Abstract:
:David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone of actions that constitute their moral worth. It can matter too what duties are breached or fulfilled by the particular moral agents who are involved.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
McLachlan Hdoi
10.1136/jme.2011.044966subject
Has Abstractpub_date
2011-12-01 00:00:00pages
766-7issue
12eissn
0306-6800issn
1473-4257pii
jme.2011.044966journal_volume
37pub_type
杂志文章abstract:OBJECTIVES:A statute enacted in 2005 modified the legislative framework of the rights of terminally ill persons in France. Ten years after the EURONIC study, which described the self-reported practices of neonatal caregivers towards ethical decision-making, a new study was conducted to assess the impact of the new law ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.038356
更新日期:2011-04-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2015-103222
更新日期:2017-04-01 00:00:00
abstract::The rapid emergence and exploding usage of online social networking forums, which are frequented by millions, present clinicians with new ethical and professional challenges. Particularly among a younger generation of physicians and patients, the use of online social networking forums has become widespread. In this ar...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.029231
更新日期:2009-09-01 00:00:00
abstract::The case of W v M and Others, in which the court rejected an application to withdraw artificial nutrition and hydration from a woman in a minimally conscious state, raises a number of profoundly important medico-legal issues. This article questions whether the requirement to respect the autonomy of incompetent patient...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-100907
更新日期:2013-09-01 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::In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.10.3.138
更新日期:1984-09-01 00:00:00
abstract::This paper develops themes addressed in an article by Eric Wiland in the Journal of Medical Ethics 2000;26:466-8, where he aims to contribute to the debate concerning the moral status of abortion, and to emphasise the importance of analogies in moral argument. In the present paper I try to secure more firmly a novel u...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.28.4.244
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:More and more quantitative information is becoming available about the risks of complications arising from medical treatment. In everyday practice, this raises the question whether each and every risk, however low, should be disclosed to patients. What could be good reasons for doing or not doing so? This wi...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014936
更新日期:2007-02-01 00:00:00
abstract::The patient, a 59-year-old man, was referred to a psychiatric hospital with what appeared initially to be the signs and symptoms of mental disorder. In hospital a lesion of the brain was diagnosed and surgery was proposed to relieve the condition. The patient, however, during this and subsequent admissions to hospital...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.1.3.146
更新日期:1975-09-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2011-100084
更新日期:2012-04-01 00:00:00
abstract::To investigate the current status of hospital clinical ethics committees (CEC) and how they have evolved in Canada over the past 20 years, this paper presents an overview of the findings from a 2008 survey and compares these findings with two previous Canadian surveys conducted in 1989 and 1984. All Canadian hospitals...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.032607
更新日期:2010-03-01 00:00:00
abstract::In terms of ethical implications, Boers, van Delden and Bredenoord (2018) have made an interesting step forward with their model of organoids as hybrids, which seeks to find a balance between subject-like value and object-like value. Their framework aims to introduce effective procedures not to exploit donors and to i...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2018-105268
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians' considerations in clinical prioritisation within this field is scarce. OBJECTIVES:To explore how clinicians understand their professional role in clinical prioritisation...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2007.020693
更新日期:2008-05-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2013-101830
更新日期:2014-11-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2013-101854
更新日期:2014-07-01 00:00:00
abstract::Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature-the story of Ulysses and the Sirens-several ethical issues surrounding this practice...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2005.015545
更新日期:2007-10-01 00:00:00
abstract::In his classic paper, 'Why abortion is immoral', Don Marquis argues that what makes killing an adult seriously immoral is that it deprives the victim of the valuable future he/she would have otherwise had. Moreover, Marquis contends, because abortion deprives a fetus of the very same thing, aborting a fetus is just as...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-100604
更新日期:2013-02-01 00:00:00
abstract::Rationing healthcare is a difficult task, which includes preventing patients from accessing potentially beneficial treatments. Proponents of implicit rationing argue that politicians cannot resist pressure from strong patient groups for treatments and conclude that physicians should ration without informing patients o...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.018523
更新日期:2007-12-01 00:00:00
abstract::Following the influential Gifford and Reith lectures by Onora O'Neill, this paper explores further the paradigm of individual autonomy which has been so dominant in bioethics until recently and concurs that it is an aberrant application and that conceptions of individual autonomy cannot provide a sufficient and convin...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2004.008292
更新日期:2005-03-01 00:00:00
abstract::Many children in the USA are prescribed psychotropic drugs that have not been fully investigated in paediatric clinical trials. The common practice of prescribing psychotropic drugs off-label poses unknown and potentially serious short- and long-term consequences for these children. This paper briefly reviews the fact...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/medethics-2011-100003
更新日期:2012-04-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2011-100369
更新日期:2013-10-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2013-101458
更新日期:2015-05-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2018-105173
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVES:This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. DESIGN:A questionnaire was sent to 800 physicians representing the following specialties: gener...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.001081
更新日期:2004-08-01 00:00:00
abstract::Are fake diagnoses and false or misleading certificates permissible means of helping patients? This question is examined in relation to four examples from Swedish health care: the sterilisation case, the asylum case, the virginity case, and the adoption case. We argue that both consequentialist and deontological ethic...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.018945
更新日期:2008-03-01 00:00:00
abstract::Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not tak...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.29.5.297
更新日期:2003-10-01 00:00:00
abstract::Developing residents' communication skills has been a goal of residency training programmes since the Accreditation Council for Graduate Medical Education codified it as a core competency. In this article, a case that features problematic communication between a generalist and specialist physician is drawn upon, and i...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.016162
更新日期:2007-05-01 00:00:00
abstract::Newborn screening is the programme through which newborn babies are screened for a variety of conditions shortly after birth. Programmes such as this are individually oriented but resemble traditional public health programmes because they are targeted at large groups of the population and they are offered as preventiv...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2011-100040
更新日期:2012-05-01 00:00:00
abstract::At the 5th International Conference on Priorities in Health Care in Wellington, New Zealand, 2004, one resonating theme was that for priority setting to be effective, it has to include clinicians in both decision making and the enforcement of those decisions. There was, however, a disturbing undertone to this theme, n...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.017871
更新日期:2007-09-01 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