Asada Yukiko, Brown Marion, McNally Mary, Murphy Andrea, Urquhart Robin, Warner Grace
Dalhousie University, Canada.
Public Health Ethics. 2022 Jul 25;15(2):160-174. doi: 10.1093/phe/phac009. eCollection 2022 Jul.
Emerging parallel to long-standing, academic and policy inquiries on personal responsibility for health is the empirical assessment of lay persons' views. Yet, previous studies rarely explored personal responsibility for health among lay persons as dynamic societal values. We sought to explore lay persons' views on personal responsibility for health using the Fairness Dialogues, a method for lay persons to deliberate equity issues in health and health care through a small group dialogue using a hypothetical scenario. We conducted two 2-h Fairness Dialogues sessions ( = 15 in total) in Nova Scotia, Canada. We analyzed data using thematic analysis. Our analysis showed that personal choice played an important role in participants' thinking about health. Underlying the concept of personal choice was considerations of freedom and societal debt. In participants' minds, personal and social responsibilities co-existed and they were unwilling to determine health care priority based on personal responsibility. The Fairness Dialogues is a promising deliberative method to explore lay persons' views as dynamic values to be developed through group dialogues as opposed to static, already-formed values waiting to be elicited.
与长期以来关于个人健康责任的学术和政策探讨并行出现的，是对普通民众观点的实证评估。然而，以往的研究很少将普通民众对健康的个人责任作为动态的社会价值观来探讨。我们试图通过“公平对话”来探究普通民众对健康个人责任的看法，“公平对话”是一种让普通民众通过使用假设情景的小组对话来审议健康和医疗保健中的公平问题的方法。我们在加拿大新斯科舍省进行了两场时长为两小时的“公平对话”会议（总共15人）。我们使用主题分析法对数据进行了分析。我们的分析表明，个人选择在参与者对健康的思考中发挥了重要作用。个人选择概念的背后是对自由和社会债务的考量。在参与者的观念中，个人责任和社会责任并存，他们不愿意基于个人责任来确定医疗保健的优先级。“公平对话”是一种很有前景的审议方法，它可以将普通民众的观点作为通过小组对话发展而来的动态价值观来探究，而不是作为等待引出的静态的、已形成的价值观。
