The hospitalisation of death: should more people die at home?

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

authors： Gevers JK

更新日期：1992-09-01 00:00:00

abstract：:The paper comments on Scott Dunbar's "An obstructed death and medical ethics," arguing contra Dunbar that we should not view truth-telling to the terminally ill as primarily governed by principles of veracity and respect for autonomy. All such rules are of limited value in medical ethics. We should instead turn to a...

journal_title：Journal of medical ethics

authors： Byrne P

更新日期：1990-06-01 00:00:00

abstract：:"Terminal sedation" refers to the use of sedation as palliation in dying patients with a terminal diagnosis. Although terminal sedation has received widespread legal and ethical justification, the practice remains ethically contentious, particularly as some hold that it foreseeably hastens death. It has been proposed ...

journal_title：Journal of medical ethics

authors： Cellarius V

更新日期：2008-02-01 00:00:00

abstract：:The inclusion of elite transwomen athletes in sport is controversial. The recent International Olympic Committee (IOC) (2015) guidelines allow transwomen to compete in the women's division if (amongst other things) their testosterone is held below 10 nmol/L. This is significantly higher than that of cis-women. Science...

journal_title：Journal of medical ethics

authors： Knox T,Anderson LC,Heather A

更新日期：2019-06-01 00:00:00

abstract：:Eduard Seidler sets his discussion of the teaching of medical ethics in the Federal Republic of Germany against an historical background. Immediately after the Second World War the freshness of the memory of the 'Nuremberg Medical Trials' influenced the way in which moral dilemmas were treated in Germany. At the prese...

journal_title：Journal of medical ethics

authors： Seidler E

更新日期：1979-06-01 00:00:00

abstract：OBJECTIVE:Little has been written in the medical literature concerning the ethics of treatment of the elderly demented patient with bowel obstruction. It is one example of the issues with which we are becoming increasingly involved. We conducted a survey of our colleagues' opinions to determine current practice. DESIG...

journal_title：Journal of medical ethics

authors： Gallagher P,Clark K

更新日期：2002-04-01 00:00:00

abstract：:Reproductive tourism is the travelling by candidate service recipients from one institution, jurisdiction, or country where treatment is not available to another institution, jurisdiction, or country where they can obtain the kind of medically assisted reproduction they desire. The more widespread this phenomenon, the...

journal_title：Journal of medical ethics

authors： Pennings G

更新日期：2002-12-01 00:00:00

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：: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：: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：:Anne Barnhill and Franklin Miller dispute my claim that the prescriptions of placebo treatments to patients are not typically deceptive, and do not typically violate the patients' informed consent. However, Barnhill and Miller seriously mischaracterise my position in two ways, as well as failing to show that the proce...

journal_title：Journal of medical ethics

authors： Glackin SN

更新日期：2016-10-01 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：:Non-therapeutic circumcision violates boys' right to bodily integrity as well as to self-determination. There is neither any verifiable medical advantage connected with the intervention nor is it painless nor without significant risks. Possible negative consequences for the psychosexual development of circumcised boys...

journal_title：Journal of medical ethics

authors： Merkel R,Putzke H

更新日期：2013-07-01 00:00:00

abstract：:Dr Caitríona L Cox's recent article expounds the far-reaching implications of the 'Healthcare Hero' metaphor. She presents a detailed overview of heroism in the context of clinical care, revealing that healthcare workers, when portrayed as heroes, face challenges in reconciling unreasonable expectations of personal sa...

journal_title：Journal of medical ethics

authors： Khan Z,Iwai Y,DasGupta S

更新日期：2020-12-16 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

authors： Helgesson G,Lynöe N

更新日期：2008-03-01 00:00:00

abstract：OBJECTIVE:To explore the ways in which health care practitioners working within the morally contested area of prenatal screening balance their professional and private moral values. DESIGN:Qualitative study incorporating semistructured interviews with health practitioners followed by multidisciplinary discussion group...

journal_title：Journal of medical ethics

authors： Farsides B,Williams C,Alderson P

更新日期：2004-10-01 00:00:00

abstract：:This paper re-evaluates euthanasia and assisted suicide from the perspective of eudaimonia, the ancient Greek conception of happiness across one's whole life. It is argued that one cannot be said to have fully flourished or had a truly happy life if one's death is preceded by a period of unbearable pain or suffering t...

journal_title：Journal of medical ethics

authors： Shaw DM

更新日期：2009-09-01 00:00:00

abstract：BACKGROUND:Studies describing physicians' experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their ...

journal_title：Journal of medical ethics

authors： Rietjens JA,Voorhees JR,van der Heide A,Drickamer MA

更新日期：2014-04-01 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：:The "Kantian ideal" is often misunderstood as invoking individual autonomy rather than rational self legislation. Le Morvan and Stock's otherwise insightful discussion of "Medical learning curves and the Kantian ideal"--for example--draws the mistaken inference that that ideal is inconsistent with the realities of med...

journal_title：Journal of medical ethics

authors： Brecher B

更新日期：2006-09-01 00:00:00

abstract：:Debate on the potential and uses of human stem cells tends to be conducted by two constituencies-ethicists and scientists. On many occasions there is little communication between the two, with the result that ethical debate is not informed as well as it might be by scientific insights. The aim of this paper is to high...

journal_title：Journal of medical ethics

authors： Towns CR,Jones DG

更新日期：2004-08-01 00:00:00

abstract：:Participants are often not informed by investigators who conduct randomised, placebo-controlled acupuncture trials that they may receive a sham acupuncture intervention. Instead, they are told that one or more forms of acupuncture are being compared in the study. This deceptive disclosure practice lacks a compelling m...

journal_title：Journal of medical ethics

authors： Miller FG,Kaptchuk TJ

更新日期：2007-01-01 00:00:00

abstract：:The way people think about equality as a value will influence how they think genetic interventions should be regulated. In this paper the author uses the taxonomy of equality put forth by Derek Parfit and applies this to the issue of genetic interventions. It is argued that telic egalitarianism is untenable and that d...

journal_title：Journal of medical ethics

authors： Farrelly C

更新日期：2004-12-01 00:00:00

abstract：:The United Kingdom Central Council for Nursing, Midwifery and Health Visitors (UKCC) document, Exercising Accountability, states that the role of patient's advocate is an essential aspect of good professional nursing practice (1). The author examines the case for and against the nurse being the best person to act as a...

journal_title：Journal of medical ethics

authors： Bird AW

更新日期：1994-09-01 00:00:00

abstract：:In his critical comment on our paper in this journal, Shaw argues that 'false assumptions' which we have criticised are in fact correct ('Neuroenhancers, addiction and research ethics'). He suggests that the risk of addiction to neuroenhancers may not be relevant, and that safety and research in regard to neuroenhance...

journal_title：Journal of medical ethics

authors： Heinz A,Kipke R,Müller S,Wiesing U

更新日期：2014-04-01 00:00:00

abstract：:Gabriele Badano offers three criticisms of my challenge to the orthodox family of theories of legitimacy in bioethics. First, I assumed an 'oversimplified version of the orthodoxy'. Second, I failed to appreciate its domain of application. Third, I only addressed the ways in which orthodox theorists incorporate substa...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2019-04-01 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：: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：:A successful feature of the 4th-year curriculum in the Medical Faculty of the Queen's University, Belfast has been the development of interdisciplinary teaching in a three-week joint course to which several clinical departments contribute...Co-ordinated teaching of topics of common interest in small groups included, u...

journal_title：Journal of medical ethics

authors： Irwin WG,McClelland RJ,Stout RW,Stchedroff M

更新日期：1988-09-01 00:00:00

abstract：:This essay seeks to characterise the essential features of an equitable health care system in terms of the classical Aristotelian concepts of horizontal and vertical equity, the common (but ill-defined) language of "need" and the economic notion of cost-effectiveness as a prelude to identifying some of the more import...

journal_title：Journal of medical ethics

authors： Culyer AJ

更新日期：2001-08-01 00:00:00