Doctor's views on disclosing or withholding information on low risks of complication.

abstract：:Over the decades of experimentation on the placebo effect, it has become clear that it is driven largely by expectation, and that strong expectations of efficacy are more likely to give rise to the experience of benefit. No wonder the placebo effect has come to resemble a self-fulfilling prophecy. However, this resemb...

journal_title：Journal of medical ethics

authors： Justman S

更新日期：2013-04-01 00:00:00

abstract：OBJECTIVE:Adolescents have had very limited access to research on biomedical prevention interventions despite high rates of HIV acquisition. One concern is that adolescents are a vulnerable population, and trials carry a possibility of harm, requiring investigators to take additional precautions. Of particular concern ...

journal_title：Journal of medical ethics

authors： Ott MA,Alexander AB,Lally M,Steever JB,Zimet GD,Adolescent Medicine Trials Network (ATN) for HIV\/AIDS Interventions.

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Desire for improvement in one's illness and having one's own doctor functioning as a researcher are thought to promote therapeutic misconception (TM), a phenomenon in which research subjects are said to conflate research with treatment. PURPOSE:To examine whether subjects' therapeutic motivation and own doc...

journal_title：Journal of medical ethics

authors： Kim SY,De Vries R,Parnami S,Wilson R,Kim HM,Frank S,Holloway RG,Kieburtz K

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVES:To analyse the decision making for end of life care for patients with cancer at a teaching hospital in Japan at two periods 10 years apart. DESIGN AND SETTING:Retrospective study conducted in a 550 bed community teaching hospital in Okinawa, Japan. PATIENTS:There were 124 terminally ill cancer patients (45...

journal_title：Journal of medical ethics

authors： Tokuda Y,Nakazato N,Tamaki K

更新日期：2004-06-01 00:00:00

abstract：:The present and future rapid increase in the hospital population of geriatric patients is discussed with particular reference to the problem of advanced brain degeneration. The consequences of various clinical management options are outlined and it is suggested that extreme attempts either to preserve or terminate lif...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1982-12-01 00:00:00

abstract：:Each Local Research Ethics Committee (LREC) is expected to produce an annual report for its establishing authority. Reports from 145 LRECs were examined with regard to (a) whether the committees were working within the terms of the most recent guidelines from the Department of Health and (b) observations on the role o...

journal_title：Journal of medical ethics

authors： Foster CG,Marshall T,Moodie P

更新日期：1995-08-01 00:00:00

abstract：:According to estimates more than 400 biobanks currently operate across Europe. The term 'biobank' indicates a specific field of genetic study that has quietly developed without any significant critical reflection across European societies. Although scientists now routinely use this phrase, the wider public is still co...

journal_title：Journal of medical ethics

authors： Sándor J,Bárd P,Tamburrini C,Tännsjö T

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVES:To study the attitudes of health care staff in four postcommunist countries towards taking gifts from their clients--and their confessed experience of actually taking such gifts. DESIGN:Survey questionnaire administered to officials including health care staff, supplemented by focus-group discussions with t...

journal_title：Journal of medical ethics

authors： Miller WL,Grødeland AB,Koshechkina TY

更新日期：2000-10-01 00:00:00

abstract：:In this paper, I respond to criticisms by John Harris, contained in a commentary on my article "Harris, harmed states, and sexed bodies", which appeared in the Journal of Medical Ethics, volume 37, number 5. I argue that Harris's response to my criticisms exposes the strong eugenic tendencies in his own thought, when ...

journal_title：Journal of medical ethics

authors： Sparrow R

更新日期：2012-01-01 00:00:00

abstract：:It is a common feature of debates on the regulation of reproductive medicine to find law portrayed as a crude form of intervention consisting in the imposition of inflexible rules on doctors and medical researchers. This paper argues that this view must be replaced by a more accurate assessment of the law's potential ...

journal_title：Journal of medical ethics

authors： Jabbari D

更新日期：1990-03-01 00:00:00

abstract：:The current COVID-19 pandemic has raised many questions and dilemmas for modern day ethicists and healthcare providers. Are physicians, nurses and other healthcare workers morally obligated to put themselves in harm's way and treat patients during a pandemic, occurring a great risk to themselves, their families and po...

journal_title：Journal of medical ethics

authors： Solnica A,Barski L,Jotkowitz A

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Studies describing physicians' experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their ...

journal_title：Journal of medical ethics

authors： Rietjens JA,Voorhees JR,van der Heide A,Drickamer MA

更新日期：2014-04-01 00:00:00

abstract：:Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

journal_title：Journal of medical ethics

authors： Schefczyk M

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Discussing treatment risks has become increasingly important in medical communication. Still, despite regulations, physicians must decide how much and what kind of information to present. OBJECTIVE:To investigate patients' preference for information about a small risk of a complication of colonoscopy, and w...

journal_title：Journal of medical ethics

authors： Janssen NB,Oort FJ,Fockens P,Willems DL,de Haes HC,Smets EM

更新日期：2009-05-01 00:00:00

abstract：OBJECTIVES:This study aimed to determine the ability to successfully contact past paediatric patients and their families to request participation in research, to assess familial views on the use of previously collected archival clinical samples for research purposes, and to highlight the ethical and practical issues in...

journal_title：Journal of medical ethics

authors： Sexton-Oates A,Dodgshun A,MacGregor D,Ludlow LE,Sullivan M,Saffery R

更新日期：2016-07-01 00:00:00

abstract：UNLABELLED:The difficulties of undertaking good quality effectiveness research in palliative medicine are well documented. Much of the ethical literature in this area focuses on the vulnerability of the palliative care population. It is clear that a wider ethical approach will need to be used to justify research in the...

journal_title：Journal of medical ethics

authors： Keeley PW

更新日期：2008-10-01 00:00:00

abstract：:There are various ways in which medicine and literature interact, but this paper concentrates on the contribution which literature can make to 'whole person understanding'. Scientific understanding is concerned with seeing events and actions in terms of patterns or similarities. But 'whole person understanding' is con...

journal_title：Journal of medical ethics

authors： Downie RS

更新日期：1991-06-01 00:00:00

abstract：:Concepts such as 'coercion' and 'inducement' are often used within bioethics without much reflection upon what they mean. This is particularly so in research ethics where they are assumed to imply that payment for research participation is unethical. Wertheimer and Miller advance our thinking about these concepts and ...

journal_title：Journal of medical ethics

authors： McMillan J

更新日期：2010-07-01 00:00:00

abstract：OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...

journal_title：Journal of medical ethics

authors： Ryynänen OP,Myllykangas M,Vaskilampi T,Takala J

更新日期：1996-08-01 00:00:00

abstract：BACKGROUND:Although genetic research into Alzheimer disease (AD) is increasing, the ethical aspects of this kind of research and the differences between ethical issues related to genetic and non-genetic research into AD have not yet received much attention. OBJECTIVES:(1) To identify and compare the five ethical issue...

journal_title：Journal of medical ethics

authors： van der Vorm A,Vernooij-Dassen MJ,Kehoe PG,Olde Rikkert MG,van Leeuwen E,Dekkers WJ

更新日期：2009-02-01 00:00:00

abstract：:The 'right to the truth' involves disclosing all the pertinent facts to a patient so that an informed decision can be made. However, this concept of a 'right to the truth' entails certain ambiguities, especially since it is difficult to apply the concept in medical practice based mainly on current evidence-based data ...

journal_title：Journal of medical ethics

authors： Richard C,Lajeunesse Y,Lussier MT

更新日期：2010-06-01 00:00:00

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...

journal_title：Journal of medical ethics

authors： Flew A

更新日期：1999-06-01 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：CONTEXT:The need to reinvigorate medical confidentiality protections is recognised as an important objective in building patient trust necessary for successful health outcomes. Little is known about patient understanding and expectations from medical confidentiality. OBJECTIVE:To identify and describe patient views of...

journal_title：Journal of medical ethics

authors： Jenkins G,Merz JF,Sankar P

更新日期：2005-09-01 00:00:00

abstract：:Dolores Dooley Clarke describes how the course in medical ethics at University College, Cork is structured, how it has changed and how it is likely to change as time goes on. Originally, the students seemed to view it as an intrusion 'to be tolerated' in their programme of 'strictly medical' studies. However, having m...

journal_title：Journal of medical ethics

authors： Clarke DD

更新日期：1978-03-01 00:00:00

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

authors： McKay AC

更新日期：2002-04-01 00:00:00

abstract：:The Belgian model of 'integral' end-of-life care consists of universal access to palliative care (PC) and legally regulated euthanasia. As a first worldwide, the Flemish PC organisation has embedded euthanasia in its practice. However, some critics have declared the Belgian-model concepts of 'integral PC' and 'palliat...

journal_title：Journal of medical ethics

authors： Bernheim JL,Raus K

更新日期：2017-08-01 00:00:00

abstract：:In this paper, I explore under what circumstances it might be morally acceptable to transplant organs from a patient lacking capacity. I argue, with a developed hypothetical based around a mother and son, that (1) 'Best interests' should be interpreted broadly to include the interests that people have previously expre...

journal_title：Journal of medical ethics

authors： Fritz Z

更新日期：2017-07-01 00:00:00

abstract：:It is unclear whether or not grant winning should count towards authorship credit in the sciences. In this paper, I argue that under certain circumstances grant winning can count for credit as an author on subsequent works. It is a mistake to think that grant winning is always irrelevant to the correct attribution of ...

journal_title：Journal of medical ethics

authors： Moffatt B

更新日期：2014-10-01 00:00:00

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

authors： Wing JK

更新日期：1975-12-01 00:00:00