When should conscientious objection be accepted?

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：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：AIM:Facebook is an increasingly popular online social networking site. The purpose of this study was to describe the Facebook activity of residents and fellows and their opinions regarding the impact of Facebook on the doctor-patient relationship. METHODS:An anonymous questionnaire was emailed to 405 residents and fel...

journal_title：Journal of medical ethics

authors： Moubarak G,Guiot A,Benhamou Y,Benhamou A,Hariri S

更新日期：2011-02-01 00:00:00

abstract：:Participants are often not informed by investigators who conduct randomised, placebo-controlled acupuncture trials that they may receive a sham acupuncture intervention. Instead, they are told that one or more forms of acupuncture are being compared in the study. This deceptive disclosure practice lacks a compelling m...

journal_title：Journal of medical ethics

authors： Miller FG,Kaptchuk TJ

更新日期：2007-01-01 00:00:00

abstract：:McCarthy, former chairman of a National Health Service area health authority, responds to an article by T.A.H. English, "What price excellence?," in the same issue of the Journal of Medical Ethics. Unlike English, she believes that Great Britain's present system for resource allocation has not achieved an equitable d...

journal_title：Journal of medical ethics

authors： McCarthy L

更新日期：1982-09-01 00:00:00

abstract：:Transcranial direct current stimulation (tDCS), a simple means of brain stimulation, possesses a trifecta of appealing features: it is relatively safe, relatively inexpensive and relatively effective. It is also relatively easy to obtain a device and the do-it-yourself (DIY) community has become galvanised by reports ...

journal_title：Journal of medical ethics

authors： Fitz NS,Reiner PB

更新日期：2015-05-01 00:00:00

abstract：:It has been suggested that future application of stem-cell derived gametes (SCD-gametes) might lead to the possibility for same-sex couples to have genetically related children. Still, for this to become possible, the technique of gamete derivation and techniques of reprogramming somatic cells to a pluripotent state (...

journal_title：Journal of medical ethics

authors： Segers S,Mertes H,Pennings G,de Wert G,Dondorp W

更新日期：2017-10-01 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：:Clinicians' work depends on sincere and complete disclosures from their patients; they honour this candidness by confidentially safeguarding the information received. Breaching confidentiality causes harms that are not commensurable with the possible benefits gained. Limitations or exceptions put on confidentiality wo...

journal_title：Journal of medical ethics

authors： Kottow MH

更新日期：1986-09-01 00:00:00

abstract：:'Futility' is a contentious term that has eluded clear definition, with proposed descriptions either too strict or too vague to encompass the many facets of medical care. Requests for futile care are often surrogates for requests of a more existential character, covering the whole range of personal, emotional, cultura...

journal_title：Journal of medical ethics

authors： Vivas L,Carpenter T

更新日期：2020-04-24 00:00:00

abstract：:In this paper, we argue that there are important ethical questions about healthcare improvement which are underexplored. We start by drawing on two existing literatures: first, the prevailing, primarily governance-oriented, application of ethics to healthcare 'quality improvement' (QI), and second, the application of ...

journal_title：Journal of medical ethics

authors： Cribb A,Entwistle V,Mitchell P

更新日期：2020-02-01 00:00:00

abstract：:The recent essay by Schuklenk and Smalling opposing respect for physicians' conscientious objections to providing patients with medical services that are legally permitted in liberal democracies is based on several erroneous assumptions. Acting in this manner would have serious harmful effects on the ethos of medicine...

journal_title：Journal of medical ethics

authors： Glick SM,Jotkowitz A

更新日期：2017-04-01 00:00:00

abstract：:Conflicts between the ethical values of an organisation and the ethical values of the employees of that organisation can often lead to conflict. When the ethical values of the employee are considerably higher than those of the organisation the potential for catastrophic results is enormous. In recent years several hig...

journal_title：Journal of medical ethics

authors： Faunce T,Bolsin S,Chan WP

更新日期：2004-02-01 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

authors： Meyers C

更新日期：1992-09-01 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：:This paper is a response to Dr Shinebourne's response to my recent paper assessing the relative merits of the Staffordshire Protocol on covert video surveillance. Dr Shinebourne does not take the opportunity to rebut the criticisms made of the text of the protocol. It is further suggested that judicial oversight of th...

journal_title：Journal of medical ethics

authors： Thomas T

更新日期：1996-12-01 00:00:00

abstract：:The death toll from tobacco is staggering: it might contribute to one billion premature deaths over the course of the 21st century. In 'The case for banning cigarettes', Kalle Grill and Kristin Voigt argue that the well-being and equality benefits of a complete ban on cigarettes more than justify the restrictions on a...

journal_title：Journal of medical ethics

authors： Doucet M

更新日期：2017-06-01 00:00:00

abstract：:This paper investigates the medical law and ethics (MEL) learning needs of Foundation doctors (FYs) by means of a national survey developed in association with key stakeholders including the General Medical Council and Health Education England. Four hundred sevnty-nine doctors completed the survey. The average self-re...

journal_title：Journal of medical ethics

authors： Corfield L,Williams RA,Lavelle C,Latcham N,Talash K,Machin L

更新日期：2020-04-10 00:00:00

abstract：:This essay is the text of the first Ian Ramsey Memorial Lecture delivered by the author at Oxford University in December 1986. Ramsey, Bishop of Durham from 1966 until his death in 1972, was a philosopher whose interests were contemporary ethical issues created by the interaction of law, medicine, and religion. Duns...

journal_title：Journal of medical ethics

authors： Dunstan GR

更新日期：1987-12-01 00:00:00

abstract：OBJECTIVES:To compare 2005 and 1995 ethics guidelines from journal editors to authors regarding requirements for institutional review board (IRB) approval and conflict-of-interest (COI) disclosure. DESIGN:A descriptive study of the ethics guidelines published in 103 English-language biomedical journals listed in the A...

journal_title：Journal of medical ethics

authors： Rowan-Legg A,Weijer C,Gao J,Fernandez C

更新日期：2009-01-01 00:00:00

abstract：:In the past, a vast majority of medical assistance in dying (MAiD) patients were elderly patients with cancer who are not suitable for organ donation, making organ donation from such patients a rare event. However, more expansive criteria for MAiD combined with an increased participation of MAiD patients in organ dona...

journal_title：Journal of medical ethics

authors： Buturovic Z

更新日期：2020-12-10 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：:Kovacs argues that honorary authorship and regarding each co-author of multi-authored papers as if they were sole authors when the performance of researchers is being evaluated by their publications mean that we should require authors to identify what proportion of each publication should be attributed to each co-auth...

journal_title：Journal of medical ethics

authors： Dyck MJ

更新日期：2013-08-01 00:00:00

abstract：:Robert Veatch and others have questioned whether there are internal moral rules of medicine. This paper examines the legal regulatory model for governing professions as the autonomous exercise of professional skills and asks whether there is a theoretical basis for this model. Taking John Rawls's distinction between t...

journal_title：Journal of medical ethics

authors： McAndrew S

更新日期：2019-03-01 00:00:00

abstract：:The most publicly justifiable application of human cloning, if there is one at all, is to provide self-compatible cells or tissues for medical use, especially transplantation. Some have argued that this raises no new ethical issues above those raised by any form of embryo experimentation. I argue that this research is...

journal_title：Journal of medical ethics

authors： Savulescu J

更新日期：1999-04-01 00:00:00

abstract：:Screening of newborns for permanent congenital or early-onset hearing impairment has emerged as an essential component of neonatal care in developed countries, following favourable outcomes from early intervention in the critical period for optimal speech and language development. Progress towards a similar programme ...

journal_title：Journal of medical ethics

authors： Olusanya BO,Luxon LM,Wirz SL

更新日期：2006-10-01 00:00:00

abstract：:Whenever some form of beneficent killing--for example, voluntary euthanasia--is advocated, the proposal is greeted with a flood of slippery-slope arguments warning of the dangers of a Nazi-style slide into genocide. This paper is an attempt systematically to evaluate arguments of this kind. Although there are slippery...

journal_title：Journal of medical ethics

authors： Burgess JA

更新日期：1993-09-01 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：INTRODUCTION:Consultation methods differ between medical practitioners depending on the individual setting. However, the central tenet to the doctor-patient relationship is the issue of confidentiality. This prospective survey highlights patient attitudes towards consultation methods in the setting of an ophthalmic out...

journal_title：Journal of medical ethics

authors： Aslam SA,Colapinto P,Sheth HG,Jain R

更新日期：2007-03-01 00:00:00

abstract：:Prior to the second world war, most persons confined in insane asylums were regarded as legally incompetent and had guardians appointed for them. Today, most persons confined in mental hospitals (or treated involuntarily, committed to outpatient treatment) are, in law, competent; nevertheless, in fact, they are treate...

journal_title：Journal of medical ethics

authors： Szasz T

更新日期：2005-02-01 00:00:00