Paternalism versus autonomy: medical opinion and ethical questions in the treatment of defective neonates.

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

authors： Coleman MC

更新日期：2013-02-01 00:00:00

abstract：:Therapeutic privilege (TP) is a defence that may be available to doctors who fail to disclose to the patient relevant information when seeking informed consent for treatment if they have a reasonable belief that providing that information would likely cause the patient concerned serious physical or mental harm. In a l...

journal_title：Journal of medical ethics

authors： Menon S,Entwistle V,Campbell AV,van Delden JJM

更新日期：2021-01-01 00:00:00

abstract：:This is the first contribution to a new JME column, "At the coalface," to which readers are invited to relate ethical problems they have encountered in their work. An adolescent patient requested that the author, a general practitioner, certify that he was medically fit to box. Toon attempted to dissuade him from bo...

journal_title：Journal of medical ethics

authors： Toon PD

更新日期：1988-06-01 00:00:00

abstract：:The traditional view that having a personality disorder, unlike other mental disorders, is not usually reason enough to consider a person incompetent to make healthcare decisions is challenged. The example of a case in which a woman was treated for a physical disorder without her consent illustrates that personality d...

journal_title：Journal of medical ethics

authors： Winburn E,Mullen R

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVE:To explore the experiences of people with a "terminal illness", focusing on the patients' perspective of euthanasia and assisted suicide. METHOD:A qualitative study using narrative interviews was conducted throughout the UK. The views of the 18 people who discussed euthanasia and assisted suicide were explor...

journal_title：Journal of medical ethics

authors： Chapple A,Ziebland S,McPherson A,Herxheimer A

更新日期：2006-12-01 00:00:00

abstract：:In this paper we identify and evaluate arguments for and against offering assisted reproductive technologies (ART), specifically IVF, to HIV discordant couples (male partner HIV positive, female partner HIV negative). The idea of offering ART to HIV discordant couples generates concerns about safety and public health ...

journal_title：Journal of medical ethics

authors： Spriggs M,Charles T

更新日期：2003-12-01 00:00:00

abstract：:Currently, any dentist in the UK who is HIV-seropositive must stop treating patients. This is despite the fact that hepatitis B-infected dentists with a low viral load can continue to practise, and the fact that HIV is 100 times less infectious than hepatitis B. Dentists are obliged to treat HIV-positive patients, but...

journal_title：Journal of medical ethics

authors： Shaw D

更新日期：2008-03-01 00:00:00

abstract：:The right not to know is underappreciated in policy-making. Despite its articulation in medical law and ethics, policy-makers too easily let other concerns override the right not to know. This observation is triggered by a recent decision of the Dutch government on embryo selection for Huntington's disease. This is a ...

journal_title：Journal of medical ethics

authors： Asscher E,Koops BJ

更新日期：2010-01-01 00:00:00

abstract：:In 'Abortion and deprivation: a reply to Marquis', Anna Christensen contends that Don Marquis' influential 'future like ours' argument for the immorality of abortion faces a significant challenge from the Epicurean claim that human beings cannot be harmed by their death. If deprivation requires a subject, then abortio...

journal_title：Journal of medical ethics

authors： Blackshaw BP,Rodger D

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:Policy instruments based on the working of markets have been introduced to empower consumers of healthcare. However, it is still not easy to become a critical consumer of healthcare. OBJECTIVES:The aim of this study is to analyse the possibilities of the state to strengthen the position of patients with the...

journal_title：Journal of medical ethics

authors： Grit K,de Bont A

更新日期：2010-02-01 00:00:00

abstract：:A patient is described, a woman of 60, who at that age was diagnosed as having Huntington's chorea, a genetic disease which is transmitted as an autosomal dominant. She had one daughter, who was married and lived abroad. The patient's mother and maternal aunt, it emerged during the consultations, had had the disease, ...

journal_title：Journal of medical ethics

authors：

更新日期：1976-03-01 00:00:00

abstract：:The aim of regenerative medicine is to reconstruct tissue that has been lost or pathologically altered. Therapeutic cloning seems to offer a method of achieving this aim; however, the ethical debate surrounding human therapeutic cloning is highly controversial. Artificial parthenogenesis-obtaining embryos from unferti...

journal_title：Journal of medical ethics

authors： Fangerau H

更新日期：2005-12-01 00:00:00

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

authors： Pallis C

更新日期：1990-03-01 00:00:00

abstract：:Brierley et al argue that in cases where it is medically futile to continue providing life-sustaining therapies to children in intensive care, medical professionals should be allowed to withdraw such therapies, even when the parents of these children believe that there is a chance of a miracle cure taking place. In re...

journal_title：Journal of medical ethics

authors： Clarke S

更新日期：2013-09-01 00:00:00

abstract：:Best interests decision-making and end-of-life care for patients in permanent vegetative or minimally conscious states (VS/MCS) is a complex area of clinical and legal practice, which is poorly understood by most clinicians, lawyers and members of the public. In recent weeks, the Oxford Shrieval lecture by Mr Justice ...

journal_title：Journal of medical ethics

authors： Turner-Stokes L

更新日期：2017-07-01 00:00:00

abstract：:Futile treatment is one ethically challenging situation commonly encountered by junior doctors. By analysing an intern's story using a role virtues framework, I propose a set of three steps for junior doctors facing this problem. I claim that junior doctors ought always to investigate the rationale underlying decision...

journal_title：Journal of medical ethics

authors： McDougall R

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:To allow patients to reflect about a decision to participate in a clinical trial, guidelines suggest a 24-h delay from when they are informed about the trial to when they give consent. In certain clinical settings, this is likely to hamper recruitment. METHOD:After oral and written information about the tri...

journal_title：Journal of medical ethics

authors： Gulbrandsen P,Jensen BF

更新日期：2010-02-01 00:00:00

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 i...

journal_title：Journal of medical ethics

authors： Saeed KS

更新日期：1999-02-01 00:00:00

abstract：:Rationing healthcare is a difficult task, which includes preventing patients from accessing potentially beneficial treatments. Proponents of implicit rationing argue that politicians cannot resist pressure from strong patient groups for treatments and conclude that physicians should ration without informing patients o...

journal_title：Journal of medical ethics

authors： Lauridsen SM,Norup MS,Rossel PJ

更新日期：2007-12-01 00:00:00

abstract：:Towers reviews Joan Robinson: One Woman's Story, an American documentary film about a terminal cancer patient that was first broadcast by the Public Broadcasting Service on 21 January 1980. The film was made at the instigation of Robinson, a writer and editor, and covers the last twenty-two months of her life from th...

journal_title：Journal of medical ethics

authors： Towers B

更新日期：1980-06-01 00:00:00

abstract：:I sketch a libertarian argument for the right to test in the context of 'direct to consumer' (DTC) genetic testing. A libertarian right to genetic tests, as defined here, relies on the idea of a moral right to self-ownership. I show how a libertarian right to test can be inferred from this general libertarian premise,...

journal_title：Journal of medical ethics

authors： Loi M

更新日期：2016-09-01 00:00:00

abstract：:Two principles form the basis for much priority setting in health. According to the greater benefit principle, resources should be directed toward the intervention with the greater health benefit. According to the worse off principle, resources should be directed toward the intervention benefiting those initially wors...

journal_title：Journal of medical ethics

authors： Ottersen T

更新日期：2013-03-01 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

authors： Purdy L

更新日期：2006-05-01 00:00:00

abstract：:In terms of ethical implications, Boers, van Delden and Bredenoord (2018) have made an interesting step forward with their model of organoids as hybrids, which seeks to find a balance between subject-like value and object-like value. Their framework aims to introduce effective procedures not to exploit donors and to i...

journal_title：Journal of medical ethics

authors： Lavazza A

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Financial conflict of interest in clinical research is an area of active debate. While data exist on the perspectives and roles of academic institutions, investigators, industry sponsors, and scientific journals, little is known about the perspectives of potential research participants. METHODS:The authors ...

journal_title：Journal of medical ethics

authors： Kim SY,Millard RW,Nisbet P,Cox C,Caine ED

更新日期：2004-02-01 00:00:00

abstract：:Unit 731, a biological warfare research organisation that operated under the authority of the Imperial Japanese Army in the 1930s and 1940s, conducted brutal experiments on thousands of unconsenting subjects. Because of the US interest in the data from these experiments, the perpetrators were not prosecuted and the at...

journal_title：Journal of medical ethics

authors： Hickey D,Li SS,Morrison C,Schulz R,Thiry M,Sorensen K

更新日期：2017-04-01 00:00:00

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

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

更新日期：2011-09-01 00:00:00

abstract：:The question of whether old age should or should not play a role in medical decision-making for the elderly patient is regularly debated in ethics and medicine. In this paper we investigate exactly how age influences the decision-making process. To explore the normative argumentation in the decisions regarding an elde...

journal_title：Journal of medical ethics

authors： Ubachs-Moust J,Houtepen R,Vos R,ter Meulen R

更新日期：2008-12-01 00:00:00

abstract：:The aim of this study was to determine the opinions of private medical practitioners in Bloemfontein, South Africa, regarding euthanasia of terminally ill patients. This descriptive study was performed amongst a simple random sample of 100 of 230 private medical practitioners in Bloemfontein. Information was obtained ...

journal_title：Journal of medical ethics

authors： Brits L,Human L,Pieterse L,Sonnekus P,Joubert G

更新日期：2009-03-01 00:00:00

abstract：BACKGROUND:Patient autonomy has gradually replaced physician paternalism as an ethical ideal. However, in a medical context, the principle of individual autonomy has different meanings. More knowledge is needed about what is and should be an appropriate understanding of the concept of patient autonomy in clinical pract...

journal_title：Journal of medical ethics

authors： Nessa J,Malterud K

更新日期：1998-12-01 00:00:00