abstract：:Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

journal_title：Journal of medical ethics

authors： Schefczyk M

更新日期：2009-01-01 00:00:00

abstract：OBJECTIVES:To compare 2005 and 1995 ethics guidelines from journal editors to authors regarding requirements for institutional review board (IRB) approval and conflict-of-interest (COI) disclosure. DESIGN:A descriptive study of the ethics guidelines published in 103 English-language biomedical journals listed in the A...

journal_title：Journal of medical ethics

authors： Rowan-Legg A,Weijer C,Gao J,Fernandez C

更新日期：2009-01-01 00:00:00

abstract：:The question of whether old age should or should not play a role in medical decision-making for the elderly patient is regularly debated in ethics and medicine. In this paper we investigate exactly how age influences the decision-making process. To explore the normative argumentation in the decisions regarding an elde...

journal_title：Journal of medical ethics

authors： Ubachs-Moust J,Houtepen R,Vos R,ter Meulen R

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:There is little research into medical students' or doctors' attitudes to abortion, yet knowing this is important, as policy makers should be aware of the views held by professionals directly involved in abortion provision and changing views may have practical implications for the provision of abortion in the...

journal_title：Journal of medical ethics

authors： Gleeson R,Forde E,Bates E,Powell S,Eadon-Jones E,Draper H

更新日期：2008-11-01 00:00:00

abstract：:The traditional view that having a personality disorder, unlike other mental disorders, is not usually reason enough to consider a person incompetent to make healthcare decisions is challenged. The example of a case in which a woman was treated for a physical disorder without her consent illustrates that personality d...

journal_title：Journal of medical ethics

authors： Winburn E,Mullen R

更新日期：2008-10-01 00:00:00

abstract：UNLABELLED:The difficulties of undertaking good quality effectiveness research in palliative medicine are well documented. Much of the ethical literature in this area focuses on the vulnerability of the palliative care population. It is clear that a wider ethical approach will need to be used to justify research in the...

journal_title：Journal of medical ethics

authors： Keeley PW

更新日期：2008-10-01 00:00:00

abstract：:On 9 May 2005, the Israeli Ministry of Health issued guidelines spelling out the conditions under which sex selection by preimplantation genetic diagnosis (PGD) for social purposes is to be permitted in Israel. This article first reviews the available medical methods for sex selection, the preference for children of a...

journal_title：Journal of medical ethics

authors： Landau R

更新日期：2008-09-01 00:00:00

abstract：:This article reports on moral problems that were raised by medical students as the basis for an ethical case-conference in an obstetrics and gynaecology clerkship. After introducing the issue of teaching clinical ethics, the method of our case-conference is explained. Next, the variety of topics and related moral prob...

journal_title：Journal of medical ethics

authors： Olthuis G,Dukel L

更新日期：2008-09-01 00:00:00

abstract：:Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressi...

journal_title：Journal of medical ethics

authors： Van Camp N,Dierickx K

更新日期：2008-08-01 00:00:00

abstract：:In healthcare, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the "Rule of Rescue"). This tension can generate serious ethical and political difficulties for public poli...

journal_title：Journal of medical ethics

authors： Cookson R,McCabe C,Tsuchiya A

更新日期：2008-07-01 00:00:00

abstract：:The emergence several years ago of SARS, with its high rate of infection and death among healthcare workers, resurrected a recurring ethical question: do health professionals have a duty to provide care to patients with deadly infectious diseases, even at some substantial risk to themselves and their families? The con...

journal_title：Journal of medical ethics

authors： Tomlinson T

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians' considerations in clinical prioritisation within this field is scarce. OBJECTIVES:To explore how clinicians understand their professional role in clinical prioritisation...

journal_title：Journal of medical ethics

authors： Nortvedt P,Pedersen R,Grøthe KH,Nordhaug M,Kirkevold M,Slettebø A,Brinchmann BS,Andersen B

更新日期：2008-05-01 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：OBJECTIVES:to assess physicians' and patients' views in Saudi Arabia (KSA) towards involving the patient versus the family in the process of diagnosis disclosure and decision-making, and to compare them with views from the USA and Japan. DESIGN:A self-completion questionnaire (used previously to study these issues in ...

journal_title：Journal of medical ethics

authors： Mobeireek AF,Al-Kassimi F,Al-Zahrani K,Al-Shimemeri A,al-Damegh S,Al-Amoudi O,Al-Eithan S,Al-Ghamdi B,Gamal-Eldin M

更新日期：2008-04-01 00:00:00

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

authors： Malpas PJ

更新日期：2008-04-01 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：: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

authors： Shaw D

更新日期：2008-03-01 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：PURPOSE:Explore public attitudes towards the trade-offs between justice and medical outcome inherent in organ allocation decisions. BACKGROUND:The US Task Force on Organ Transplantation recommended that considerations of justice, autonomy and medical outcome be part of all organ allocation decisions. Justice in this c...

journal_title：Journal of medical ethics

authors： Stahl JE,Tramontano AC,Swan JS,Cohen BJ

更新日期：2008-02-01 00:00:00

abstract：:Physician-written "do not resuscitate" DNR orders elicit negative reactions from stakeholders that may decrease appropriate end-of-life care. The semantic significance of the phrase has led to a proposed replacement of DNR with "allow natural death" (AND). Prior to this investigation, no scientific papers address the ...

journal_title：Journal of medical ethics

authors： Venneman SS,Narnor-Harris P,Perish M,Hamilton M

更新日期：2008-01-01 00:00:00

abstract：:Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health res...

journal_title：Journal of medical ethics

authors： Metcalfe C,Martin RM,Noble S,Lane JA,Hamdy FC,Neal DE,Donovan JL

更新日期：2008-01-01 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 paper looks at the issue of consent from children and whether the test of Gillick competency, applied in medical and healthcare practice, ought to extend to participation in research. It is argued that the relatively broad usage of the test of Gillick competency in the medical context should not be considered app...

journal_title：Journal of medical ethics

authors： Hunter D,Pierscionek BK

更新日期：2007-11-01 00:00:00

abstract：:Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature-the story of Ulysses and the Sirens-several ethical issues surrounding this practice...

journal_title：Journal of medical ethics

authors： Widdershoven G,Berghmans R

更新日期：2007-10-01 00:00:00

abstract：:At the 5th International Conference on Priorities in Health Care in Wellington, New Zealand, 2004, one resonating theme was that for priority setting to be effective, it has to include clinicians in both decision making and the enforcement of those decisions. There was, however, a disturbing undertone to this theme, n...

journal_title：Journal of medical ethics

authors： Hunter D

更新日期：2007-09-01 00:00:00

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

authors： Bennett R

更新日期：2007-08-01 00:00:00

abstract：:Dual-track assessment directs research ethics committees (RECs) to assess the risks of research interventions based on the unclear distinction between therapeutic and non-therapeutic interventions. The net risks test, in contrast, relies on the clinically familiar method of assessing the risks and benefits of interven...

journal_title：Journal of medical ethics

authors： Wendler D,Miller FG

更新日期：2007-08-01 00:00:00

abstract：:The new regulations on xenotransplantation pay insufficient attention to the broad ethical (and legal) problems raised by this technique and that the abandonment of a national body with overall regulatory authority in this area is a mistake. ...

journal_title：Journal of medical ethics

authors： McLean S,Williamson L

更新日期：2007-07-01 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：BACKGROUND:Despite the expansion of ethics consultation services, questions remain about the aims of clinical ethics consultation, its methods and the expertise of those who provide such services. OBJECTIVE:To describe physicians' expectations regarding the training and skills necessary for ethics consultants to contr...

journal_title：Journal of medical ethics

authors： Chwang E,Landy DC,Sharp RR

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVE:To report results from a national survey of coordinators and managers of clinical research studies in the US on their perceptions of and experiences with scientific misconduct. METHODS:Data were collected using the Scientific Misconduct Questionnaire-Revised. Eligible responses were received from 1645 of 530...

journal_title：Journal of medical ethics

authors： Pryor ER,Habermann B,Broome ME

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVES:To study the attitudes of both medical and non-medical students towards the do-not-resuscitate (DNR) decision in a university in Hong Kong, and the factors affecting their attitudes. METHODS:A questionnaire-based survey conducted in the campus of a university in Hong Kong. Preferences and priorities of part...

journal_title：Journal of medical ethics

authors： Sham CO,Cheng YW,Ho KW,Lai PH,Lo LW,Wan HL,Wong CY,Yeung YN,Yuen SH,Wong AY

更新日期：2007-05-01 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：INTRODUCTION:Consultation methods differ between medical practitioners depending on the individual setting. However, the central tenet to the doctor-patient relationship is the issue of confidentiality. This prospective survey highlights patient attitudes towards consultation methods in the setting of an ophthalmic out...

journal_title：Journal of medical ethics

authors： Aslam SA,Colapinto P,Sheth HG,Jain R

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:More and more quantitative information is becoming available about the risks of complications arising from medical treatment. In everyday practice, this raises the question whether each and every risk, however low, should be disclosed to patients. What could be good reasons for doing or not doing so? This wi...

journal_title：Journal of medical ethics

authors： Palmboom GG,Willems DL,Janssen NB,de Haes JC

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:To examine the current ethical review process (ERP) of ethics committees in a non-pharmacological trial from the perspective of a clinical investigator. DESIGN:Prospective collection of data at the Study Centre of the German Surgical Society on the duration, costs and administrative effort of the ERP of a ra...

journal_title：Journal of medical ethics

authors： Seiler CM,Kellmeyer P,Kienle P,Büchler MW,Knaebel HP,INSECT Study Group.

更新日期：2007-02-01 00:00:00

abstract：:Two protechnology arguments, the "hopeful principle" and the "automatic escalator", often used in bioethics, are identified and critically analysed in this paper. It is shown that the hopeful principle is closely related to the problematic precautionary principle, and the automatic escalator argument has close affinit...

journal_title：Journal of medical ethics

authors： Holm S,Takala T

更新日期：2007-01-01 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：OBJECTIVE:To explore the experiences of people with a "terminal illness", focusing on the patients' perspective of euthanasia and assisted suicide. METHOD:A qualitative study using narrative interviews was conducted throughout the UK. The views of the 18 people who discussed euthanasia and assisted suicide were explor...

journal_title：Journal of medical ethics

authors： Chapple A,Ziebland S,McPherson A,Herxheimer A

更新日期：2006-12-01 00:00:00

abstract：:Among bioethicists and members of the public, genetics is often regarded as unique in its ethical challenges. As medical researchers and clinicians increasingly combine genetic information with a range of non-genetic information in the study and clinical management of patients with common diseases, the unique ethical ...

journal_title：Journal of medical ethics

authors： Foster MW,Royal CD,Sharp RR

更新日期：2006-11-01 00:00:00