Limited autonomy and partnership: professional relationships in health care.

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 other descriptions of partnership and negotiated goal-setting, while based on respect for autonomy, reflect more modern and ideal multi-disciplinary practices. Discussion should extend beyond the 'classic' participants of patient and doctor to a more realistic picture where other health carers are included. It is therefore apposite that other professional relationships are considered as they affect areas of doctors' and patients' responsibilities. Such partnership between members of the team may not be without problems and conflict, but the principle of negotiated agreements could result in more long-term harmony, and greater patient welfare.

journal_name

J Med Ethics

authors

Wilson-Barnett J

doi

10.1136/jme.15.1.12

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

12-6

issue

1

eissn

0306-6800

issn

1473-4257

journal_volume

15

pub_type

杂志文章
  • Should doctors strike?

    abstract::Last year in June, British doctors went on strike for the first time since 1975. Amidst a global economic downturn and with many health systems struggling with reduced finances, around the world the issue of public health workers going on strike is a very real one. Almost all doctors will agree that we should always f...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101397

    authors: Park JJ,Murray SA

    更新日期:2014-05-01 00:00:00

  • Legislation on euthanasia: recent developments in The Netherlands.

    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

    pub_type: 杂志文章

    doi:10.1136/jme.18.3.138

    authors: Gevers JK

    更新日期:1992-09-01 00:00:00

  • Instruments of health and harm: how the procurement of healthcare goods contributes to global health inequality.

    abstract::Many healthcare goods, such as surgical instruments, textiles and gloves, are manufactured in unregulated factories and sweatshops where, amongst other labour rights violations, workers are subject to considerable occupational health risks. In this paper we undertake an ethical analysis of the supply of sweatshop-prod...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106286

    authors: Trueba ML,Bhutta MF,Shahvisi A

    更新日期:2020-08-24 00:00:00

  • Routine antenatal HIV testing and informed consent: an unworkable marriage?

    abstract::This paper considers the ethics of routine antenatal HIV testing and the role of informed consent within such a policy in order to decide how we should proceed in this area--a decision that ultimately rests on the relative importance we give to public health goals on the one hand and respect for individual autonomy on...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018861

    authors: Bennett R

    更新日期:2007-08-01 00:00:00

  • The teaching of medical ethics to medical students.

    abstract::Teaching medical ethics to medical students in a pluralistic society is a challenging task. Teachers of ethics have obligations not just to teach the subject matter but to help create an academic environment in which well motivated students have reinforcement of their inherent good qualities. Emphasis should be placed...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.20.4.239

    authors: Glick SM

    更新日期:1994-12-01 00:00:00

  • Publication ethics and the research assessment exercise: reflections on the troubled question of authorship.

    abstract::The research assessment exercise (RAE) forms the basis for determining the funding of higher education institutions in the UK. Monies are distributed according to a range of performance criteria, the most important of which is "research outputs". Problems to do with publication misconduct, and in particular, issues of...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.26.6.422

    authors: Sheikh A

    更新日期:2000-12-01 00:00:00

  • A matter of life and death: controversy at the interface between clinical and legal decision-making in prolonged disorders of consciousness.

    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

    pub_type: 杂志文章

    doi:10.1136/medethics-2016-104057

    authors: Turner-Stokes L

    更新日期:2017-07-01 00:00:00

  • Good medical ethics.

    abstract::This paper summarises the features of my paper, 'Voluntary Active Euthanasia', and a later jointly authored paper, 'Moral Fictions', which I believe are examples of good medical ethics. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2014-102293

    authors: Brock DW

    更新日期:2015-01-01 00:00:00

  • Ethically complex decisions in the neonatal intensive care unit: impact of the new French legislation on attitudes and practices of physicians and nurses.

    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

    authors: Garel M,Caeymaex L,Goffinet F,Cuttini M,Kaminski M

    更新日期:2011-04-01 00:00:00

  • Veterinary surgeons' attitudes towards physician-assisted suicide: an empirical study of Swedish experts on euthanasia.

    abstract:AIM:To examine the hypothesis that knowledge about physician-assisted suicide (PAS) and euthanasia is associated with a more restrictive attitude towards PAS. DESIGN:A questionnaire about attitudes towards PAS, including prioritization of arguments pro and contra, was sent to Swedish veterinary surgeons. The results w...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.038901

    authors: Lerner H,Lindblad A,Algers B,Lynöe N

    更新日期:2011-05-01 00:00:00

  • The subtle politics of organ donation: a proposal.

    abstract::Organs available for transplantation are scarce and valuable medical resources and decisions about who is to receive them should not be made more difficult by complicated calculations of desert. Consideration of likely clinical outcome must always take priority when allocating such a precious resource otherwise there ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.24.3.166

    authors: Eaton S

    更新日期:1998-06-01 00:00:00

  • Are healthcare professionals working in Australia's immigration detention centres condoning torture?

    abstract::Australian immigration detention centres are in secluded locations, some on offshore islands, and are subject to extreme secrecy, comparable with 'black sites' elsewhere. There are parallels between healthcare professionals working in immigration detention centres and healthcare professionals involved with or complici...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103066

    authors: Isaacs D

    更新日期:2016-07-01 00:00:00

  • Towards a specific approach to education in dental ethics: a proposal for organising the topics of biomedical ethics for dental education.

    abstract::Understanding dental ethics as a field separate from its much better known counterpart, medical ethics, is a relatively new, but necessary approach in bioethics. This need is particularly felt in dental education and establishing a curriculum specifically for dental ethics is a challenging task. Although certain topic...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100067

    authors: Gorkey S,Guven T,Sert G

    更新日期:2012-01-01 00:00:00

  • Legitimate requests and indecent proposals: matters of justice in the ethical assessment of phase I trials involving competent patients.

    abstract::The death of Jesse Gelsinger in 1999 during a gene therapy trial raised many questions about the ethical review of medical research. Here, the author argues that the principle of justice is interpreted too narrowly and receives insufficient emphasis and that what we permit in terms of bodily invasion affects the value...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.006684

    authors: Kong WM

    更新日期:2005-04-01 00:00:00

  • The potential impact of an opt-out system for organ donation in the UK.

    abstract::The recent report of the UK government's Organ Donation Taskforce is in favour of continuing with the current organ donation system rather than changing to an opt-out system where people are assumed to be willing to donate. How did it reach this decision and is it correct? ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.031757

    authors: Rieu R

    更新日期:2010-09-01 00:00:00

  • The role of law in reproductive medicine: a new approach.

    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

    pub_type: 杂志文章

    doi:10.1136/jme.16.1.35

    authors: Jabbari D

    更新日期:1990-03-01 00:00:00

  • Developing ethics guidance for HIV prevention research: the HIV Prevention Trials Network approach.

    abstract::More than 25 years into the HIV epidemic, in excess of 2 million new infections continue to occur each year. HIV prevention research is crucial for groups at heightened risk for HIV, but the design and conduct of HIV prevention research with vulnerable populations worldwide raises considerable ethical challenge...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.035444

    authors: Rennie S,Sugarman J

    更新日期:2010-12-01 00:00:00

  • 'These sorts of people don't do very well': race and allocation of health care resources.

    abstract::Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.21.6.356

    authors: Lowe M,Kerridge IH,Mitchell KR

    更新日期:1995-12-01 00:00:00

  • Fear of a female planet: how John Harris came to endorse eugenic social engineering.

    abstract::In this paper, I respond to criticisms by John Harris, contained in a commentary on my article "Harris, harmed states, and sexed bodies", which appeared in the Journal of Medical Ethics, volume 37, number 5. I argue that Harris's response to my criticisms exposes the strong eugenic tendencies in his own thought, when ...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.2011.045021

    authors: Sparrow R

    更新日期:2012-01-01 00:00:00

  • Medical murder in Belgium and the Netherlands.

    abstract::This article is a response to Raphael Cohen-Almagor's paper entitled 'First do no harm: intentionally shortening lives of patients without their explicit request in Belgium'. His paper deals with very important matters of life and death, however its concept usage is in part misleading. For instance, the fact that medi...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2015-103128

    authors: Materstvedt LJ,Magelssen M

    更新日期:2016-09-01 00:00:00

  • Predictive genetic testing of children for adult-onset diseases and psychological harm.

    abstract::One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.019802

    authors: Malpas PJ

    更新日期:2008-04-01 00:00:00

  • Dentistry and the ethics of infection.

    abstract::Currently, any dentist in the UK who is HIV-seropositive must stop treating patients. This is despite the fact that hepatitis B-infected dentists with a low viral load can continue to practise, and the fact that HIV is 100 times less infectious than hepatitis B. Dentists are obliged to treat HIV-positive patients, but...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2007.021972

    authors: Shaw D

    更新日期:2008-03-01 00:00:00

  • Teaching, learning and assessment of medical ethics at the UK medical schools.

    abstract:OBJECTIVES:To evaluate the UK undergraduate medical ethics curricula against the Institute of Medical Ethics (IME) recommendations; to identify barriers to teaching and assessment of medical ethics and to evaluate perceptions of ethics faculties on the preparation of tomorrow's doctors for clinical practice. DESIGN:Qu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103189

    authors: Brooks L,Bell D

    更新日期:2017-09-01 00:00:00

  • Fair subject selection in clinical research: formal equality of opportunity.

    abstract::In this paper, I explore the ethics of subject selection in the context of biomedical research. I reject a key principle of what I shall refer to as the standard view According to this principle, investigators should select participants so as to minimise aggregate risk to participants and maximise aggregate benefits t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103311

    authors: MacKay D

    更新日期:2016-10-01 00:00:00

  • Parental procreative obligation and the categorisation of disease: the case of cystic fibrosis.

    abstract::The advent of prenatal genetic diagnosis has sparked debates among ethicists and philosophers regarding parental responsibility towards potential offspring. Some have attempted to place moral obligations on parents to not bring about children with certain diseases in order to prevent harm to such children. There has b...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.039230

    authors: Bosslet GT

    更新日期:2011-05-01 00:00:00

  • Erring on the side of life: the case of Terri Schiavo.

    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

    pub_type: 杂志文章

    doi:10.1136/jme.2007.023002

    authors: Merrell DA

    更新日期:2009-05-01 00:00:00

  • The role of the principle of double effect in ethics education at US medical schools and its potential impact on pain management at the end of life.

    abstract:BACKGROUND:Because opioids can suppress respiratory drive, the principle of double effect (PDE) has been used to justify their use for terminally ill patients. Recent studies, however, suggest that the risk of respiratory depression in typical end-of-life (EOL) situations may be overstated and that heightened concern f...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100105

    authors: Macauley R

    更新日期:2012-03-01 00:00:00

  • Thinking clearly about the FIRST trial: addressing ethical challenges in cluster randomised trials of policy interventions involving health providers.

    abstract::The ethics of the Flexibility In duty hour Requirements for Surgical Trainees (FIRST) trial have been vehemently debated. Views on the ethics of the FIRST trial range from it being completely unethical to wholly unproblematic. The FIRST trial illustrates the complex ethical challenges posed by cluster randomised trial...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2017-104282

    authors: Horn AR,Weijer C,Hey SP,Brehaut J,Fergusson DA,Goldstein CE,Grimshaw J,Taljaard M

    更新日期:2018-09-01 00:00:00

  • Dying individuals and suffering populations: applying a population-level bioethics lens to palliative care in humanitarian contexts: before, during and after the COVID-19 pandemic.

    abstract:BACKGROUND:Humanitarian crises and emergencies, events often marked by high mortality, have until recently excluded palliative care-a specialty focusing on supporting people with serious or terminal illness or those nearing death. In the COVID-19 pandemic, palliative care has received unprecedented levels of societal a...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2019-105943

    authors: Wynne KJ,Petrova M,Coghlan R

    更新日期:2020-08-01 00:00:00

  • Random paired scenarios--a method for investigating attitudes to prioritisation in medicine.

    abstract:OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.4.238

    authors: Ryynänen OP,Myllykangas M,Vaskilampi T,Takala J

    更新日期:1996-08-01 00:00:00