As public values change and diversify, a wide range of attitudes focused on basic aims of healthcare will develop. Yet, few opportunities exist between professionals and patients to discuss various healthcare issues and concerns. In this study, we used the NeoSocratic Dialogue method and established a forum to discuss fairness in the healthcare system among participants with diverse backgrounds. Participants in three sessions, based on case studies concerning elderly healthcare service, basic co…
Read moreAs public values change and diversify, a wide range of attitudes focused on basic aims of healthcare will develop. Yet, few opportunities exist between professionals and patients to discuss various healthcare issues and concerns. In this study, we used the NeoSocratic Dialogue method and established a forum to discuss fairness in the healthcare system among participants with diverse backgrounds. Participants in three sessions, based on case studies concerning elderly healthcare service, basic coverage, and rationing of care, achieved a consensus on the following principles: healthcare service should fulfill patient’s health needs; certain services should be equally provided to every patient; everyone should support the healthcare system; and patients and professionals are responsible for establishing a fair healthcare service. All groups supported the egalitarian system of healthcare in Japan and suggested necessary improvements. The NSD facilitated to formulate shared ethical principles and responsibilities among healthcare professionals and the general public.