abstract：:Organs available for transplantation are scarce and valuable medical resources and decisions about who is to receive them should not be made more difficult by complicated calculations of desert. Consideration of likely clinical outcome must always take priority when allocating such a precious resource otherwise there ...

journal_title：Journal of medical ethics

authors： Eaton S

更新日期：1998-06-01 00:00:00

abstract：:Literary accounts of traumatic events can be more informative and insightful than personal testimonials. In particular, reference to works of literature can give us a more vivid sense of what it is like to receive a devastating diagnosis. In turn this can lead us to question some common assumptions about the nature of...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：1998-04-01 00:00:00

abstract：:This paper explores the use of advance directives in clinical dementia research. The focus is on advance consent to participation of demented patients in non-therapeutic research involving more than minimal risks and/or burdens. First, morally relevant differences between advance directives for treatment and care, and...

journal_title：Journal of medical ethics

authors： Berghmans RL

更新日期：1998-02-01 00:00:00

abstract：:Two general ethical problems in psychiatry are thrown into sharp relief by long term care. This article discusses each in turn, in the context of two anonymised case studies from actual clinical practice. First, previous mental health legislation soothed doubts about patients' refusal of consent by incorporating time ...

journal_title：Journal of medical ethics

authors： Dickenson D

更新日期：1997-10-01 00:00:00

abstract：OBJECTIVES:In treating critically ill neonates, situations occasionally arise in which aggressive medical treatment prolongs the inevitable death rather than prolonging life. Decisions as to limitation of neonatal medical intervention remain controversial and the primary responsibility of the generally unprepared famil...

journal_title：Journal of medical ethics

authors： Hammerman C,Kornbluth E,Lavie O,Zadka P,Aboulafia Y,Eidelman AI

更新日期：1997-06-01 00:00:00

abstract：:Article 3.4 of EC directive 89/381 requires member states to take "all necessary measures to promote Community self-sufficiency in human blood or human plasma" and, for this purpose, to "encourage the voluntary unpaid donation of blood and plasma". This paper presents an ethical case in support of the policy of volunt...

journal_title：Journal of medical ethics

authors： Keown J

更新日期：1997-04-01 00:00:00

abstract：:The objective of this paper is to stimulate academic debate on embryo and fetal research from the perspective of the drafting of a protocol to the European Convention on Biomedicine. The Steering Committee on Bioethics of the Council of Europe was mandated to draw up such a protocol and for this purpose organised an i...

journal_title：Journal of medical ethics

authors： Byk JC

更新日期：1997-02-01 00:00:00

abstract：:This paper is a response to Dr Shinebourne's response to my recent paper assessing the relative merits of the Staffordshire Protocol on covert video surveillance. Dr Shinebourne does not take the opportunity to rebut the criticisms made of the text of the protocol. It is further suggested that judicial oversight of th...

journal_title：Journal of medical ethics

authors： Thomas T

更新日期：1996-12-01 00:00:00

abstract：OBJECTIVES:To study some ethical problems created by accession of a previously nomadic and traditional society to modern invasive medicine, by assessment of physicians' attitudes towards sharing information and decision-making with patients in the setting of a serious illness. DESIGN:Self-completion questionnaire admi...

journal_title：Journal of medical ethics

authors： Mobeireek AF,al-Kassimi FA,al-Majid SA,al-Shimemry A

更新日期：1996-10-01 00:00:00

abstract：:Dr. Bernstein suggests that anti-vivisectionists should be able to fill in a directive requesting that they receive no medical treatment developed through work on animals. It is replied that this would only be reasonable if research not using animals had long been funded as adequately and its results were currently av...

journal_title：Journal of medical ethics

authors： Sprigge T

更新日期：1996-10-01 00:00:00

abstract：OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...

journal_title：Journal of medical ethics

authors： Ryynänen OP,Myllykangas M,Vaskilampi T,Takala J

更新日期：1996-08-01 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：:Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failu...

journal_title：Journal of medical ethics

authors： Lowe M,Kerridge IH,Mitchell KR

更新日期：1995-12-01 00:00:00

abstract：:With so much attention being paid to the development and refinement of appropriate criteria and tests for death, little attention has been given to the broader conceptual issues having to do with its definition or with the relation of a definition to its criterion. The task of selecting the correct criterion is, howev...

journal_title：Journal of medical ethics

authors： Bartlett ET

更新日期：1995-10-01 00:00:00

abstract：:Each Local Research Ethics Committee (LREC) is expected to produce an annual report for its establishing authority. Reports from 145 LRECs were examined with regard to (a) whether the committees were working within the terms of the most recent guidelines from the Department of Health and (b) observations on the role o...

journal_title：Journal of medical ethics

authors： Foster CG,Marshall T,Moodie P

更新日期：1995-08-01 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：:This point of view compares the issue of informed patient consent primarily as it operates in Australia and the United Kingdom. It affords an overview, also, of the applicable law in the United States and Canada. It particularly focuses on the legal test to be applied to patient consent as established in the Bolam cas...

journal_title：Journal of medical ethics

authors： Kirby M

更新日期：1995-02-01 00:00:00

abstract：:Teaching medical ethics to medical students in a pluralistic society is a challenging task. Teachers of ethics have obligations not just to teach the subject matter but to help create an academic environment in which well motivated students have reinforcement of their inherent good qualities. Emphasis should be placed...

journal_title：Journal of medical ethics

authors： Glick SM

更新日期：1994-12-01 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：:Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autono...

journal_title：Journal of medical ethics

authors： Lützén K,Nordin C

更新日期：1994-06-01 00:00:00

abstract：:Judges face difficult choices when the birth and genetic mothers of a child are separate people who dispute maternal access; the views of the general population may help them. Fifty women were asked whether, if they were infertile and could have only one child, they would prefer to be birth mothers (to carry a baby wh...

journal_title：Journal of medical ethics

authors： Thornton JG,McNamara HM,Montague IA

更新日期：1994-06-01 00:00:00

abstract：:Codes of medical ethics issued by professional organizations typically contain statements affirming the importance of confidentiality between patients and health-care practitioners. Seldom, however, is the confidentiality obligation depicted as absolute. Instead, exceptions are noted, the most common of which is that ...

journal_title：Journal of medical ethics

authors： McConnell T

更新日期：1994-03-01 00:00:00

abstract：:Whenever some form of beneficent killing--for example, voluntary euthanasia--is advocated, the proposal is greeted with a flood of slippery-slope arguments warning of the dangers of a Nazi-style slide into genocide. This paper is an attempt systematically to evaluate arguments of this kind. Although there are slippery...

journal_title：Journal of medical ethics

authors： Burgess JA

更新日期：1993-09-01 00:00:00

abstract：:In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their curr...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1993-06-01 00:00:00

abstract：:Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...

journal_title：Journal of medical ethics

authors： Mitchell KR,Kerridge IH,Lovat TJ

更新日期：1993-06-01 00:00:00

abstract：:Clinical genetics encompasses a wider range of activities than discussion of reproductive risks and options. Hence, it is possible for a clinical geneticist to reduce suffering associated with genetic disease without aiming to reduce the birth incidence of such diseases. Simple cost-benefit analyses of genetic-screeni...

journal_title：Journal of medical ethics

authors： Clarke A

更新日期：1993-03-01 00:00:00

abstract：:I argue that the concept of 'longitudinal form', which Poplawski and Gillett have introduced into ethical discussions about embryos and gametes, involves too many metaphysical subtleties to be a useful aid to making moral decisions. I conclude by suggesting a criterion for relevance in medical ethics. ...

journal_title：Journal of medical ethics

authors： Leavitt FJ

更新日期：1992-12-01 00:00:00

abstract：:It is now widely accepted that a patient's ability to engage in autonomous decision-making can be seriously threatened when she denies significant aspects of her medical condition. In this paper I use a true case to reveal the harmful effects of physician denial upon patient autonomy and well-being. I suggest further ...

journal_title：Journal of medical ethics

authors： Meyers C

更新日期：1992-09-01 00:00:00

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：:This reply to John F Catherwood's criticism of brain-related criteria for death argues that brainstem criteria are neither reductionist nor do they presuppose a materialist theory of mind. Furthermore, it is argued that brain-related criteria are compatible with the majority of religious views concerning death. ...

journal_title：Journal of medical ethics

authors： Lamb D

更新日期：1992-03-01 00:00:00

abstract：:The passing on of information to GPs by genito-urinary doctors is to be encouraged but is not always possible and ultimately the patient's wishes and confidentiality must be respected if sexually transmitted diseases and HIV infection are to be controlled. Infected health-care workers should seek counselling and medic...

journal_title：Journal of medical ethics

authors： Adler MW

更新日期：1991-12-01 00:00:00

abstract：:There are various ways in which medicine and literature interact, but this paper concentrates on the contribution which literature can make to 'whole person understanding'. Scientific understanding is concerned with seeing events and actions in terms of patterns or similarities. But 'whole person understanding' is con...

journal_title：Journal of medical ethics

authors： Downie RS

更新日期：1991-06-01 00:00:00

abstract：:The complex of cultural, political and societal affiliations, both in a historic and a contemporary perspective, is expressed by a special term in the Nordic languages, 'faellesskab', often with the addition of 'folkelig', as 'folkeligt faellesskab', where 'folkelig' means of the people. No corresponding term exists i...

journal_title：Journal of medical ethics

authors： Riis P

更新日期：1991-03-01 00:00:00

abstract：:A National Committee for the Ethics of Research could consider new questions arising from innovations in research or practice, deal with multi-centre trials, adjudicate when separate local committees give conflicting advice about similar projects, or oversee the work of district committees. The value of each of these ...

journal_title：Journal of medical ethics

authors： Gelder MG

更新日期：1990-09-01 00:00:00

abstract：:A fetus may survive an intentional interference with its intrauterine environment (1) if gestational age is mistaken and the procedure of induced abortion does not kill the fetus, (2) if a change of heart takes place after abortifacient drugs are taken and the abortion does not proceed, and (3) if a high-multiple preg...

journal_title：Journal of medical ethics

authors： Jansen RP

更新日期：1990-06-01 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：:Debate continues over the acts/omissions doctrine, and over the concepts of duty and charity. Such issues inform the debate over the moral permissibility of euthanasia. Recent papers have emphasised moral sensitivity, medical intuitions, and sub-standard palliative care as some of the factors which should persuade us ...

journal_title：Journal of medical ethics

authors： Parker M

更新日期：1990-03-01 00:00:00

abstract：:It is a common feature of debates on the regulation of reproductive medicine to find law portrayed as a crude form of intervention consisting in the imposition of inflexible rules on doctors and medical researchers. This paper argues that this view must be replaced by a more accurate assessment of the law's potential ...

journal_title：Journal of medical ethics

authors： Jabbari D

更新日期：1990-03-01 00:00:00

abstract：:No discussion of when an individual is dead is meaningful in the absence of a definition of death. If human death is defined as the irreversible loss of the capacity for consciousness combined with the irreversible loss of the capacity to breathe spontaneously (and hence to maintain a spontaneous heart beat) the deat...

journal_title：Journal of medical ethics

authors： Pallis C

更新日期：1990-03-01 00:00:00

abstract：:What happens when we discover that a severely mentally handicapped girl, resident under our care, is heavily pregnant? What options are open to us in her management? What are the legal and ethical issues involved? How do we ensure that she receives the best possible care and protection and will the involvement of the ...

journal_title：Journal of medical ethics

authors： O'Hara J

更新日期：1989-12-01 00:00:00