When four principles are too many: bloodgate, integrity and an action-guiding model of ethical decision making in clinical practice.

abstract：:Direct-to-consumer (DTC) genetic services have generated enormous controversy from their first emergence. A dramatic recent manifestation of this is the Food and Drug Administration's (FDA) cease and desist order against 23andMe, the leading provider in the market. Critics have argued for the restrictive regulation of...

journal_title：Journal of medical ethics

authors： Vayena E

更新日期：2015-04-01 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：:The progress of the discussion about the 'indicators of humanhood' is reviewed, along with several associated problems. It is argued that a more serious problem is posed by social attitudes about mental handicap. The author concludes that an uncritical use of criteria of humanhood may simply reinforce a morally unjust...

journal_title：Journal of medical ethics

authors： Clinkenbeard WW

更新日期：1989-06-01 00:00:00

abstract：:The aim of regenerative medicine is to reconstruct tissue that has been lost or pathologically altered. Therapeutic cloning seems to offer a method of achieving this aim; however, the ethical debate surrounding human therapeutic cloning is highly controversial. Artificial parthenogenesis-obtaining embryos from unferti...

journal_title：Journal of medical ethics

authors： Fangerau H

更新日期：2005-12-01 00:00:00

abstract：:This is the first contribution to a new JME column, "At the coalface," to which readers are invited to relate ethical problems they have encountered in their work. An adolescent patient requested that the author, a general practitioner, certify that he was medically fit to box. Toon attempted to dissuade him from bo...

journal_title：Journal of medical ethics

authors： Toon PD

更新日期：1988-06-01 00:00:00

abstract：BACKGROUND:Despite the expansion of ethics consultation services, questions remain about the aims of clinical ethics consultation, its methods and the expertise of those who provide such services. OBJECTIVE:To describe physicians' expectations regarding the training and skills necessary for ethics consultants to contr...

journal_title：Journal of medical ethics

authors： Chwang E,Landy DC,Sharp RR

更新日期：2007-06-01 00:00:00

abstract：:The realm of non-rational influence, which includes nudging, is home to many other morally interesting phenomena. In this paper, I introduce the term bumping, to discuss the category of unintentional non-rational influence. Bumping happens constantly, wherever people make choices in environments where they are affecte...

journal_title：Journal of medical ethics

authors： Miyata-Sturm A

更新日期：2019-04-01 00:00:00

abstract：:Recognising that offers of payment to research participants can serve various purposes-reimbursement, compensation and incentive-helps uncover differences between participants, which can justify differential payment of participants within the same study. Participants with different study-related expenses will need dif...

journal_title：Journal of medical ethics

authors： Persad G,Fernandez Lynch H,Largent E

更新日期：2019-05-01 00:00:00

abstract：:Explorations of bioethical issues frequently raise the question of an entity's "moral standing," or its right to moral consideration by rational agents. Many contemporary philosophers subscribe to Leonard Nelson's view that only beings that have interests have moral standing. Kuhse attempts to define interests and t...

journal_title：Journal of medical ethics

authors： Kuhse H

更新日期：1985-09-01 00:00:00

abstract：:It is a common feature of debates on the regulation of reproductive medicine to find law portrayed as a crude form of intervention consisting in the imposition of inflexible rules on doctors and medical researchers. This paper argues that this view must be replaced by a more accurate assessment of the law's potential ...

journal_title：Journal of medical ethics

authors： Jabbari D

更新日期：1990-03-01 00:00:00

abstract：:Medical student and resident participation in global health experiences (GHEs) has significantly increased over the last decade. In response to growing student interest and the proven impact of such experiences on the education and career decisions of resident physicians, many medical schools have begun to establish p...

journal_title：Journal of medical ethics

authors： Shah S,Wu T

更新日期：2008-05-01 00:00:00

abstract：OBJECTIVES:To compare the perceptions of physician executives and clinicians regarding ethical issues in Saudi Arabian hospitals and the attributes that might lead to the existence of these ethical issues. DESIGN:Self-completion questionnaire administered from February to July 1997. SETTING:Different health regions i...

journal_title：Journal of medical ethics

authors： Saeed KS

更新日期：1999-02-01 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：:Given the dramatic shortage of transplantable organs, demand cannot be met by established and envisioned organ procurement policies targeting postmortem donation. Live organ donation (LOD) is a medically attractive option, and ethically permissible if informed consent is given and donor beneficence balances recipient ...

journal_title：Journal of medical ethics

authors： Glas A

更新日期：2020-02-14 00:00:00

abstract：:Does the position of the Roman Catholic Church on contraception also imply that the usage of condoms by HIV-discordant couples is illicit? A standard argument is to appeal to the doctrine of double effect to condone such usage, but this meets with the objection that there exists an alternative action that brings about...

journal_title：Journal of medical ethics

authors： Bovens L

更新日期：2009-12-01 00:00:00

abstract：:Dual-track assessment directs research ethics committees (RECs) to assess the risks of research interventions based on the unclear distinction between therapeutic and non-therapeutic interventions. The net risks test, in contrast, relies on the clinically familiar method of assessing the risks and benefits of interven...

journal_title：Journal of medical ethics

authors： Wendler D,Miller FG

更新日期：2007-08-01 00:00:00

abstract：:As a science and practice transcending metaphysical and ethical disagreements, 'secular' medicine should not exist. 'Secularity' should be understood in an Augustinian sense, not a secularist one: not as a space that is universally rational because it is religion-free, but as a forum for the negotiation of rival reaso...

journal_title：Journal of medical ethics

authors： Biggar N

更新日期：2015-03-01 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：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：: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

authors： Smith B

更新日期：2002-08-01 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：: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：: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：BACKGROUND:To allow patients to reflect about a decision to participate in a clinical trial, guidelines suggest a 24-h delay from when they are informed about the trial to when they give consent. In certain clinical settings, this is likely to hamper recruitment. METHOD:After oral and written information about the tri...

journal_title：Journal of medical ethics

authors： Gulbrandsen P,Jensen BF

更新日期：2010-02-01 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：:Dental tourism is patients travelling across international borders with the intention of receiving dental care. It is a growing phenomenon that raises many ethical issues, particularly regarding the dentist-patient relationship. We discuss various issues related to this phenomenon, including patient autonomy over prac...

journal_title：Journal of medical ethics

authors： Conti A,Delbon P,Laffranchi L,Paganelli C

更新日期：2014-03-01 00:00:00

abstract：:This personal narrative tugs at the heart strings. However, personal narratives are not sufficient to justify public funding for any screening policy. We have to take seriously the 'just caring' problem. We have only limited resources to meet virtually unlimited health care needs. No doubt, screening tests often save ...

journal_title：Journal of medical ethics

authors： Fleck LM

更新日期：2020-04-01 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

authors： Hickey D,Li SS,Morrison C,Schulz R,Thiry M,Sorensen K

更新日期：2017-04-01 00:00:00

abstract：:This paper relates two experiences of teaching medical ethics, the first to a small group of clinical medical students, the second to a larger group of GP trainees. :Boyd, a theologian who is Scottish Director of the Institute of Medical Ethics, comments on a day he spent teaching two ethics sessions, one to a group ...

journal_title：Journal of medical ethics

authors： Boyd K

更新日期：1987-09-01 00:00:00

abstract：:The objective of this paper is to stimulate academic debate on embryo and fetal research from the perspective of the drafting of a protocol to the European Convention on Biomedicine. The Steering Committee on Bioethics of the Council of Europe was mandated to draw up such a protocol and for this purpose organised an i...

journal_title：Journal of medical ethics

authors： Byk JC

更新日期：1997-02-01 00:00:00