Abstract:
:Dr Neil Campbell suggests that when patients suffering extremes of protracted pain ask for help to end their lives, their requests should be discounted as made under compulsion. I contend that the doctors concerned should be referred to and then act upon advance directives made by those patients when of sound and calm mind and afflicted by no such intolerable compulsion.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Flew Adoi
10.1136/jme.25.3.245keywords:
subject
Has Abstractpub_date
1999-06-01 00:00:00pages
245-6issue
3eissn
0306-6800issn
1473-4257journal_volume
25pub_type
评论,杂志文章abstract::Too many people now have access to confidential medical information. Patients are becoming justifiably wary and the doctor-patient relationship is deteriorating. We can avert the developing crisis by allowing patients to keep their own medical records at home. This will ensure that confidentiality is respected and tha...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.10.1.27
更新日期:1984-03-01 00:00:00
abstract::Dual-track assessment directs research ethics committees (RECs) to assess the risks of research interventions based on the unclear distinction between therapeutic and non-therapeutic interventions. The net risks test, in contrast, relies on the clinically familiar method of assessing the risks and benefits of interven...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014043
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To demonstrate Japanese doctors' and nurses' attitudes towards and practices of voluntary euthanasia (VE) and to compare their attitudes and practices in this regard. DESIGN:Postal survey, conducted between October and December 1999, using a self-administered questionnaire. PARTCIPANTS: All doctor members an...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.27.5.324
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:The objective of this research is to analyse the evolution and nature of published empirical research in the fields of medical ethics and bioethics. DESIGN:Retrospective quantitative study of nine peer reviewed journals in the field of bioethics and medical ethics (Bioethics, Cambridge Quarterly of Healthca...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2004.011478
更新日期:2006-04-01 00:00:00
abstract::The Groningen protocol allows for the euthanasia of severely ill newborns with a hopeless prognosis and unbearable suffering. We understand the impetus for such a protocol but have moral and ethical concerns with it. Advocates for euthanasia in adults have relied on the concept of human autonomy, which is lacking in t...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章,评审
doi:10.1136/jme.2005.012476
更新日期:2006-03-01 00:00:00
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
更新日期:2006-05-01 00:00:00
abstract::In an earlier article in this journal, I advanced five ethical arguments in favour of a voluntary, unpaid system of blood donation. In his reply to my article, Hugh McLachlan criticised one of those arguments, namely, the argument that an unpaid system promotes altruism and social solidarity. In this reply to Dr. McLa...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.24.4.255
更新日期:1998-08-01 00:00:00
abstract::This is a continuation of and a development of a debate between John Keown and me. The issue discussed is whether, in Britain, an unpaid system of blood donation promotes and is justified by its promotion of altruism. Doubt is cast on the notions that public policies can, and, if they can, that they should, be aimed a...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.25.6.532
更新日期:1999-12-01 00:00:00
abstract::Newborn screening is the programme through which newborn babies are screened for a variety of conditions shortly after birth. Programmes such as this are individually oriented but resemble traditional public health programmes because they are targeted at large groups of the population and they are offered as preventiv...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2011-100040
更新日期:2012-05-01 00:00:00
abstract::According to a recent convention on human rights and biomedicine, coercive treatment of psychiatric patients may only be given if, without such treatment, serious harm is likely to result to the health of the patient; it must not be given in the interest of other people. In the present article a discussion is undertak...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.000703
更新日期:2004-10-01 00:00:00
abstract::In his critical comment on our paper in this journal, Shaw argues that 'false assumptions' which we have criticised are in fact correct ('Neuroenhancers, addiction and research ethics'). He suggests that the risk of addiction to neuroenhancers may not be relevant, and that safety and research in regard to neuroenhance...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2013-101317
更新日期:2014-04-01 00:00:00
abstract::As a science and practice transcending metaphysical and ethical disagreements, 'secular' medicine should not exist. 'Secularity' should be understood in an Augustinian sense, not a secularist one: not as a space that is universally rational because it is religion-free, but as a forum for the negotiation of rival reaso...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101776
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:By providing healthcare to adolescents, a major opportunity is created to help them cope with the challenges in their lives, develop healthy behaviour and become responsible healthcare consumers. Confidentiality is a major issue in adolescent healthcare, and its perceived absence may be the main barrier to a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.011932
更新日期:2006-06-01 00:00:00
abstract::The use of charged-particle radiation therapy (CPRT) is an increasingly important development in the treatment of cancer. One of the most pressing controversies about the use of this technology is whether randomised controlled trials are required before this form of treatment can be considered to be the treatment of c...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101290
更新日期:2014-08-01 00:00:00
abstract::Moral evaluation of risk/benefit in early phase studies requires assessing the clinical promise of a candidate intervention using preclinical evidence. Yet, there is little to guide ethics committees, investigators, sponsors or other stakeholders morally charged with making these assessments ('evaluators'). In what fo...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-102882
更新日期:2016-01-01 00:00:00
abstract::The urgency of the resuscitation and the impaired ability of the patient to make a reasonable autonomous decision both conspire against adequate consideration of the principles of medical ethics. Informed consent is usually not possible for these reasons and this leads many to consider that consent is not required for...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.25.5.375
更新日期:1999-10-01 00:00:00
abstract::More than 25 years into the HIV epidemic, in excess of 2 million new infections continue to occur each year. HIV prevention research is crucial for groups at heightened risk for HIV, but the design and conduct of HIV prevention research with vulnerable populations worldwide raises considerable ethical challenge...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.035444
更新日期:2010-12-01 00:00:00
abstract::W B Gallie's notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.29.4.261
更新日期:2003-08-01 00:00:00
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
更新日期:2016-02-01 00:00:00
abstract::A recurrent issue in the vast amount of literature on reasoning models in ethics is the role and nature of moral intuitions. In this paper, we start from the view that people who work and live in a certain moral practice usually possess specific moral wisdom. If we manage to incorporate their moral intuitions in ethic...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.026559
更新日期:2009-04-01 00:00:00
abstract::Students at Newcastle are exposed to patients during their first week at medical school and attached to a family within the first month. The object is to sensitise them to patients as people rather than vehicles of disease. Medical ethics is introduced as part of the multidisciplinary Human Development, Behaviour and ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.11.1.35
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVES:A statute enacted in 2005 modified the legislative framework of the rights of terminally ill persons in France. Ten years after the EURONIC study, which described the self-reported practices of neonatal caregivers towards ethical decision-making, a new study was conducted to assess the impact of the new law ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.038356
更新日期:2011-04-01 00:00:00
abstract::With so much attention being paid to the development and refinement of appropriate criteria and tests for death, little attention has been given to the broader conceptual issues having to do with its definition or with the relation of a definition to its criterion. The task of selecting the correct criterion is, howev...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.21.5.270
更新日期:1995-10-01 00:00:00
abstract::The practice of covertly administering medication is controversial. Although condemned by some as overly paternalistic, others have suggested that it may be acceptable if patients have permanent mental incapacity and refuse needed treatment. Ethical, legal, and clinical considerations become more complex when the ment...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2003.007336
更新日期:2005-05-01 00:00:00
abstract::This paper considers the ethics of routine antenatal HIV testing and the role of informed consent within such a policy in order to decide how we should proceed in this area--a decision that ultimately rests on the relative importance we give to public health goals on the one hand and respect for individual autonomy on...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.018861
更新日期:2007-08-01 00:00:00
abstract::Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature-the story of Ulysses and the Sirens-several ethical issues surrounding this practice...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2005.015545
更新日期:2007-10-01 00:00:00
abstract::This paper is not about the medical condition of AIDS. Nor is it about the history of the condition since it was first reported in Atlanta, Georgia in 1981. It looks rather, at the catalogue of legislative and other legal responses to the spread of AIDS. The paper analyses the AIDS condition in its historical context....
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.12.4.187
更新日期:1986-12-01 00:00:00
abstract::The research assessment exercise (RAE) forms the basis for determining the funding of higher education institutions in the UK. Monies are distributed according to a range of performance criteria, the most important of which is "research outputs". Problems to do with publication misconduct, and in particular, issues of...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.26.6.422
更新日期:2000-12-01 00:00:00
abstract::The case of W v M and Others, in which the court rejected an application to withdraw artificial nutrition and hydration from a woman in a minimally conscious state, raises a number of profoundly important medico-legal issues. This article questions whether the requirement to respect the autonomy of incompetent patient...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-100907
更新日期:2013-09-01 00:00:00
abstract::Determining whether a research risk meets or exceeds a regulatory standard of risk acceptability is difficult. Recently a framework called the systematic evaluation of research risks (SERR) has been proposed as a method of comparing research risks with predetermined standards of acceptability. SERR purports to offer a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2011-100194
更新日期:2012-07-01 00:00:00