The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators.

abstract：:This essay seeks to characterise the essential features of an equitable health care system in terms of the classical Aristotelian concepts of horizontal and vertical equity, the common (but ill-defined) language of "need" and the economic notion of cost-effectiveness as a prelude to identifying some of the more import...

journal_title：Journal of medical ethics

authors： Culyer AJ

更新日期：2001-08-01 00:00:00

abstract：:The purpose of the present study was to examine whether or not strong values might influence physicians' estimations of future events. In an empirical study about physicians' attitudes towards physician assisted suicide (PAS) we asked about the physicians' main reasons for being pro, doubtful or contra PAS and also as...

journal_title：Journal of medical ethics

authors： Juth N,Lynöe N

更新日期：2010-04-01 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：:Reflecting on the contribution by Rahul Kumar to the symposium, I consider the following topics in relation to risks in research: (1) treating someone as a mere means; (2) aggregation; (3) different conceptions of contractualism; (4) uncertainty; (5) paternalism and complicity. ...

journal_title：Journal of medical ethics

authors： Kamm FM

更新日期：2017-02-01 00:00:00

abstract：:This point of view compares the issue of informed patient consent primarily as it operates in Australia and the United Kingdom. It affords an overview, also, of the applicable law in the United States and Canada. It particularly focuses on the legal test to be applied to patient consent as established in the Bolam cas...

journal_title：Journal of medical ethics

authors： Kirby M

更新日期：1995-02-01 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：:This paper explores the use of advance directives in clinical dementia research. The focus is on advance consent to participation of demented patients in non-therapeutic research involving more than minimal risks and/or burdens. First, morally relevant differences between advance directives for treatment and care, and...

journal_title：Journal of medical ethics

authors： Berghmans RL

更新日期：1998-02-01 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

authors： Murphy TF

更新日期：2014-04-01 00:00:00

abstract：:In medicine, racial differences are frequently presented as part of the best explanation of differences in the risk of diseases. The problem of using racial classification in biomedical research has become important because of its ethical consequences in society. However, the biological relevance of the concept of rac...

journal_title：Journal of medical ethics

authors： Lorusso L

更新日期：2011-09-01 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：OBJECTIVES:This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct. DESIGN:A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios desc...

journal_title：Journal of medical ethics

authors： Rennie SC,Rudland JR

更新日期：2003-04-01 00:00:00

abstract：:Albertsen, in his recent article, offers an assessment of the recently introduced opt-out system for organ donation in Wales. However, he focuses on whether concerns raised prior to the enactment of the new system have been realised, rather than any positive impact on the number of actual donors. This side-lining of t...

journal_title：Journal of medical ethics

authors： Parsons JA

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVES:Potentially life-shortening medical end-of-life practices (end-of-life decisions (ELDs)) remain subject to conceptual vagueness. This study evaluates how physicians label these practices by examining which of their own practices (described according to the precise act, the intention, the presence of an expli...

journal_title：Journal of medical ethics

authors： Deyaert J,Chambaere K,Cohen J,Roelands M,Deliens L

更新日期：2014-07-01 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：:The notion of consent which rose to the forefront in biomedical ethics as an attempt to safeguard patients' autonomy, is relatively new. The notion itself requires qualification, for it precludes neither duress nor ignorance. More seriously, I argue here that consent is redundant except in situations where paternalism...

journal_title：Journal of medical ethics

authors： Habiba MA

更新日期：2000-06-01 00:00:00

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：: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：: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：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

authors： Silverman H,Sleem H,Moodley K,Kumar N,Naidoo S,Subramanian T,Jaafar R,Moni M

更新日期：2015-04-01 00:00:00

abstract：:Conflict is an important consideration in the intensive care unit (ICU). In this setting, conflict most commonly occurs over the 'best interests' of the incapacitated adult patient; for instance, when families seek aggressive life-sustaining treatments, which are thought by the medical team to be potentially inappropr...

journal_title：Journal of medical ethics

authors： Johal HK,Danbury C

更新日期：2020-07-06 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：:Gabriele Badano offers three criticisms of my challenge to the orthodox family of theories of legitimacy in bioethics. First, I assumed an 'oversimplified version of the orthodoxy'. Second, I failed to appreciate its domain of application. Third, I only addressed the ways in which orthodox theorists incorporate substa...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2019-04-01 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：:As the law around surgical consent continues to evolve, surgeons and those in training risk being caught red-faced and defenceless. Despite repeated concerns regarding surgical consent being raised by the General Medical Council of the UK, how much is changing on the National Health Service shop floor? This report inv...

journal_title：Journal of medical ethics

authors： Loughran D

更新日期：2015-02-01 00:00:00

abstract：:Many patients believe that cardiopulmonary resuscitation (CPR) is more likely to be successful than it really is in clinical practice. Even when working with accurate information, some nevertheless remain resolute in demanding maximal treatment. They maintain that even if survival after cardiac arrest with CPR is extr...

journal_title：Journal of medical ethics

authors： Harari DY,Macauley RC

更新日期：2020-02-01 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：:Recently, new developments took place in the Dutch debate on the legislation of euthanasia. After a brief account of that debate, the article discusses a new government proposal for legislation in this field, which was submitted to the Dutch parliament in November 1991. This proposal relates not only to euthanasia but...

journal_title：Journal of medical ethics

authors： Gevers JK

更新日期：1992-09-01 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：:A fetus may survive an intentional interference with its intrauterine environment (1) if gestational age is mistaken and the procedure of induced abortion does not kill the fetus, (2) if a change of heart takes place after abortifacient drugs are taken and the abortion does not proceed, and (3) if a high-multiple preg...

journal_title：Journal of medical ethics

authors： Jansen RP

更新日期：1990-06-01 00:00:00

abstract：:Since the 1990s, glycated haemoglobin (HbA1C) has been the gold standard for monitoring glycaemic control in people diagnosed as having either type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM). Discussions are underway about diagnosing diabetes mellitus on the basis of HbA1C titres and using HbA1C tes...

journal_title：Journal of medical ethics

authors： Degeling C,Rock M,Rogers WA

更新日期：2012-03-01 00:00:00