Value judgements in the decision-making process for the elderly patient.

abstract：:Medical ethical analysis remains dominated by the principlist account first proposed by Beauchamp and Childress. This paper argues that the principlist model is unreflective of how ethical decisions are taken in clinical practice. Two kinds of medical ethical decisions are distinguished: biosocial ethics and clinical ...

journal_title：Journal of medical ethics

authors： Muirhead W

更新日期：2012-04-01 00:00:00

abstract：:Direct-to-consumer genetic testing is a growing phenomenon, fuelled by the notion that knowledge equals control. One ethical question that arises concerns the proband's duty to share information indicating genetic risks in their relatives. However, such duties are unenforceable and may result in the realisation of ant...

journal_title：Journal of medical ethics

authors： Parsons JA,Baker PE

更新日期：2020-12-09 00:00:00

abstract：:In debates over life and death it is often said that one should err on the side of caution--that is, on the side of life. In the light of the recent case of Terri Schiavo, it is explained how the "err-on-the-side-of-life" argument proceeds, and an objection to it is offered. ...

journal_title：Journal of medical ethics

authors： Merrell DA

更新日期：2009-05-01 00:00:00

abstract：:This paper investigates the efficiency of application of medical ethics principles in the practice of artificial insemination by donors (AID) in China, in a culture characterised by traditional ethical values and disapproval of AID. The paper presents the ethical approach to AID treatment as established by the Reprodu...

journal_title：Journal of medical ethics

authors： Li LJ,Lu GX

更新日期：2005-06-01 00:00:00

abstract：:Jehovah's Witnesses are students of the Bible. They refuse transfusions out of obedience to the scriptural directive to abstain and keep from blood. Dr Muramoto disagrees with the Witnesses' religious beliefs in this regard. Despite this basic disagreement over the meaning of Biblical texts, Muramoto flouts the religi...

journal_title：Journal of medical ethics

authors： Ridley DT

更新日期：1999-12-01 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：:In his paper "Scientific research is a moral duty", John Harris argues that individuals have a moral duty to participate in biomedical research by volunteering as research subjects. He supports his claim with reference to what he calls the principle of beneficence as embodied in the "rule of rescue" (the moral obligat...

journal_title：Journal of medical ethics

authors： Shapshay S,Pimple KD

更新日期：2007-07-01 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：: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：OBJECTIVES:To explore mental health service users' views of existing and proposed compulsory powers. DESIGN:A qualitative study employing in-depth interviews. Participants were asked to respond to hypothetical questions regarding the application of compulsory powers under the Mental Health Act 1983 for people other th...

journal_title：Journal of medical ethics

authors： Canvin K,Bartlett A,Pinfold V

更新日期：2005-08-01 00:00:00

abstract：:It is argued that the current policy of the British Medical Association (BMA) on conscientious objection is not aligned with recent human rights developments. These grant a right to conscientious objection to doctors in many more circumstances than the very few recognised by the BMA. However, this wide-ranging right m...

journal_title：Journal of medical ethics

authors： Adenitire JO

更新日期：2017-04-01 00:00:00

abstract：:Euthanasia and physician-assisted suicide (PAS) by request and/or based on an advance directive are legal in The Netherlands under strict conditions, thus providing options for patients with Huntington's disease (HD) and other neurodegenerative diseases to stay in control and choose their end of life. HD is an inherit...

journal_title：Journal of medical ethics

authors： Booij SJ,Engberts DP,Rödig V,Tibben A,Roos RA

更新日期：2013-10-01 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

authors： Liivoja R

更新日期：2018-07-01 00:00:00

abstract：:The paternalistic view that decisions on whether to treat defective newborns are best made by physicians is rejected. It is contended that society should serve as the infant's protector by providing legal standards to govern treatment decisions. ...

journal_title：Journal of medical ethics

authors： Ferguson P

更新日期：1983-03-01 00:00:00

abstract：:Many jurisdictions have processes to consider Individual Funding Requests but, with few exceptions, the decisions made with respect to these are not made public. Drawing upon Daniels and Sabin's account of the requirements of procedural justice, Accountability for Reasonableness, this paper considers several arguments...

journal_title：Journal of medical ethics

authors： Jonas M,Kolbe A,Warin B

更新日期：2014-12-01 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：:This paper makes two main claims: first, that the need to protect health professionals' moral integrity is what grounds the right to conscientious objection in health care; and second, that for a given claim of conscientious objection to be acceptable to society, a certain set of criteria should be fulfilled. The impo...

journal_title：Journal of medical ethics

authors： Magelssen M

更新日期：2012-01-01 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：:This paper argues that the four prima facie principles-beneficence, non-maleficence, respect for autonomy and justice-afford a good and widely acceptable basis for 'doing good medical ethics'. It confronts objections that the approach is simplistic, incompatible with a virtue-based approach to medicine, that it requir...

journal_title：Journal of medical ethics

authors： Gillon R

更新日期：2015-01-01 00:00:00

abstract：:Robert Veatch has proposed a model of the doctor-patient relationship that has as its foundation the sharing of values between the doctor and the patient. This paper uses qualitative research conducted with six doctors involved in the long term, specialised care of HIV positive patients in South Australia to explore t...

journal_title：Journal of medical ethics

authors： Lawlor A,Braunack-Mayer A

更新日期：2004-12-01 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

authors： Kirby MD

更新日期：1986-12-01 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：:According to the two-tragedies argument proponents of pro-life can justifiably prioritize efforts to prevent abortion rather than miscarriages due to the fact that abortions in contrast to miscarriages involves usually the act of killing. William Simkulet has recently argued against this argument claiming that it fail...

journal_title：Journal of medical ethics

authors： Friberg-Fernros H

更新日期：2019-06-01 00:00:00

abstract：:One theme of London University lawyer Ian Kennedy's 1980 Reith Lectures on medical ethics was the need to change the emphasis in physician patient relations from paternalism on the part of doctors to self determination on the part of patients. Bamford, a specialist in obstetrics and gynecology, demonstrates how reali...

journal_title：Journal of medical ethics

authors： Bamford PN

更新日期：1981-12-01 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：:The way people think about equality as a value will influence how they think genetic interventions should be regulated. In this paper the author uses the taxonomy of equality put forth by Derek Parfit and applies this to the issue of genetic interventions. It is argued that telic egalitarianism is untenable and that d...

journal_title：Journal of medical ethics

authors： Farrelly C

更新日期：2004-12-01 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 author responds to Professor Kottow's criticisms, explaining numerous errors and misconceptions. ...

journal_title：Journal of medical ethics

authors： Seedhouse D

更新日期：1999-08-01 00:00:00

abstract：:Ancell and Sinnott-Armstrong argue that medical providers possess wide freedoms to determine the scope of their practice, and therefore, prohibiting almost any conscientious objections is a bad idea. They maintain that we could create an acceptable system on the whole which even grants accommodations to discriminatory...

journal_title：Journal of medical ethics

authors： Card RF

更新日期：2019-03-01 00:00:00

abstract：:Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...

journal_title：Journal of medical ethics

authors： Mitchell KR,Kerridge IH,Lovat TJ

更新日期：1993-06-01 00:00:00