Schulich School of Law

Dans ce livre, des chercheurs, des administrateurs, des
décideurs et des professionnels de la santé se penchent
sur les problèmes de justice distributive engendrés par
le manque de ressources dans le système de santé au
Québec.
Listes d’attente, pénurie de personnel et coûts élevés des
médicaments menacent l’équité du système et l’égalité
d’accès aux soins. De grands enjeux se dessinent, dont
le plus important consiste à assurer l’équilibre entre les
besoins de la population, les moyens et les techniques
accessibles pour y répondre et les objectifs sociaux.
Devant la nécessité d’une réforme en profondeur du
système public et pour en assurer la pérennité et l’efficacité,
les auteurs dressent l’état des lieux et proposent des
pistes de solution.

Comment engager le public dans une réflexion sur les enjeux éthiques de notre époque? Guidés par cette question, nous avons développé une plateforme d'échange avec la communauté sur des questions bioéthiques à travers une exposition artistique ainsi qu'une série d'activités de médiation culturelle et scientifique pour les adultes et les enfants. Ce dossier thématique dresse le compte-rendu de ce projet. Art + Bioéthique repose sur une stratégie interdisciplinaire et collaborative qui a amené six jeunes chercheurs en bioéthique à être jumelés à six artistes de la relève afin d'échanger et d'apporter un nouvel éclairage sur une variété d'enjeux éthiques liés à la santé. Ces duos artistes-chercheurs ont chacun développé une oeuvre et un essai sur un thème commun. Notre objectif était de décloisonner l'art et la recherche académique en bioéthique afin de créer des formes hybrides et inédites de diffusion, d'éducation, d'expérimentation et de rencontre. L'expression de la bioéthique à travers l'art constitue une façon innovatrice de transmettre l'aspect sensible de tant de questions éthiques touchant à la santé et au bien-être. À travers ses divers volets, Art+Bioéthique a su rejoindre plusieurs centaines de personnes et les engager dans une réflexion éthique sur des enjeux au coeur de notre société.

How should one engage the public in a reflection on the ethical issues of our time? Guided by this question, we developed a platform for exchange with the community on bioethical issues via an art exhibition and a series of cultural and scientific mediation activities for adults and children. This thematic dossier presents the report of the project. Art + Bioethics is based on an interdisciplinary and collaborative strategy that paired six young bioethics researchers with six emerging artists to share and shed new light on a variety of ethical issues related to health. These artist-researcher duos each developed a work and an essay on a common theme. Our goal was to break down barriers between art and academic research in bioethics and to create hybrids and new forms of dissemination, education, experimentation and meeting. The expression of bioethics through art represents an innovative way to transmit the sensitive aspect of so many ethical issues of health and well-being. Through its various components, Art + Bioethics was able to join several hundred people and engage in ethical reflection on issues that are at the heart of our society.

Over the last decade there has been a noticeable increase in attention, on the part of public health scholars and professionals, to the important ethical challenges that arise in the context of public health policy, practice and research. This has arguably been a driver for the development of public health ethics (PHE) as both a specialized field of study in bioethics and a subject for professional education. But how is PHE taught in public health programs and schools? Are current educational approaches sufficient to provide future professionals with the necessary tools to address the diverse ethical challenges they will encoun-ter? In this article, we examine the international public health and bioethics literatures regarding PHE education in public health programs and schools. Specifically, we 1) summarize the results from studies that describe PHE education in the United States, Europe, Canada and in some developing countries , 2) explore current attitudes and educational approaches toward ethics curricula in public health, and 3) identify and discuss reported barriers to PHE education. We conclude with some general recommendations and a research agenda to guide future work on implementing PHE into different public health programs.

When decision-makers are engaged in a polarized discourse and leaving aside evidence-based recommendations, is there a role for researchers in the dissemination of this scientific evidence to the general public as a means to counterbalance the debate? In response to the controversial Bill 10 in Quebec, we developed and posted a knowledge transfer video on YouTube to help stimulate critical public debate. This article explains our approach and methodology, and the impact of the video, which, in the space of two weeks, had more than 9,500 views, demonstrating the pertinence of such initiatives. We conclude with recommendations for other research groups to engage in public debates.

Engaging patients in research conduct and agenda setting is increasingly considered as an ethical imperative, and a way to transcend views of patients as passive subjects by fostering their empowerment. However, patient engagement in research (PER) is still an emerging approach with debated definitional and operational frameworks. This song addresses the sometimes difficult encounter and elusive mutual understanding between researchers and patients. “What is PER?” is an impressionistic illustration of the challenges and issues that can be found in the universe of patient engagement in research.