Verina Wild

Verina Wild
Universität Augsburg | UNA · Medical Faculty - Medical Ethics

Professor

About

130
Publications
26,349
Reads
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829
Citations
Citations since 2017
45 Research Items
685 Citations
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Introduction
Verina Wild works in the area of medical ethics/bioethics, public health ethics and global health ethics. Topics of main interest are health justice and vulnerability in many facets. Her current research focus is on ethical, legal and social aspects of mobile health technologies.
Additional affiliations
January 2017 - present
Ludwig-Maximilians-University of Munich
Position
  • Managing Director
Description
  • Deputy director Institute of Ethics, History and Theory of Medicine. Project lead META Research Group 2018 - 2024 (funded by BMBF)
January 2008 - December 2016
University of Zurich
Position
  • Research Assistant
January 2006 - December 2007
Evangelisches Waldkrankenhaus Spandau
Position
  • Medical Doctor

Publications

Publications (130)
Article
Full-text available
Zusammenfassung Mobile Gesundheitstechnologien (mHealth) fördern den Trend hin zu Eigenverantwortung und Selbstmanagement. Ziel des Beitrags ist es, am Beispiel von Diabetes mellitus Typ 2 (T2DM) die Diskussion zu mHealth, Eigenverantwortung und Gerechtigkeit – welche es bisher nur in Ansätzen gibt – aus einer Public-Health-ethischen Perspektive zu...
Article
Full-text available
Purpose Role expectations of physicians providing health care for hunger strikers have been discussed in the context of prisons and detention centres. Ethical guidance for physicians in these situations is codified in the Declaration of Malta. In the last years, new forms of collective, public hunger strikes of asylum seekers have occurred. We have...
Chapter
As states persist in conceiving of asylum as a privilege rather than an entitlement, vast numbers of people displaced by conflict, disaster, famine, and dire poverty continue to dwell over long periods of time in conditions of isolation and severe deprivation. In this chapter, we contribute to the argument that long-term displacement—the fact of it...
Chapter
Refugees are often accommodated in mass shelters or camps, where they usually have to follow strict rules and remain under close observation. Such facilities are meant to provide shelter, care and other basic necessities. But by living in a mass shelter or camp, the inhabitants can also experience disempowerment and loss of control over their day-t...
Article
The COVID-19 pandemic is affecting countries across the globe. Only a globally coordinated response, however, will enable the containment of the virus. Responding to a request from policy makers for ethics input for a global resource pledging event as a starting point, this paper outlines normative and procedural principles to inform a coordinated...
Article
Zusammenfassung Zentraler Ausgangspunkt für die ethische Diskussion public-health-bezogener Fragen, wie dem Pandemiemanagement, ist die bestehende soziale Ungleichheit in der Gesundheit und die damit zusammenhängende soziale Gerechtigkeit. Hieraus entsteht kein Widerspruch zwischen Freiheit und Gerechtigkeit. Freiheitliche Grundrechte können nur au...
Article
The climate crisis is a major public health ethics problem that needs to be addressed using a broad set of ethical tools to analyse the manifold ethical issues. To enrich the discourse, we suggest to bridge the gap between environmental ethics and public health ethics. A planetary health ethics could help to develop a holistic perspective and creat...
Article
Full-text available
This short introduction presents the theme of the special issue and provides a preview of the articles.
Article
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Mobile applications (apps) have gained significant popularity as a new intervention strategy responding to violence against women and girls. Despite their growing relevance, an assessment from the perspective of public health ethics is still lacking. Here, we base our discussion on the understanding of violence against women and girls as a multidim...
Article
Full-text available
There is growing interest in contact tracing apps (CT apps) for pandemic management. It is crucial to consider ethical requirements before, while, and after implementing such apps. In this paper, we illustrate the complexity and multiplicity of the ethical considerations by presenting an ethical framework for a responsible design and implementation...
Article
Full-text available
The paper introduces the notion of ‘digital behavioral technologies’ and discusses them from the perspectives of vulnerability and justice, thereby integrating perspectives from bioethics or public health ethics and political philosophy. Digital behavioral technologies have seen a massive uptake in recent years, but the market for them is hardly re...
Technical Report
Full-text available
Pandemic public policy-making requires far-reaching decisions in the context of severe and dynamic lack of information. This policy brief breaks down the ethical challenge of pandemic public policy-making under conditions of uncertainty into understandable parts, and elaborates how these may be approached in practice. A pandemic usually implies unc...
Article
Full-text available
Debates about effective responses to the COVID-19 pandemic have emphasized the paramount importance of digital tracing technology in suppressing the disease. So far, discussions about the ethics of this technology have focused on privacy concerns, efficacy, and uptake. However, important issues regarding power imbalances and vulnerability also warr...
Article
Full-text available
The COVID-19 pandemic presents unprecedented challenges to public health decision-making. Specifically, the lack of evidence and the urgency with which a response is called for, raise the ethical challenge of assessing how much (and what kind of) evidence is required for the justification of interventions in response to the various threats we face....
Chapter
Die Gesundheitswissenschaften sind ein interdisziplinärer Lehr- und Forschungsbereich, zu dem die wissenschaftliche philosophische Ethik wichtige Beiträge leisten kann, um die Forschung und Praxis zu reflektieren und normativ anzuleiten. Das folgende Kapitel gibt einen Überblick darüber, was philosophische Ethik ist, wie sie sich in die Gesundheits...
Technical Report
Full-text available
There is a growing interest in contact tracing apps (CT apps) for pandemic man- agement. These apps raise significant moral concerns. It is therefore crucial to consider ethical requirements before and while implementing such apps. • Public trust is of major importance for population uptake of contact tracing apps. Hasty, ill-prepared or badly comm...
Article
Zusammenfassung In diesem Dokument beschreiben wir den Prozess und den Inhalt einer ad hoc Public-Health-Ethikberatung vom 22. März 2020 für eine regionale Gesundheitsbehörde (Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit) zu Entscheidungen im Zusammenhang mit Covid-19.
Technical Report
Full-text available
This Policy Brief discusses several prominent ethical challenges of the administration of a COVID-19 vaccine that is expected to be available in the future – yet, will be scarce at first and its distribution will be introduced only stepwise. The Policy Brief reflects on pertinent ethical principles (Population Health Maximization, Justice, Autonomy...
Article
We summarise the current ethical guidance on tuberculosis (TB) care and migration, as set out in the WHO “ Ethics Guidance for the Implementation of the End TB Strategy .” Among other aspects, the Ethics Guidance states that there should be firm legal principles in place that ensure the enforcement of migration law on the one hand and the protectio...
Technical Report
Full-text available
The Covid-19 pandemic forces policy makers and public health authorities to make ethically challenging decisions, often under conditions of uncertainty and under time pressure. In times of pandemics, ethical accountability is more important, not less. Understanding and handling of ethical problems require grounding in ethical theory and decision mo...
Article
Full-text available
Introduction: Clitoral reconstruction (CR) is a controversial surgical procedure performed for women who have undergone medically unnecessary, often ritualistic genital cutting involving the clitoris. Such cutting is known by several terms; we will use female genital mutilation/cutting (FGM/C). Treatments offered to women affected by complications...
Article
READ OPEN ACCESS AT: https://blogs.bmj.com/medical-ethics/2020/04/01/responding-to-the-sars-cov-2-pandemic-experiences-of-an-ad-hoc-public-health-ethics-consultation/
Article
Full-text available
Health policy and systems research (HPSR) is increasingly being funded and conducted worldwide. There are currently no specific guidelines or criteria for the ethical review and conduct of HPSR. Academic debates on HPSR ethics in the scholarly literature can inform the development of guidelines. Yet there is a deficiency of academic bioethics work...
Article
Full-text available
Introduction Violence against women is a pressing global health problem that is being met with a new intervention strategy—mobile applications. With this systematic review, we provide an initial analysis and functional categorisation of apps addressing violence against women. Methods We conducted a systematic online search conforming with Preferre...
Chapter
Hate speech is endemic in digital space, and it does not spare academia. Especially scholars working in fields prone to political debate - from migration to climate change, from gender to refugee integration, and many more topics - find themselves increasingly attacked. With this chapter, we hope to raise awareness for the increasingly prevalent ph...
Chapter
Full-text available
The emergence of mobile health (mHealth) technologies has been celebrated by many scholars, who argue that mHealth can deliver health services to more people and democratize healthcare. At the same time, innovation with mHealth is being conducted in a world with a significant digital divide and structural inequities. We interrogate mHealth from a g...
Article
Objectives: In this article, we outline the link between migration, public health and ethics. Study design: Discussing relevant arguments about migration from the perspective of public health and public health ethics. Methods: Critical review of theories and frameworks, case-based analysis and systematic identification and discussion of challe...
Article
Full-text available
Migrant health is a critical public health issue, and in many countries attention to this topic has focused on the link between migration and communicable diseases, including tuberculosis (TB). When creating public health policies to address the complex challenges posed by TB and migration, countries should focus these policies on evidence, ethics,...
Article
Definition of the problem The German-language media describes a new trend in long-term care: the migration of persons needing such care to nursing homes abroad, especially to Thailand or East Europe. This type of migration is perceived as a controversial practice. Various articles use terms such as “export of the elderly”, “gerontological coloniali...
Article
This special issue is the result of a conference organised by Verina Wild and Anca Gheaus, at the Ludwig-Maximilians University of Munich in December 2014. The conference addressed normative issues raised by the use of incentive mechanisms to promote better health, and included papers by most contributors to this special issue. So far, the normativ...
Article
Objectives: Recent investigations of ethnicity related disparities in health care have focused on the contribution of providers' implicit biases. A significant effect on health care outcomes is suggested, but the results are mixed. The purpose of this integrative literature review is to provide an overview and synthesize the current empirical rese...
Article
Refers to: Karen Lutfey Spencer, What is the future of research on medical decision making? (And is it bright?): A response to Drewniak and colleagues, Social Science & Medicine, Volume 168, November 2016, Pages 175-177. http://dx.doi.org/10.1016/j.socscimed.2016.09.017
Article
The ethics of health incentive research—a form of public health research—are not well developed, and concerns of justice have been least examined. In this paper, we explore what potential long term harms in relation to justice may occur as a result of such research and whether they should be considered as part of its ethical evaluation. ‘Long term...
Article
Full-text available
This paper presents a systematic literature review of studies that shed light on the health of migrants in Iran from the perspective of social justice. A systematic search was conducted in PubMed and Iranian databases, including IranMedex, Magiran, and SID, in June 2012. All studies that were published until June 2012 describing the health status o...
Technical Report
Full-text available
With immigration dominating headlines and political agendas across Europe and elsewhere, and increasing numbers of refugees and asylum seekers, the Global Young Academy, the Royal Netherlands Academy of Arts and Sciences, and the Dutch Young Academy decided to explore this agenda through an interdisciplinary lens. Over twenty young scientists – wit...
Chapter
In this chapter we first discuss the impact of thalidomide on the approach to drug use and clinical research with pregnant women in Germany. We then present results from a qualitative interview study conducted in Göttingen, Germany, in 2003. The interviews provide insights into women’s thoughts and experiences in relation to decision-making during...
Article
This article discusses cosmopolitanism as the moral foundation for access to health care for migrants. The focus is on countries with sufficiently adequate universal health care for their citizens. The article argues for equal access to this kind of health care for citizens and migrants alike—including migrants at special risk such as asylum seeker...
Article
Full-text available
The starting point of the interdisciplinary project "Assessing the impact of diagnosis related groups (DRGs) on patient care and professional practice" (IDoC) was the lack of a systematic ethical assessment for the introduction of cost containment measures in healthcare. Our aim was to contribute to the methodological and empirical basis of such an...
Article
The reimbursement system SwissDRG sets incentives for hospitals and providers to treat patients in a cost-efficient way. Arising conflicts between the commitment to the patient's well-being and the economic interests of the hospital can lead to an impairment of quality and equity of health care. We developed and used a monitoring tool to evaluate e...
Article
„Vulnerabilität“ ist in der Forschungs- und Bioethik ein bisher nur unzureichend definierter und in der Folge kritisch diskutierter Begriff. Für die Forschungsethik wurde der Begriff erstmalig nach dem zweiten Weltkrieg im Zusammenhang mit dem Nürnberger Codex relevant. Es sollte unter allen Umständen verhindert werden, dass sich menschenverachtend...
Article
Full-text available
How health care providers are paid affects how medicine is practiced. It is thus important to assess provider payment models not only from the economic perspective but also from the ethical perspective. China recently started to reform the provider payment model in the health care system from fee-for-service to case-based payment. This paper aims t...
Article
Die medizinische Versorgung schwangerer Frauen basiert zumeist nicht auf Evi-denz aus klinischen Studien, denn Forschung an schwangeren Frauen ist ethisch problematisch. Ein Einschluss schwangerer Frauen in klinische Studien kann das Risiko einer teratogenen Schädigung des Fetus beinhalten. Ein Ausschluss schwangerer Frauen aus klinischen Studien b...
Article
Full-text available
The rising impact of social media on the private and working lives of health care professionals has made researchers and health care institutions study and rethink the concept and content of medical professionalism in the digital age. In the last decade, several specific policies, original research studies, and comments have been published on the r...
Article
Full-text available
The introduction of Diagnosis Related Groups (DRGs) as a prospective payment system in many high-income countries has been accompanied by ongoing debates on how to both ethically and efficiently allocate health care resources. China has recently introduced a similar payment system for cost control, namely the case-based payment system. But the exis...
Article
I discuss the case of asylum seekers in Germany and hence identify ethical questions that are relevant from a public health perspective. First, I describe the situation asylum seekers face currently in Germany. Next, I assess this particular case by explaining and applying Powers and Faden’s theory of social justice in public health and health poli...
Article
Swiss hospitals were required to implement a prospective payment system for reimbursement using a Diagnosis-Related Groups (DRGs) classification system by the beginning of 2012. Reforms to a health care system should be assessed for their impact, including their impact on ethically relevant factors. Over a number of years and in a number of countri...
Article
Einleitung: Vor dem Hintergrund der anhaltenden Reformbestrebungen im schweizerischen Gesundheitswesen wird die Frage immer drängender, was denn heutzutage eigentlich «gute Medizin» ist und an welchen Zielen sich Reformen messen lassen sollten. Im Rahmen einer qualitativen Interviewstudie haben wir daher Schweizer Gesundheitsfachleute gefragt, was...
Article
Full-text available
„Medizinethik in einer globalisierten Welt“ – dies war der Titel der Jahrestagung der Akademie für Ethik in der Medizin, welche vom 2. bis 4. September 2010 in Zusammenarbeit mit dem Institut für Biomedizinische Ethik der Universität Zürich stattfand. Das Thema mag zunächst fern und abstrakt erscheinen – Belange und Entwicklungen in anderen Ländern...
Article
Full-text available
Definition of the problem This paper illustrates a critical discussion of culture-related issues in clinical ethics with the example of hymen reconstruction. Arguments (1) To specifically discuss “culture-sensitive” issues in clinical ethics might perpetuate an essentialist understanding of culture. Instead this paper argues for a dynamic understan...
Article
Full-text available
Basing normative judgment and policy on a rich empirical account of the issue at hand is usually a good idea. But doing nothing and awaiting further evidence can sometimes itself be bad judgment. This is the case with female genital cutting. We already know what is needed to define the conditions under which female genital cutting is morally unacce...
Article
Despite the attempts to promote the inclusion of pregnant women into clinical research, this group is still widely excluded. An analysis of the “vulnerability of pregnant women” that questions deeply internalized stereotypes is necessary for finding the right balance in the protection of pregnant women as research participants. Criticism of the tra...
Article
Despite the attempts to promote the inclusion of pregnant women into clinical research, this group is still widely excluded. An analysis of the "vulnerability of pregnant women" that questions deeply internalized stereotypes is necessary for finding the right balance in the protection of pregnant women as research participants. Criticism of the tra...
Article
Full-text available
Diagnosis Related Groups (DRGs) are currently being introduced on a national scale as a prospective reimbursement scheme in Swiss in-patient hospital care, replacing any remaining retrospective day-rate arrangements. DRGs are expected to promote transparency and efficiency while helping to contain health care costs. The governmental decision to int...
Article
Der Wunsch nach Hymenrekonstruktion stellt weniger eine operative als eine sozialmedizinische und psychologische Herausforderung dar. Die Autorinnen des Familienplanungszentrums BALANCE, von pro familia Berlin und vom Institut für Biomedizinische Ethik an der Universität Zürich haben den hier vorgelegten Beitrag auf Anregung von TERRE DES FEMMES fü...
Article
Vom 14. bis 18. Februar 2011 fand an der Medizinischen Hochschule Hannover die durch das Bundesministerium für Bildung und Forschung geförderte Klausurtagung „Public Health Ethics. Scientific methods, foundational concepts, and case analyses“ statt. Die Konferenz für 14 internationale Nachwuchswissenschaftlerinnen und -wissenschaftler wurde von Dan...

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Projects (2)
Project
This project looks at developing tools to make responses to Global Health Emergencies more sensitive to concerns of justice