The secret art of managing healthcare expenses: investigating implicit rationing and autonomy in public healthcare systems.

abstract：:In The Netherlands, neonatal euthanasia has become a legal option and the Groningen Protocol contains an approach to identify situations in which neonatal euthanasia might be appropriate. In the 5 years following the publication of the protocol, neither the prediction that this would be the first step on a slippery sl...

journal_title：Journal of medical ethics

authors： Verhagen AA

更新日期：2013-05-01 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：:Robertson comments on a case presented by Gafner in the same issue of the Journal of Medical Ethics. A proposal to crush a laryngeal nerve to halt the incessant yelling of an elderly demented patient is disapproved by a medical center's surgery department for risk and ethical reasons. Robertson, an anesthesiologist,...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1987-12-01 00:00:00

abstract：:This essay argues that the field of bioethics should concern itself especially with the process of making moral sense that unfolds among clinicians, patients and family members during common but high-stakes conversations occurring on the front lines of practice. The essay outlines the parameters of a bioethics grounde...

journal_title：Journal of medical ethics

authors： Browning DM

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:The importance of respecting patients and participants in clinical research is widely recognised. However, what it means to respect persons beyond recognising them as autonomous is unclear, and little is known about what patients find to be respectful. OBJECTIVE:To understand patients' conceptions of respec...

journal_title：Journal of medical ethics

authors： Dickert NW,Kass NE

更新日期：2009-07-01 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：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

authors： Asai A,Ohnishi M,Nagata SK,Tanida N,Yamazaki Y

更新日期：2001-10-01 00:00:00

abstract：:A deaf lesbian couple who sought a sperm donor with a family history of deafness in order to have a child they hoped would be deaf have attracted a lot of criticism. They have been criticised for deliberately creating a deaf child, for denying their child a hearing aid, and for raising the child in a homosexual househ...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：2002-10-01 00:00:00

abstract：:Although an invasive medical intervention, Deep Brain Stimulation (DBS) has been regarded as an efficient and safe treatment of Parkinson's disease for the last 20 years. In terms of clinical ethics, it is worth asking whether the use of DBS may have unanticipated negative effects similar to those associated with othe...

journal_title：Journal of medical ethics

authors： Gilbert F

更新日期：2012-07-01 00:00:00

abstract：:The increasing availability of DNA-based diagnostic tests has raised issues about whether these should be applied to the population at large in order to identify, treat or prevent a range of diseases. DNA tests raise concerns in the community for several reasons. There is the possibility of stigmatisation and discrimi...

journal_title：Journal of medical ethics

authors： Allen K,Williamson R

更新日期：1999-04-01 00:00:00

abstract：:The revised Declaration of Helsinki allows placebo-controlled trials to be used even when there is an established therapy, provided there are adequate 'methodological' reasons for doing so. This seems to violate the principle of beneficence: where there is an established therapy, physicians treating patients with a pl...

journal_title：Journal of medical ethics

authors： Batra S,Howick J

更新日期：2017-08-09 00:00:00

abstract：:In their controversial paper 'After-birth abortion', Alberto Giubilini and Francesca Minerva argue that there is no rational basis for allowing abortion but prohibiting infanticide ('after-birth abortion'). We ought in all consistency either to allow both or prohibit both. This paper rejects their claim, arguing that ...

journal_title：Journal of medical ethics

authors： McGee A

更新日期：2013-05-01 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：:Simon Rippon has recently argued against kidney markets on the grounds that introducing the option to vend will result in many people, especially the poor, being subject to harmful pressure to vend. Though compelling, Rippon's argument fails. What he takes to be a single phenomenon-social and legal pressure to vend-is...

journal_title：Journal of medical ethics

authors： Semrau L

更新日期：2015-06-01 00:00:00

abstract：:Genetic parenthood is usually portrayed as a value-neutral concept that can be confirmed or rejected based on objective, scientific tests. However, on inspection, it is exposed as a very complex idea that we might need to consider as something that comes in different shapes and forms and that is open to interpretation...

journal_title：Journal of medical ethics

authors： Mertes H

更新日期：2014-11-01 00:00:00

abstract：:Several prominent writers including Norman Daniels, James Sabin, Amy Gutmann, Dennis Thompson and Leonard Fleck advance a view of legitimacy according to which, roughly, policies are legitimate if and only if they result from democratic deliberation, which employs only public reasons that are publicised to stakeholder...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2018-06-01 00:00:00

abstract：:The COVID-19 pandemic will likely recede only through development and distribution of an effective vaccine. Although there are many unknowns surrounding COVID-19 vaccine development, vaccine demand will likely outstrip early supply, making prospective planning for vaccine allocation critical for ensuring the ethical d...

journal_title：Journal of medical ethics

authors： Gupta R,Morain SR

更新日期：2020-12-17 00:00:00

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

authors： Wells F

更新日期：1976-06-01 00:00:00

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

authors： Clarke A

更新日期：1993-03-01 00:00:00

abstract：:Sterilisation is the most desired method of contraception worldwide. In 1996, the Brazilian Congress approved a family planning law that legitimised female and male sterilisation, but forbade sterilisation during childbirth. As a result of this law, procedures currently occur in a clandestine nature upon payment. Desp...

journal_title：Journal of medical ethics

authors： Soares LC,Brollo JL

更新日期：2013-11-01 00:00:00

abstract：:Doctors, for several reasons, should be concerned with exorcism is the view of Professor Trethowan, who in this paper, looks at the main features of exorcism as practised in the middle ages and now appearing in the modern world, as was seen in the recent Ossett case in Britain. He examines in some detail the nature of...

journal_title：Journal of medical ethics

authors： Trethowan WH

更新日期：1976-09-01 00:00:00

abstract：:Misattributed paternity or 'false' paternity is when a man is wrongly thought, by himself and possibly by others, to be the biological father of a child. Nowadays, because of the progression of genetics and genomics the possibility of finding misattributed paternity during familial genetic testing has increased. In co...

journal_title：Journal of medical ethics

authors： Tozzo P,Caenazzo L,Parker MJ

更新日期：2014-03-01 00:00:00

abstract：:Junior researchers can be abused and bullied by unscrupulous senior collaborators. This article describes the profile of a type of serial abuser, the White Bull, who uses his academic seniority to distort authorship credit and who disguises his parasitism with carefully premeditated deception. Further research into th...

journal_title：Journal of medical ethics

authors： Kwok LS

更新日期：2005-09-01 00:00:00

abstract：:Medical student and resident participation in global health experiences (GHEs) has significantly increased over the last decade. In response to growing student interest and the proven impact of such experiences on the education and career decisions of resident physicians, many medical schools have begun to establish p...

journal_title：Journal of medical ethics

authors： Shah S,Wu T

更新日期：2008-05-01 00:00:00

abstract：:Principles of autonomy and self-determination have been upheld as vital to modern-day medical and ethical practice. However, the complexities of current health care and changes in the expectation of some patients and their families justify a review of such concepts. Their limitations and relativities may suggest that ...

journal_title：Journal of medical ethics

authors： Wilson-Barnett J

更新日期：1989-03-01 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：:A questionnaire relating to attitudes towards setting economic priorities within the health care system was sent to all 151 general practitioners in Northern Norway. Of these, 109 (72 per cent) responded. Ninety-six per cent of the respondents agreed or partly agreed that the setting of economic priorities within the ...

journal_title：Journal of medical ethics

authors： Arnesen T,Fredriksen S

更新日期：1995-06-01 00:00:00

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

authors： Lederman Z,Garasic M,Piperberg M

更新日期：2014-05-01 00:00:00

abstract：OBJECTIVES:To study the attitudes of both medical and non-medical students towards the do-not-resuscitate (DNR) decision in a university in Hong Kong, and the factors affecting their attitudes. METHODS:A questionnaire-based survey conducted in the campus of a university in Hong Kong. Preferences and priorities of part...

journal_title：Journal of medical ethics

authors： Sham CO,Cheng YW,Ho KW,Lai PH,Lo LW,Wan HL,Wong CY,Yeung YN,Yuen SH,Wong AY

更新日期：2007-05-01 00:00:00

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

authors： Scadding JG

更新日期：1988-09-01 00:00:00