stakeholder dialogues, being the mediator can devolve into playing an instrumental role for the more powerful stakeholders.
Mindfulness and Sex Education for Sexual Interest/Arousal Disorder: Mediators and Moderators of Treatment Outcome
Published in The Journal of Sex Research, 2023
Lori A. Brotto, Bozena Zdaniuk, Meredith L. Chivers, Faith Jabs, Andrea D. Grabovac, Martin L. Lalumière
Another limitation pertains to the selected number of mediators examined. We identified five potential mediators in a priori analyses at pre-registration, but it is likely that there may have been other mediators found to underlie symptom improvement in either or both treatment arms which we did not study. The mediators examined focused on the mindfulness plus psychoeducation intervention, and we did not include mediators focused on supportive sex education (e.g., information learned, degree of felt support, and group cohesion). Degree of partner involvement and level of anxiety may have both acted as mediators of treatment outcome, but neither were assessed in this study. Additionally, repetitive negative thinking, aversion and cognitive and emotional reactivity have been found to be significant mediators in clinical trials of mindfulness on outcomes pertaining to depression and anxiety (Gu et al., 2015; Maddock & Blair, 2021) that we did not study.
Ethics Consultation—A Blind Spot of Philosophy in Bioethics?
Published in The American Journal of Bioethics, 2022
Dagmar Schmitz, Marcus Duewell
We think it is at least equally important to address the actual practice of EC and the obvious theory-practice-gap from a philosophical ethical perspective. Acknowledging that there is more to it than just applying principles would be a first necessary step in this regard. A great variety of practices are currently offered under the label of EC—from bioethics mediation procedures to clinical (ethics) consults of individual physician ethicists and ethics rounds. Whereas a bioethics mediator aims at facilitating principled resolutions of conflict, a consult of a physician ethicist is possibly expected to result in a short chart note, recommending the ethically best course of action for the patient. The differing goals of these practices do require differing qualifications on behalf of the respective ethics consultant. As long as the clinical and the nonclinical camp cannot consent on the goals of EC, there will be also no consent on the qualification needed to offer EC—with the effect that ethics consultants with barely any specific qualification at all interfere with life-or-death decisions in hospitals. Philosophical and clinical ethics have to cooperate to redress these translational shortcomings of EC.
The effect of healthcare policy signals on patients’ perceived value, trust and intention to use services offered by a healthcare provider
Published in Hospital Practice, 2022
Moreover, the necessity of hypothesizing a mediator for perceived value and trust in the healthcare context implies that information about offered value-added health services and a capitation policy are processed internally by patients. These signals influence patients’ perceived levels of value and trust, which, in turn, affect their intention to use the provider’s health services. Previous research has suggested that individuals alter their behavior based on the subjective perceptions they hold as a result of interpreting signals [11]. Thus, we expect signaling to be a key intervention variable in the relationship between perceived value and trust and the intention to use services (Hypothesis H7). H7: Perceived value and trust mediate the effects of information signals about a capitation policy and value-added health services on patients’ intentions to use the provider’s health services.