What price excellence?

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：:I sketch a libertarian argument for the right to test in the context of 'direct to consumer' (DTC) genetic testing. A libertarian right to genetic tests, as defined here, relies on the idea of a moral right to self-ownership. I show how a libertarian right to test can be inferred from this general libertarian premise,...

journal_title：Journal of medical ethics

authors： Loi M

更新日期：2016-09-01 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：: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：:Much has been written by many distinguished persons about the philosophical, religious and ethical considerations of doctors and their involvement with torture. What follows will not have the erudition or authority of the likes of St Augustine, Mahatma Gandi, Schopenhauer or Thomas Paine. It represents the views of a ...

journal_title：Journal of medical ethics

authors： Burges SH

更新日期：1980-09-01 00:00:00

abstract：:According to a recent convention on human rights and biomedicine, coercive treatment of psychiatric patients may only be given if, without such treatment, serious harm is likely to result to the health of the patient; it must not be given in the interest of other people. In the present article a discussion is undertak...

journal_title：Journal of medical ethics

authors： Tannsjo T

更新日期：2004-10-01 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：: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：:Therapeutic privilege (TP) is a defence that may be available to doctors who fail to disclose to the patient relevant information when seeking informed consent for treatment if they have a reasonable belief that providing that information would likely cause the patient concerned serious physical or mental harm. In a l...

journal_title：Journal of medical ethics

authors： Menon S,Entwistle V,Campbell AV,van Delden JJM

更新日期：2021-01-01 00:00:00

abstract：:A questionnaire relating to attitudes towards setting economic priorities within the health care system was sent to all 151 general practitioners in Northern Norway. Of these, 109 (72 per cent) responded. Ninety-six per cent of the respondents agreed or partly agreed that the setting of economic priorities within the ...

journal_title：Journal of medical ethics

authors： Arnesen T,Fredriksen S

更新日期：1995-06-01 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 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

authors： Bosslet GT

更新日期：2011-05-01 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：OBJECTIVE:Adolescents have had very limited access to research on biomedical prevention interventions despite high rates of HIV acquisition. One concern is that adolescents are a vulnerable population, and trials carry a possibility of harm, requiring investigators to take additional precautions. Of particular concern ...

journal_title：Journal of medical ethics

authors： Ott MA,Alexander AB,Lally M,Steever JB,Zimet GD,Adolescent Medicine Trials Network (ATN) for HIV\/AIDS Interventions.

更新日期：2013-12-01 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：BACKGROUND:Policy instruments based on the working of markets have been introduced to empower consumers of healthcare. However, it is still not easy to become a critical consumer of healthcare. OBJECTIVES:The aim of this study is to analyse the possibilities of the state to strengthen the position of patients with the...

journal_title：Journal of medical ethics

authors： Grit K,de Bont A

更新日期：2010-02-01 00:00:00

abstract：OBJECTIVES:To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose. DESIGN:Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analys...

journal_title：Journal of medical ethics

authors： Holm S,Gjersøe P,Grode G,Hartling O,Ibsen KE,Marcussen H

更新日期：1996-06-01 00:00:00

abstract：:This essay argues that the field of bioethics should concern itself especially with the process of making moral sense that unfolds among clinicians, patients and family members during common but high-stakes conversations occurring on the front lines of practice. The essay outlines the parameters of a bioethics grounde...

journal_title：Journal of medical ethics

authors： Browning DM

更新日期：2012-04-01 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：:'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：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：: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：:Direct-to-consumer genetic testing is a growing phenomenon, fuelled by the notion that knowledge equals control. One ethical question that arises concerns the proband's duty to share information indicating genetic risks in their relatives. However, such duties are unenforceable and may result in the realisation of ant...

journal_title：Journal of medical ethics

authors： Parsons JA,Baker PE

更新日期：2020-12-09 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：:Several distinct arguments conclude that terminally ill patients have a right to a medically assisted death; two are especially influential: the autonomy argument and the non-harm argument. Both have proven convincing to many, but not to those who view the duty not to kill as an (almost) absolute constraint. Some phil...

journal_title：Journal of medical ethics

authors： Rivera-López E

更新日期：2017-06-01 00:00:00

abstract：:The "standard position" on organ donation is that the donor must be dead in order for vital organs to be removed, a position with which we agree. Recently, Robert Truog and Walter Robinson have argued that (1) brain death is not death, and (2) even though "brain dead" patients are not dead, it is morally acceptable to...

journal_title：Journal of medical ethics

authors： Potts M,Evans DW

更新日期：2005-07-01 00:00:00

abstract：:Elaborating on the concept of confidentiality of medical records and interdisciplinary communication discussed in earlier articles by D.J. Kenny and Derek F.H. Pheby, the author expresses concern about written communications to professional colleagues and verbal revelations to colleagues or to persons outside the ther...

journal_title：Journal of medical ethics

authors： Green M

更新日期：1982-03-01 00:00:00

abstract：:Simon Rippon has recently argued against kidney markets on the grounds that introducing the option to vend will result in many people, especially the poor, being subject to harmful pressure to vend. Though compelling, Rippon's argument fails. What he takes to be a single phenomenon-social and legal pressure to vend-is...

journal_title：Journal of medical ethics

authors： Semrau L

更新日期：2015-06-01 00:00:00

abstract：:While an ethical obligation to report findings of clinical research to trial participants is increasingly recognised, the academic debate is often vague about what kinds of data should be fed back and how such a process should be organised. In this article, we present a classification of different actors, processes an...

journal_title：Journal of medical ethics

authors： Kollek R,Petersen I

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Patient autonomy has gradually replaced physician paternalism as an ethical ideal. However, in a medical context, the principle of individual autonomy has different meanings. More knowledge is needed about what is and should be an appropriate understanding of the concept of patient autonomy in clinical pract...

journal_title：Journal of medical ethics

authors： Nessa J,Malterud K

更新日期：1998-12-01 00:00:00