How physician executives and clinicians perceive ethical issues in Saudi Arabian hospitals.

Abstract:

OBJECTIVES:To compare the perceptions of physician executives and clinicians regarding ethical issues in Saudi Arabian hospitals and the attributes that might lead to the existence of these ethical issues. DESIGN:Self-completion questionnaire administered from February to July 1997. SETTING:Different health regions in the Kingdom of Saudi Arabia. PARTICIPANTS:Random sample of 457 physicians (317 clinicians and 140 physician executives) from several hospitals in various regions across the kingdom. RESULTS:There were statistically significant differences in the perceptions of physician executives and clinicians regarding the existence of various ethical issues in their hospitals. The vast majority of physician executives did not perceive that seven of the eight issues addressed by the study were ethical concerns in their hospitals. However, the majority of the clinicians perceived that six of the same eight issues were ethical considerations in their hospitals. Statistically significant differences in the perceptions of physician executives and clinicians were observed in only three out of eight attributes that might possibly lead to the existence of ethical issues. The most significant attribute that was perceived to result in ethical issues was that of hospitals having a multinational staff. CONCLUSION:The study calls for the formulation of a code of ethics that will address specifically the physicians who work in the kingdom of Saudi Arabia. As a more immediate initiative, it is recommended that seminars and workshops be conducted to provide physicians with an opportunity to discuss the ethical dilemmas they face in their medical practice.

journal_name

J Med Ethics

authors

Saeed KS

doi

10.1136/jme.25.1.51

keywords:

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

51-6

issue

1

eissn

0306-6800

issn

1473-4257

journal_volume

25

pub_type

杂志文章
  • The ethics and politics of mindfulness-based interventions.

    abstract::Recently, there has been a lot of enthusiasm for mindfulness practice and its use in healthcare, businesses and schools. An increasing number of studies give us ground for cautious optimism about the potential of mindfulness-based interventions (MBIs) to improve people's lives across a number of dimensions. This paper...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-102942

    authors: Schmidt AT

    更新日期:2016-07-01 00:00:00

  • Implementation of a consent for chart review and contact and its impact in one clinical centre.

    abstract:OBJECTIVE:Informed consent and protection of patient confidentiality are central to the conduction of clinical research. Consent for chart review and contact (CCRC) allows a patient chart to be screened for research by persons outside the direct circle-of-care and for the patient to be contacted regarding potential stu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101765

    authors: Druce I,Ooi TC,McGuire D,Sorisky A,Malcolm J

    更新日期:2015-05-01 00:00:00

  • Holding personal information in a disease-specific register: the perspectives of people with multiple sclerosis and professionals on consent and access.

    abstract:OBJECTIVE:To determine the views of people with multiple sclerosis (MS) and professionals in relation to confidentiality, consent and access to data within a proposed MS register in the UK. DESIGN:Qualitative study using focus groups (10) and interviews (13). SETTING:England and Northern Ireland. PARTICIPANTS:68 peo...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.025304

    authors: Baird W,Jackson R,Ford H,Evangelou N,Busby M,Bull P,Zajicek J

    更新日期:2009-02-01 00:00:00

  • Women's reproductive autonomy: medicalisation and beyond.

    abstract::Reproductive autonomy is central to women's welfare both because childbearing takes place in women's bodies and because they are generally expected to take primary responsibility for child rearing. In 2005, the factors that influence their autonomy most strongly are poverty and belief systems that devalue such autonom...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2004.013193

    authors: Purdy L

    更新日期:2006-05-01 00:00:00

  • Sustainability principle for the ethics of healthcare resource allocation.

    abstract::We propose a principle of sustainability to complement established principles used for justifying healthcare resource allocation. We argue that the application of established principles of equal treatment, need, prognosis and cost-effectiveness gives rise to what we call negative dynamics: a gradual depletion of the v...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106644

    authors: Munthe C,Fumagalli D,Malmqvist E

    更新日期:2021-02-01 00:00:00

  • Covert video surveillance: the Staffordshire Protocol--a response to Dr Shinebourne.

    abstract::This paper is a response to Dr Shinebourne's response to my recent paper assessing the relative merits of the Staffordshire Protocol on covert video surveillance. Dr Shinebourne does not take the opportunity to rebut the criticisms made of the text of the protocol. It is further suggested that judicial oversight of th...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.22.6.349

    authors: Thomas T

    更新日期:1996-12-01 00:00:00

  • Family presence during cardiopulmonary resuscitation: who should decide?

    abstract::Whether to allow the presence of family members during cardiopulmonary resuscitation (CPR) has been a highly contentious topic in recent years. Even though a great deal of evidence and professional guidelines support the option of family presence during resuscitation (FPDR), many healthcare professionals still oppose ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100715

    authors: Lederman Z,Garasic M,Piperberg M

    更新日期:2014-05-01 00:00:00

  • Decision-making in the critically ill neonate: cultural background v individual life experiences.

    abstract:OBJECTIVES:In treating critically ill neonates, situations occasionally arise in which aggressive medical treatment prolongs the inevitable death rather than prolonging life. Decisions as to limitation of neonatal medical intervention remain controversial and the primary responsibility of the generally unprepared famil...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.23.3.164

    authors: Hammerman C,Kornbluth E,Lavie O,Zadka P,Aboulafia Y,Eidelman AI

    更新日期:1997-06-01 00:00:00

  • The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators.

    abstract:BACKGROUND:Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1136/jme.2011.042374

    authors: Snyder J,Crooks VA,Adams K,Kingsbury P,Johnston R

    更新日期:2011-09-01 00:00:00

  • Teaching, learning and assessment of medical ethics at the UK medical schools.

    abstract:OBJECTIVES:To evaluate the UK undergraduate medical ethics curricula against the Institute of Medical Ethics (IME) recommendations; to identify barriers to teaching and assessment of medical ethics and to evaluate perceptions of ethics faculties on the preparation of tomorrow's doctors for clinical practice. DESIGN:Qu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103189

    authors: Brooks L,Bell D

    更新日期:2017-09-01 00:00:00

  • The moral choice in prescribing barbiturates.

    abstract::Dr Wells, a general practitioner, looks at the problem of barbiturate dependence from the point of view of the prescribing doctor who has to choose for his patients - of all ages - the drug, usually a hypnotic, which is sought for insomnia or states of anxiety and stress. He argues that it is wise to prescribe non-bar...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:

    authors: Wells F

    更新日期:1976-06-01 00:00:00

  • "Why aren't you doing what we want?" Cultivating collegiality and communication between specialist and generalist physicians and residents.

    abstract::Developing residents' communication skills has been a goal of residency training programmes since the Accreditation Council for Graduate Medical Education codified it as a core competency. In this article, a case that features problematic communication between a generalist and specialist physician is drawn upon, and i...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.016162

    authors: Rentmeester CA

    更新日期:2007-05-01 00:00:00

  • Research guidelines for embryoids.

    abstract::Human embryo models formed from stem cells-known as embryoids-allow scientists to study the elusive first stages of human development without having to experiment on actual human embryos. But clear ethical guidelines for research involving embryoids are still lacking. Previously, a handful of researchers put forward n...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106493

    authors: Piotrowska M

    更新日期:2021-01-05 00:00:00

  • US primary care physicians' opinions about conscientious refusal: a national vignette experiment.

    abstract:OBJECTIVE:Previous research has found that physicians are divided on whether they are obligated to provide a treatment to which they object and whether they should refer patients in such cases. The present study compares several possible scenarios in which a physician objects to a treatment that a patient requests, in ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-102782

    authors: Brauer SG,Yoon JD,Curlin FA

    更新日期:2016-02-01 00:00:00

  • Danish ethics council rejects brain death as the criterion of death -- commentary 2: return to Elsinore.

    abstract::No discussion of when an individual is dead is meaningful in the absence of a definition of death. If human death is defined as the irreversible loss of the capacity for consciousness combined with the irreversible loss of the capacity to breathe spontaneously (and hence to maintain a spontaneous heart beat) the deat...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.16.1.10

    authors: Pallis C

    更新日期:1990-03-01 00:00:00

  • Modifying autonomy--a concept grounded in nurses' experiences of moral decision-making in psychiatric practice.

    abstract::Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autono...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.20.2.101

    authors: Lützén K,Nordin C

    更新日期:1994-06-01 00:00:00

  • Response to: What counts as success in genetic counselling?

    abstract::Clinical genetics encompasses a wider range of activities than discussion of reproductive risks and options. Hence, it is possible for a clinical geneticist to reduce suffering associated with genetic disease without aiming to reduce the birth incidence of such diseases. Simple cost-benefit analyses of genetic-screeni...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.19.1.47

    authors: Clarke A

    更新日期:1993-03-01 00:00:00

  • Spontaneous abortion and unexpected death: a critical discussion of Marquis on abortion.

    abstract::In his classic paper, 'Why abortion is immoral', Don Marquis argues that what makes killing an adult seriously immoral is that it deprives the victim of the valuable future he/she would have otherwise had. Moreover, Marquis contends, because abortion deprives a fetus of the very same thing, aborting a fetus is just as...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100604

    authors: Coleman MC

    更新日期:2013-02-01 00:00:00

  • Legislation on euthanasia: recent developments in The Netherlands.

    abstract::Recently, new developments took place in the Dutch debate on the legislation of euthanasia. After a brief account of that debate, the article discusses a new government proposal for legislation in this field, which was submitted to the Dutch parliament in November 1991. This proposal relates not only to euthanasia but...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.18.3.138

    authors: Gevers JK

    更新日期:1992-09-01 00:00:00

  • Am I my brother's gatekeeper? Professional ethics and the prioritisation of healthcare.

    abstract::At the 5th International Conference on Priorities in Health Care in Wellington, New Zealand, 2004, one resonating theme was that for priority setting to be effective, it has to include clinicians in both decision making and the enforcement of those decisions. There was, however, a disturbing undertone to this theme, n...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.017871

    authors: Hunter D

    更新日期:2007-09-01 00:00:00

  • The ethics of surgery in the elderly demented patient with bowel obstruction.

    abstract:OBJECTIVE:Little has been written in the medical literature concerning the ethics of treatment of the elderly demented patient with bowel obstruction. It is one example of the issues with which we are becoming increasingly involved. We conducted a survey of our colleagues' opinions to determine current practice. DESIG...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.28.2.105

    authors: Gallagher P,Clark K

    更新日期:2002-04-01 00:00:00

  • Health and disease: what can medicine do for philosophy?

    abstract::Philosophical discussions about health and disease often refer to a 'medical model' of bodily disease, in which diseases are regarded as causes of illness; diagnosis consists in identifying the disease affecting the patient, and this determines the appropriate treatment. This view is plausible only for diseases whose ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.14.3.118

    authors: Scadding JG

    更新日期:1988-09-01 00:00:00

  • Reproductive tourism as moral pluralism in motion.

    abstract::Reproductive tourism is the travelling by candidate service recipients from one institution, jurisdiction, or country where treatment is not available to another institution, jurisdiction, or country where they can obtain the kind of medically assisted reproduction they desire. The more widespread this phenomenon, the...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.28.6.337

    authors: Pennings G

    更新日期:2002-12-01 00:00:00

  • The ethics of clinical trials.

    abstract::In summary, the discussion by Professors Helmchen and Müller-Oerlinghausen of the morality of clinical trials has emphasized a point that is frequently overlooked. It is an essential to consider those situations in which it might be unethical not to conduct a trial as it is to be concerned about the ways in which tria...

    journal_title:Journal of medical ethics

    pub_type: 临床试验,杂志文章

    doi:10.1136/jme.1.4.174

    authors: Wing JK

    更新日期:1975-12-01 00:00:00

  • Medical ethics needs a third dimension.

    abstract::McCarthy, former chairman of a National Health Service area health authority, responds to an article by T.A.H. English, "What price excellence?," in the same issue of the Journal of Medical Ethics. Unlike English, she believes that Great Britain's present system for resource allocation has not achieved an equitable d...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.8.3.147

    authors: McCarthy L

    更新日期:1982-09-01 00:00:00

  • Supererogation and the profession of medicine.

    abstract::In the light of increasing public mistrust, there is an urgent need to clarify the moral status of the medical profession and of the relationship of the clinician to his/her patients. In addressing this question, I first establish the coherence, within moral philosophy generally, of the concept of supererogation (the ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.28.2.70

    authors: McKay AC

    更新日期:2002-04-01 00:00:00

  • Community care--same problems, different epithet?

    abstract::A negative image of community care prevails. This method of care is perceived to be a relatively novel phenomenon and has received mixed media coverage. The negative image of community care has led to the growing belief that this care method has failed. This failure has largely been ascribed to the lack of powers avai...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.24.5.336

    authors: Glover N

    更新日期:1998-10-01 00:00:00

  • 'These sorts of people don't do very well': race and allocation of health care resources.

    abstract::Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.21.6.356

    authors: Lowe M,Kerridge IH,Mitchell KR

    更新日期:1995-12-01 00:00:00

  • Differences in medical students' attitudes to academic misconduct and reported behaviour across the years--a questionnaire study.

    abstract:OBJECTIVES:This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct. DESIGN:A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios desc...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.29.2.97

    authors: Rennie SC,Rudland JR

    更新日期:2003-04-01 00:00:00

  • The criminalisation of HIV transmission.

    abstract::Since Bennett, Draper, and Frith published a paper in this journal in 2000 considering the possible criminalisation of HIV transmission, an important legal development has taken place. February 2001 saw the first successful United Kingdom prosecution for the sexual transmission of disease for over a century, when Step...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.28.3.160

    authors: Chalmers J

    更新日期:2002-06-01 00:00:00