What does 'quality' add? Towards an ethics of healthcare improvement.

abstract：BACKGROUND:Desire for improvement in one's illness and having one's own doctor functioning as a researcher are thought to promote therapeutic misconception (TM), a phenomenon in which research subjects are said to conflate research with treatment. PURPOSE:To examine whether subjects' therapeutic motivation and own doc...

journal_title：Journal of medical ethics

authors： Kim SY,De Vries R,Parnami S,Wilson R,Kim HM,Frank S,Holloway RG,Kieburtz K

更新日期：2015-05-01 00:00:00

abstract：:This article describes the findings of a mixed method literature review that examined the perceptions of elderly patients and residents of a good nurse in nursing homes, hospitals and home care. According to elderly patients and residents, good nurses are individuals who have the necessary technical and psychosocial s...

journal_title：Journal of medical ethics

authors： Van der Elst E,Dierckx de Casterlé B,Gastmans C

更新日期：2012-02-01 00:00:00

abstract：:Concepts such as 'coercion' and 'inducement' are often used within bioethics without much reflection upon what they mean. This is particularly so in research ethics where they are assumed to imply that payment for research participation is unethical. Wertheimer and Miller advance our thinking about these concepts and ...

journal_title：Journal of medical ethics

authors： McMillan J

更新日期：2010-07-01 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

authors： Lavazza A

更新日期：2019-02-01 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

authors： Mullock A

更新日期：2013-09-01 00:00:00

abstract：:In his paper "Scientific research is a moral duty", John Harris argues that individuals have a moral duty to participate in biomedical research by volunteering as research subjects. He supports his claim with reference to what he calls the principle of beneficence as embodied in the "rule of rescue" (the moral obligat...

journal_title：Journal of medical ethics

authors： Shapshay S,Pimple KD

更新日期：2007-07-01 00:00:00

abstract：:Several prominent writers including Norman Daniels, James Sabin, Amy Gutmann, Dennis Thompson and Leonard Fleck advance a view of legitimacy according to which, roughly, policies are legitimate if and only if they result from democratic deliberation, which employs only public reasons that are publicised to stakeholder...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2018-06-01 00:00:00

abstract：:Public and healthcare professionals differ in their attitudes towards euthanasia and physician-assisted suicide (PAS), the legal status of which is currently in the spotlight in the UK. In addition to medical training and experience, religiosity, locus of control and patient characteristics (eg, patient age, pain leve...

journal_title：Journal of medical ethics

authors： Hains CA,Hulbert-Williams NJ

更新日期：2013-11-01 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：BACKGROUND:Discussing treatment risks has become increasingly important in medical communication. Still, despite regulations, physicians must decide how much and what kind of information to present. OBJECTIVE:To investigate patients' preference for information about a small risk of a complication of colonoscopy, and w...

journal_title：Journal of medical ethics

authors： Janssen NB,Oort FJ,Fockens P,Willems DL,de Haes HC,Smets EM

更新日期：2009-05-01 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：: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：:The aim of this study was to determine the opinions of private medical practitioners in Bloemfontein, South Africa, regarding euthanasia of terminally ill patients. This descriptive study was performed amongst a simple random sample of 100 of 230 private medical practitioners in Bloemfontein. Information was obtained ...

journal_title：Journal of medical ethics

authors： Brits L,Human L,Pieterse L,Sonnekus P,Joubert G

更新日期：2009-03-01 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

authors： Gardiner P

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

authors： Rentmeester CA

更新日期：2007-05-01 00:00:00

abstract：:In the light of increasing public mistrust, there is an urgent need to clarify the moral status of the medical profession and of the relationship of the clinician to his/her patients. In addressing this question, I first establish the coherence, within moral philosophy generally, of the concept of supererogation (the ...

journal_title：Journal of medical ethics

authors： McKay AC

更新日期：2002-04-01 00:00:00

abstract：:Johnson and Stricker published an opinion piece in the Journal of Medical Ethics presenting their perspective on the 2008 agreement between the Infectious Diseases Society of America (IDSA) and the Connecticut Attorney General with regard to the 2006 IDSA treatment guideline for Lyme disease. Their writings indicate t...

journal_title：Journal of medical ethics

authors： Auwaerter PG,Bakken JS,Dattwyler RJ,Dumler JS,Halperin JJ,McSweegan E,Nadelman RB,O'Connell S,Sood SK,Weinstein A,Wormser GP

更新日期：2011-02-01 00:00:00

abstract：:In recent years, it has become almost axiomatic that biomedical research and clinical practice should be 'innovative'-that is, that they should be always evolving and directed towards the production, translation and implementation of new technologies and practices. While this drive towards innovation in biomedicine mi...

journal_title：Journal of medical ethics

authors： Lipworth W,Axler R

更新日期：2016-07-01 00:00:00

abstract：:This paper is not about the medical condition of AIDS. Nor is it about the history of the condition since it was first reported in Atlanta, Georgia in 1981. It looks rather, at the catalogue of legislative and other legal responses to the spread of AIDS. The paper analyses the AIDS condition in its historical context....

journal_title：Journal of medical ethics

authors： Kirby MD

更新日期：1986-12-01 00:00:00

abstract：:The COVID-19 pandemic has created unusually challenging and dangerous workplace conditions for key workers. This has prompted calls for key workers to receive a variety of special benefits over and above their normal pay. Here, we consider whether two such benefits are justified: a no-fault compensation scheme for har...

journal_title：Journal of medical ethics

authors： McConnell D,Wilkinson D

更新日期：2020-05-28 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：:Because of cultural differences between East and West, any attempt at outright adaptation of Western ideas in Asia will undoubtedly encounter problems, if not rejection. Transferring an idea from one place to another is just like transplanting an organ from a donor to a recipient--rejection is to be expected. Human cu...

journal_title：Journal of medical ethics

authors： Tai MC,Lin CS

更新日期：2001-02-01 00:00:00

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

authors： MacKay D

更新日期：2016-10-01 00:00:00

abstract：OBJECTIVE:To determine the views of people with multiple sclerosis (MS) and professionals in relation to confidentiality, consent and access to data within a proposed MS register in the UK. DESIGN:Qualitative study using focus groups (10) and interviews (13). SETTING:England and Northern Ireland. PARTICIPANTS:68 peo...

journal_title：Journal of medical ethics

authors： Baird W,Jackson R,Ford H,Evangelou N,Busby M,Bull P,Zajicek J

更新日期：2009-02-01 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：:Over the decades of experimentation on the placebo effect, it has become clear that it is driven largely by expectation, and that strong expectations of efficacy are more likely to give rise to the experience of benefit. No wonder the placebo effect has come to resemble a self-fulfilling prophecy. However, this resemb...

journal_title：Journal of medical ethics

authors： Justman S

更新日期：2013-04-01 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：:We analyse the system of ethical review of human research in the Baltic States by introducing the principle of equivalent stringency of ethical review, that is, research projects imposing equal risks and inconveniences on research participants should be subjected to equally stringent review procedures. We examine seve...

journal_title：Journal of medical ethics

authors： Gefenas E,Dranseika V,Cekanauskaite A,Hug K,Mezinska S,Peicius E,Silis V,Soosaar A,Strosberg M

更新日期：2010-07-01 00:00:00

abstract：:Despite concerns about the relationships between health professionals and the medical device industry, the issue has received relatively little attention. Prevalence data are lacking; however, qualitative and survey research suggest device industry representatives, who are commonly present in clinical settings, play a...

journal_title：Journal of medical ethics

authors： Grundy Q,Hutchison K,Johnson J,Blakely B,Clay-Wlliams R,Richards B,Rogers WA

更新日期：2018-09-01 00:00:00

abstract：:For a few decades, patients with Parkinson's disease (PD) have been treated with intracerebral transplantations of fetal mesencephalic tissue. The results of open trials have been variable. Double blind, placebo-controlled studies have recently been started in order to further investigate the efficacy of this new medi...

journal_title：Journal of medical ethics

authors： Dekkers W,Boer G

更新日期：2001-06-01 00:00:00