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Is regionalising care fair to disabled people?

Secker B, Goldenberg MJ, Gibson BE, et al. · BMC medical ethics · 2006

Open access · cc by · source: Europe PMC

Regionalisation promises to integrate health and social services, which matters especially for people with disabilities and chronic illness in the community; the authors test that promise with a disability-ethics justice framework.

Key findings

Without effective integration, community living fails. Regionalisation’s promise is especially important for this group. Justice here tracks marginalization in health and quality of care, not only efficiency.

Methodology

They consider regionalisation from disability ethics (disability studies plus normative/bioethics), stress service integration for community living, and use a justice framework on marginalization and health/quality of life.

Limitations

This is a 2006 Canadian-style justice argument, not a new RCT of a region. It does not measure wait times.

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