Women's health care in American Catholic hospitals : a proposal for navigating ethical conflicts in accessing reproductive health care
MetadataShow full item record
The Catholic Church is one of the largest providers of medical care in the US, with 1 in 6 acute-care beds residing in a Catholic hospital. One third of these hospitals are in rural or underserved areas in the US, and advocacy for the vulnerable is a central platform of the Catholic Healthcare Association. Despite this, the Church has been under attack for allegedly putting women at risk of injury or death due to the care restrictions concerning reproductive health stipulated in the Ethical and Religious Directives (ERDs). Additionally, scholars are questioning the distinctiveness of the Catholic healthcare mission in practice, pointing to the increased homogenization of Catholic and non-Catholic hospitals. For these reasons, it is necessary to assess if and how women are being harmed in Catholic hospitals and, if there is harm being done, if there is a way to prevent these harms while preserving the Catholic Social Tradition in medicine. In carrying out this assessment, I read the current literature closely to explore both the origins and the practical consequences of these ethical conflicts. Subsequently, I use Chris Durante’s “pragmatic perspectivism” to formulate a proposal that considers both Catholic medical ethics and secular medical ethics on the same plane. The proposal suggests the adoption of an alternative and complementary lens for Catholic health care. Using this framework would allow the Church to pursue its health care mission in a fuller sense, unencumbered by the inertia of the medical industry towards homogenization due to legal and economic pressures. It also provides the potential for Catholics to more easily receive Catholic care in all hospitals, not just those under Catholic sponsorship. Importantly, it would also prevent any American woman from being practically forced to receive Catholic care, circumventing many of the ethical conflicts present in the current system.
Thesis, PhD Doctor of Philosophy
Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
Showing items related by title, author, creator and subject.
Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy : study protocol of a cluster randomized clinical trial (Multi-PAP project) Prados-Torres, Alexandra; del Cura-González, Isabel; Prados-Torres, Daniel; López-Rodríguez, Juan A.; Leiva-Fernández, Francisca; Calderón-Larrañaga, Amaia; López-Verde, Fernando; Gimeno-Feliu, Luis A.; Escortell-Mayor, Esperanza; Pico-Soler, Victoria; Sanz-Cuesta, Teresa; Bujalance-Zafra, M. Josefa; Morey-Montalvo, Mariel; Boxó-Cifuentes, José Ramón; Poblador-Plou, Beatriz; Fernández-Arquero, José Manuel; González-Rubio, Francisca; Ramiro-González, María D.; Coscollar-Santaliestra, Carlos; Martín-Fernández, Jesús; Barnestein-Fonseca, M. Pilar; Valderas-Martínez, José María; Marengoni, Alessandra; Muth, Christiane; Multi-PAP Group; Hernández-Santiago, Virginia; Azcoaga-Lorenzo, Amaya (2017-04-27) - Journal articleBackground: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of ...
Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project) : A clinical trial by clusters del Cura-González, Isabel; López-Rodríguez, Juan A.; Sanz-Cuesta, Teresa; Rodríguez-Barrientos, Ricardo; Martín-Fernández, Jesús; Ariza-Cardiel, Gloria; Polentinos-Castro, Elena; Román-Crespo, Begoña; Escortell-Mayor, Esperanza; Rico-Blázquez, Milagros; Hernández-Santiago, Virginia; Azcoaga-Lorenzo, Amaya; Ojeda-Ruiz, Elena; González-González, Ana I.; Ávila-Tomas, José F.; Barrio-Cortés, Jaime; Molero-García, José M.; Ferrer-Peña, Raul; Tello-Bernabé, María Eugenia; Trujillo-Martín, Mar; Barral, Araceli Garrido; Moreno, Aurora Fernández; Pérez, Paloma Casado; Barba, Emilio Cervera; Rodríguez Monje, María Teresa; Iturbe, Ana Gorroñogoitia; Crespo, Luis Ignacio Mendibil; Mañeru, M. Eulalia Mariñelarena; de Gómez Barragan, Ma Josefa Gil; Elustondo, Sofía Garrido; Fuertes, Rosario Riesgo; Cabello Ballesteros, Luisa María; Nido, Rocío álvarez; Moreno, Cruz Bartolome; Rojas, Guillermo Cairo; Rivas, Jose Luis Lopez; Pikatza, Amaya Zenarutzabeitia; Celaya, Carmen Sánchez; Montalvo, Mariel Morey; Almeida, Lizzy Paola Cisneros; álamo Rodríguez, Manuel Del; García-Franco, Alberto López; Weismann, Elisa Ceresuela; álvarez, Remedios Martín; Bustillo, Beatriz Medina; del Pozo, Marta Sánchez Celaya; Perruca, Luis Sánchez; Salinero Fort, Miguel ángel; de Burgos Luna, Carmen; SanJuan, Angel Mataix; Educaguia Group (2016-05-17) - Journal articleBackground: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many ...
The association between tobacco control policies and current smoking across different occupational groups in the EU between 2009 and 2017 So , Vivian Hiu-Tung; Best, Catherine; Currie, Dorothy; Haw, Sally (2019-06-18) - Journal articleBackground This study investigated the cross-national and longitudinal associations between national tobacco control policies and current smoking in 28 European Union (EU) member states between 2009 and 2017. It also ...