Abstract:
:The emergence several years ago of SARS, with its high rate of infection and death among healthcare workers, resurrected a recurring ethical question: do health professionals have a duty to provide care to patients with deadly infectious diseases, even at some substantial risk to themselves and their families? The conventional answer, repeated on the heels of the SARS epidemic, is that they do. In this paper, I argue that the arguments in support of such a duty are wanting in significant respects, and that the language of duty is simply not adequate to an understanding of all the moral dimensions of professional responses to the care of risky patients. Instead, we should speak the language of virtues and ideals if we want to do justice to the complexity of such harrowing circumstances.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Tomlinson Tdoi
10.1136/jme.2007.022038subject
Has Abstractpub_date
2008-06-01 00:00:00pages
458-62issue
6eissn
0306-6800issn
1473-4257pii
34/6/458journal_volume
34pub_type
杂志文章abstract::Non-therapeutic circumcision violates boys' right to bodily integrity as well as to self-determination. There is neither any verifiable medical advantage connected with the intervention nor is it painless nor without significant risks. Possible negative consequences for the psychosexual development of circumcised boys...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101284
更新日期:2013-07-01 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::My sexual rights puzzle according to which positive sexual rights are not compatible with negative sexual rights has been recently criticised in the Journal of Medical Ethics by Steven J Firth, who has put forward three objections to the puzzle. In this brief response, I analyse and reject each of these three objectio...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2019-105642
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. METHODS:This study had a mixed methods design integrating quantitative and qualita...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2010.040626
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:To prevent the planet from catastrophic global warming a reduction of greenhouse gas emissions to net zero is required. Thus, divestment from fossil fuels must be a strategic interest for health insurers. The aim of this study was to analyse the implementation of environmental, social and governance (ESG) cr...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106381
更新日期:2020-10-13 00:00:00
abstract::Bioconservative commentators argue that parents should not take steps to modify the genetics of their children even in the name of enhancement because of the damage they predict for values, identities and relationships. Some commentators have even said that adults should not modify themselves through genetic intervent...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101026
更新日期:2014-04-01 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
pub_type: 杂志文章
doi:10.1136/jme.2006.015883
更新日期:2006-12-01 00:00:00
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
更新日期:2021-01-05 00:00:00
abstract::The paper comments on Scott Dunbar's "An obstructed death and medical ethics," arguing contra Dunbar that we should not view truth-telling to the terminally ill as primarily governed by principles of veracity and respect for autonomy. All such rules are of limited value in medical ethics. We should instead turn to a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.16.2.88
更新日期:1990-06-01 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
pub_type: 杂志文章
doi:10.1136/jme.6.2.101
更新日期:1980-06-01 00:00:00
abstract:PURPOSE:Many research ethics committees (RECs) have been established in low- and middle-income countries (LMICs) in response to increased research in these countries. How well these RECs are functioning remains largely unknown. Our objective was to assess the usefulness of a self-assessment tool in obtaining benchmarki...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101587
更新日期:2015-04-01 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::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
pub_type: 历史文章,杂志文章
doi:10.1136/medethics-2015-103177
更新日期:2017-04-01 00:00:00
abstract::In 2016, the Office of the State Coroner of New South Wales released its report into the death of an Australian woman, Sheila Drysdale, who had died from complications of an autologous stem cell procedure at a Sydney clinic. In this report, we argue that Mrs Drysdale's death was avoidable, and it was the result of a p...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2016-104046
更新日期:2017-11-01 00:00:00
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
更新日期:1995-12-01 00:00:00
abstract::It is now widely accepted that a patient's ability to engage in autonomous decision-making can be seriously threatened when she denies significant aspects of her medical condition. In this paper I use a true case to reveal the harmful effects of physician denial upon patient autonomy and well-being. I suggest further ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.18.3.135
更新日期:1992-09-01 00:00:00
abstract::The work performed by the clinical chemist may deeply affect the decisions of the doctor and the well-being of the patient. Yet in contrast to the doctor and to the nurse the clinical chemist usually has no personal relationship with the patient. Being encumbered by much technology and anonymity is itself a reason for...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.9.4.207
更新日期:1983-12-01 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
pub_type: 杂志文章
doi:10.1136/jme.2010.041632
更新日期:2012-06-01 00:00:00
abstract::The "standard position" on organ donation is that the donor must be dead in order for vital organs to be removed, a position with which we agree. Recently, Robert Truog and Walter Robinson have argued that (1) brain death is not death, and (2) even though "brain dead" patients are not dead, it is morally acceptable to...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.2004.010298
更新日期:2005-07-01 00:00:00
abstract::The United Kingdom Central Council for Nursing, Midwifery and Health Visitors (UKCC) document, Exercising Accountability, states that the role of patient's advocate is an essential aspect of good professional nursing practice (1). The author examines the case for and against the nurse being the best person to act as a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.20.3.152
更新日期:1994-09-01 00:00:00
abstract::Dr Caitríona L Cox's recent article expounds the far-reaching implications of the 'Healthcare Hero' metaphor. She presents a detailed overview of heroism in the context of clinical care, revealing that healthcare workers, when portrayed as heroes, face challenges in reconciling unreasonable expectations of personal sa...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106753
更新日期:2020-12-16 00:00:00
abstract::This paper argues that the HFEA's recent report on sex selection abdicates its responsibility to give its own authentic advice on the matters within its remit, that it accepts arguments and conclusions that are implausible on the face of it and where they depend on empirical claims, produces no empirical evidence what...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2003.007526
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:To explore attitudes and reasoning among Swedish physicians and the general public regarding the withdrawal of life-sustaining treatment at a competent patient's request. DESIGN:A vignette-based postal questionnaire including 1202 randomly selected individuals in the county of Stockholm and 1200 randomly se...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.034967
更新日期:2010-05-01 00:00:00
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
更新日期:2002-06-01 00:00:00
abstract::Judges face difficult choices when the birth and genetic mothers of a child are separate people who dispute maternal access; the views of the general population may help them. Fifty women were asked whether, if they were infertile and could have only one child, they would prefer to be birth mothers (to carry a baby wh...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.20.2.87
更新日期:1994-06-01 00:00:00
abstract::In the context of military medical care, Eisenstein and colleagues have introduced the notion 'left of bang intervention in trauma', which refers to interventions administered before trauma to reduce morbidity and mortality after injury. This paper responds to Eisenstein and colleagues' ethical analysis of such interv...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2017-104584
更新日期:2018-07-01 00:00:00
abstract::Elizabeth Fenton has criticised an earlier article by the authors in which the claim was made that, by providing humankind with means of causing its destruction, the advance of science and technology has put it in a perilous condition that might take the development of genetic or biomedical techniques of moral enhance...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.2010.036962
更新日期:2011-07-01 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
pub_type: 杂志文章
doi:10.1136/jme.2010.041095
更新日期:2011-11-01 00:00:00
abstract::This article describes the findings of a mixed method literature review that examined the perceptions of elderly patients and residents of a good nurse in nursing homes, hospitals and home care. According to elderly patients and residents, good nurses are individuals who have the necessary technical and psychosocial s...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/medethics-2011-100046
更新日期:2012-02-01 00:00:00
abstract::With the recent Clinical Trials Directive, a degree of harmonisation into research ethics committees (RECs) across Europe, including the time taken to assess a trial proposal and the kinds of issues a committee should take into account, has been introduced by the European Union (EU). How four different member states-H...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.013888
更新日期:2006-08-01 00:00:00