Internal morality of medicine and physician autonomy.

abstract：OBJECTIVES:To explore attitudes and reasoning among Swedish physicians and the general public regarding the withdrawal of life-sustaining treatment at a competent patient's request. DESIGN:A vignette-based postal questionnaire including 1202 randomly selected individuals in the county of Stockholm and 1200 randomly se...

journal_title：Journal of medical ethics

authors： Lindblad A,Juth N,Fürst CJ,Lynöe N

更新日期：2010-05-01 00:00:00

abstract：:The current COVID-19 pandemic has raised many questions and dilemmas for modern day ethicists and healthcare providers. Are physicians, nurses and other healthcare workers morally obligated to put themselves in harm's way and treat patients during a pandemic, occurring a great risk to themselves, their families and po...

journal_title：Journal of medical ethics

authors： Solnica A,Barski L,Jotkowitz A

更新日期：2020-07-01 00:00:00

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

authors： Park JJ,Murray SA

更新日期：2014-05-01 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：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：:This is a continuation of and a development of a debate between John Keown and me. The issue discussed is whether, in Britain, an unpaid system of blood donation promotes and is justified by its promotion of altruism. Doubt is cast on the notions that public policies can, and, if they can, that they should, be aimed a...

journal_title：Journal of medical ethics

authors： McLachlan HV

更新日期：1999-12-01 00:00:00

abstract：:Clinical trials emerged in rapid succession as the COVID-19 pandemic created an unprecedented need for life-saving therapies. Fair and equitable subject selection in clinical trials offering investigational therapies ought to be an urgent moral concern. Subject selection determines the distribution of risks and benefi...

journal_title：Journal of medical ethics

authors： Jansen MO,Angelos P,Schrantz SJ,Donington JS,Madariaga MLL,Zakrison TL

更新日期：2021-01-01 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：:A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of ...

journal_title：Journal of medical ethics

authors： Thompson IE,Lowther CP,Doyle D,Bird J,Turnbull J

更新日期：1981-06-01 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

authors： Gaudine A,Thorne L,LeFort SM,Lamb M

更新日期：2010-03-01 00:00:00

abstract：:Too many people now have access to confidential medical information. Patients are becoming justifiably wary and the doctor-patient relationship is deteriorating. We can avert the developing crisis by allowing patients to keep their own medical records at home. This will ensure that confidentiality is respected and tha...

journal_title：Journal of medical ethics

authors： Coleman V

更新日期：1984-03-01 00:00:00

abstract：:Obstetricians face difficult decisions when the interests of fetus and mother conflict. An example is the problem of choosing the delivery method when labour begins prematurely and the fetus is breech. Vaginal delivery involves risks for the breech fetus of brain damage or death caused by umbilical cord compression an...

journal_title：Journal of medical ethics

authors： Anderson G,Strong C

更新日期：1988-03-01 00:00:00

abstract：:The Belgian model of 'integral' end-of-life care consists of universal access to palliative care (PC) and legally regulated euthanasia. As a first worldwide, the Flemish PC organisation has embedded euthanasia in its practice. However, some critics have declared the Belgian-model concepts of 'integral PC' and 'palliat...

journal_title：Journal of medical ethics

authors： Bernheim JL,Raus K

更新日期：2017-08-01 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：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：:With the recent developments in the Human Genome Mapping Project and the new technologies that are developing from it there is a renewal of concern about eugenic applications. Francis Galton (b1822, d1911), who developed the subject of eugenics, suggested that the ancient Greeks had contributed very little to social t...

journal_title：Journal of medical ethics

authors： Galton DJ

更新日期：1998-08-01 00:00:00

abstract：:Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we pr...

journal_title：Journal of medical ethics

authors： Plantinga M,Molewijk B,de Bree M,Moraal M,Verkerk M,Widdershoven GA

更新日期：2012-10-01 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：: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：: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

authors： Trueba ML,Bhutta MF,Shahvisi A

更新日期：2020-08-24 00:00:00

abstract：:A deaf lesbian couple who sought a sperm donor with a family history of deafness in order to have a child they hoped would be deaf have attracted a lot of criticism. They have been criticised for deliberately creating a deaf child, for denying their child a hearing aid, and for raising the child in a homosexual househ...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：2002-10-01 00:00:00

abstract：:My sexual rights puzzle according to which positive sexual rights are not compatible with negative sexual rights has been recently criticised in the Journal of Medical Ethics by Steven J Firth, who has put forward three objections to the puzzle. In this brief response, I analyse and reject each of these three objectio...

journal_title：Journal of medical ethics

authors： Di Nucci E

更新日期：2020-05-01 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：:This article tackles the current deficit in the supply of cadaveric organs by addressing the family veto in organ donation. The authors believe that the family veto matters-ethically as well as practically-and that policies that completely disregard the views of the family in this decision are likely to be counterprod...

journal_title：Journal of medical ethics

authors： De Wispelaere J,Stirton L

更新日期：2010-03-01 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：:Teaching medical ethics by the case method may be enriched by adding to the principles-and-rules approach to practical reasoning modes of inquiry and interpretation that engage the moral imagination. :Carson and Higgs are strong advocates of the use of case studies in the teaching of medical ethics. Carson maintains...

journal_title：Journal of medical ethics

authors： Carson RA

更新日期：1986-03-01 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

authors： Lauridsen SM,Norup MS,Rossel PJ

更新日期：2007-12-01 00:00:00

abstract：:This opinion piece aims to situate the placebo effect within the field of psychiatric treatment. To accomplish this, the placebo is explored at the centre of an often heated debate between three discrete perspectives: the clinical trial researcher, the placebo researcher and the clinician. Each occupational perspectiv...

journal_title：Journal of medical ethics

authors： Huculak S

更新日期：2014-06-01 00:00:00

abstract：:Translational research is now a critically important current in academic medicine. Researchers in all health-related fields are being encouraged not only to demonstrate the potential benefits of their research but also to help identify the steps through which their research might be 'made practical'. This paper consid...

journal_title：Journal of medical ethics

authors： Cribb A

更新日期：2010-04-01 00:00:00

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

authors： Kong WM

更新日期：2005-04-01 00:00:00