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  1. M. A. Sanchez-Gonzalez, B. Herreros, V. R. Ramnath, M. D. Martin, E. Pintor & L. Bishop (2014). Clinical Ethics Protocols in the Clinical Ethics Committees of Madrid. Journal of Medical Ethics 40 (3):205-208.
    Introduction Currently, The nature and scope of Clinical Ethics Protocols in Madrid are not well understood.Objectives The main objective is to describe the features of ‘guideline/recommendation’ type CEPs that have been or are being developed by existing Clinical Ethics Committees in Madrid. Secondary objectives include characterisation of those CECs that have been the most prolific in reference to CEP creation and implementation and identification of any trends in future CEP development.Methods We collected CEPs produced and in process by CECs accredited (...)
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  2. D. A. (1998). The Limits of Individuality: Ritual and Sacrifice in the Lives and Medical Treatment of Conjoined Twins. Studies in History and Philosophy of Science Part C 29 (1):1-29.
  3. Eliana Aaron (2013). Ethical Challenges in Refugee Health: A Global Public Health Concern. Hastings Center Report 43 (3).
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  4. Derrick E. Aarons (1999). Medicine and Its Alternatives: Health Care Priorities in the Caribbean. Hastings Center Report 29 (4):23-27.
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  5. M. Aase, J. E. Nordrehaug & K. Malterud (2008). "If You Cannot Tolerate That Risk, You Should Never Become a Physician": A Qualitative Study About Existential Experiences Among Physicians. Journal of Medical Ethics 34 (11):767-771.
    Background and objectives: Physicians are exposed to matters of existential character at work, but little is known about the personal impact of such issues. Methods: To explore how physicians experience and cope with existential aspects of their clinical work and how such experiences affect their professional identities, a qualitative study using individual semistructured interviews has analysed accounts of their experiences related to coping with such challenges. Analysis was by systematic text condensation. The purposeful sample comprised 10 physicians (including three women), (...)
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  6. M. Aase, J. E. Nordrehaug & K. Malterud (2008). “If You Cannot Tolerate That Risk, You Should Never Become a Physician”: A Qualitative Study About Existential Experiences Among Physicians. Journal of Medical Ethics 34 (11):767-771.
    Background and objectives: Physicians are exposed to matters of existential character at work, but little is known about the personal impact of such issues.Methods: To explore how physicians experience and cope with existential aspects of their clinical work and how such experiences affect their professional identities, a qualitative study using individual semistructured interviews has analysed accounts of their experiences related to coping with such challenges. Analysis was by systematic text condensation. The purposeful sample comprised 10 physicians , aged 33–66 years, (...)
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  7. Elmer D. Abbo & Angelo E. Volandes (2006). Teaching Residents to Consider Costs in Medical Decision Making. American Journal of Bioethics 6 (4):33 – 34.
  8. H. E. Abdulhameed, M. M. Hammami & E. A. Hameed Mohamed (2011). Disclosure of Terminal Illness to Patients and Families: Diversity of Governing Codes in 14 Islamic Countries. Journal of Medical Ethics 37 (8):472-475.
    Background The consistency of codes governing disclosure of terminal illness to patients and families in Islamic countries has not been studied until now. Objectives To review available codes on disclosure of terminal illness in Islamic countries. Data source and extraction Data were extracted through searches on Google and PubMed. Codes related to disclosure of terminal illness to patients or families were abstracted, and then classified independently by the three authors. Data synthesis Codes for 14 Islamic countries were located. Five codes (...)
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  9. Hunida E. Abdulhameed, Muhammad M. Hammami & Elbushra A. Hameed Mohamed (2011). Disclosure of Terminal Illness to Patients and Families: Diversity of Governing Codes in 14 Islamic Countries. Journal of Medical Ethics 37 (8):472-475.
  10. George J. Agich (2009). The Issue of Expertise in Clinical Ethics. Diametros 22:3-20.
    The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these dimensions contributes (...)
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  11. Judith C. Ahronheim, Jonathan Moreno, Connie Zuckerman & Laurence B. McCullough (1995). Ethics in Clinical Practice. HEC Forum 7 (6):377-378.
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  12. Judith Andre (2001). The Medical Humanities as an Elephant Seen by Blind Men. Medical Humanities Review.
    Because the medical humanities are multidisciplinary, participants tend to see one another's work through their own disciplinary lens. This can lead to misinterpretations.
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  13. Judith Andre (1998). Ethics and Medical Decision-Making. Society for Medical Decision-Making Newsletter (53):6-8.
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  14. Jonny Anomaly (2012). Is Obesity a Public Health Problem? Public Health Ethics 5 (3):216-221.
    It is often claimed that there is an obesity epidemic in affluent countries, and that obesity is one of the most serious public health threats in the developed world. I will argue that obesity is not an 'epidemic' in any useful sense of the word, and that classifying it as a public health problem requires us to make fairly controversial moral and empirical assumptions. While evidence suggests that the prevalence of obesity is on the rise, and that obesity can lead (...)
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  15. Richard E. Ashcroft (ed.) (2007). Principles of Health Care Ethics. John Wiley & Sons.
    Edited by four leading members of the new generation of medical and healthcare ethicists working in the UK, respected worldwide for their work in medical ethics, Principles of Health Care Ethics, Second Edition_is a standard resource for students, professionals, and academics wishing to understand current and future issues in healthcare ethics. With a distinguished international panel of contributors working at the leading edge of academia, this volume presents a comprehensive guide to the field, with state of the art introductions to (...)
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  16. Benedict M. Ashley (1994). Ethics of Health Care: An Introductory Textbook. Georgetown University Press.
    Contending that concern over the ethical dimensions of these and other like issues are no longer just in the domain of those involved in medical practice, the ...
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  17. Bertram Bandman (2003). The Moral Development of Health Care Professionals: Rational Decisionmaking in Health Care Ethics. Praeger.
    A central challenge motivates this work: How, if at all, can philosophical ethics help in the moral development of health professionals?
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  18. Kathleen Berchelmann & Barbara Blechner (2002). Searching for Effectiveness: The Functioning of Connecticut Clinical Ethics Committees. Journal of Clinical Ethics 13 (2):131.
  19. Bela Blasszauer (1991). Medical Ethics Committees in Hungary Dr. Bela Blasszauer. HEC Forum 3 (5):277-283.
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  20. Robyn Bluhm (2007). Clinical Trials as Nomological Machines: Implications for Evidence-Based Medicine. In Harold Kincaid Jennifer McKitrick (ed.), Establishing Medical Reality: Essays In The Metaphysics And Epistemology Of Biomedical Science. Springer.
  21. Jean-Claude Chevrolet & Bara Ricou (2009). Hospital Clinical Ethics Committees. The Geneva Experience - Switzerland. Diametros 22:21-38.
    Hospital ethics committees were created in the United States of America in the 1970s. Their aims were the education of the hospital personnel in the field of ethics, the development of policies and the publication of guidelines concerning ethical issues, as well as consultations and case reviews of hospitalized patients when an ethical concern was present. During the last thirty years, these committees disseminated, particularly in Western Europe. In this manuscript, we describe the benefit, but also some difficulties with these (...)
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  22. James F. Childress (1982). Who Should Decide?: Paternalism in Health Care. Oxford University Press.
    "A very good book indeed: there is scarcely an issue anyone has thought to raise about the topic which Childress fails to treat with sensitivity and good judgement....Future discussions of paternalism in health care will have to come to terms with the contentions of this book, which must be reckoned the best existing treatment of its subject."--Ethics. "A clear, scholarly and balanced analysis....This is a book I can recommend to physicians, ethicists, students of both fields, and to those most affected--the (...)
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  23. Ezio Di Nucci (2014). Contraception and Double Effect. American Journal of Bioethics 14 (7):42-43.
  24. Nina di Pietro, Louise Whiteley & Judy Illes (2012). Treatments and Services for Neurodevelopmental Disorders on Advocacy Websites: Information or Evaluation? [REVIEW] Neuroethics 5 (2):197-209.
    The Internet has quickly gained popularity as a major source of health-related information, but its impact is unclear. Here, we investigate the extent to which advocacy websites for three neurodevelopmental disorders—cerebral palsy (CP), autism spectrum disorder (ASD) and fetal alcohol spectrum disorder (FASD)—inform stakeholders about treatment options, and discuss the ethical challenges inherent in providing such information online. We identified major advocacy websites for each disorder and assessed website accountability, the number, attributes, and accessibility of treatments described, and the valence (...)
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  25. Lisa Diedrich (2007). Doing Queer Love: Feminism, AIDS, and History. Theoria 54 (112):25-50.
    In this essay, I utilize the concept of the echo, as formulated in the historical and methodological work of Michel Foucault and Joan W. Scott, to help theorize the historical relationship between health feminism and AIDS activism. I trace the echoes between health feminism and AIDS activism in order to present a more complex history of both movements, and to try to think through the ways that the coming together of these two struggles in a particular place and time—New York (...)
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  26. Andrea Dörries (2009). The 4-Step Approach. Ethics Case Discussion in Hospitals. Diametros 22:39-46.
    The goal of an ethics case discussion is to find the best decision for the patient and the other persons involved (relatives, doctors, nurses and others) from an ethical point of view, in a communicative respect and from a psychosocial view. In the end, it may not mean changing one’s view or even one’s own position, but rather to exchange arguments, weight them and come to a consensus as to further action. The latter is important as the topics concern patients (...)
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  27. Bernice Elger & David Shaw (forthcoming). Preventing Human Rights Violations in Prison – the Role of Guidelines. In Bernice Elger, Catherine Ritter & Heino Stöver (eds.), Emerging Issues in Prison Health. Springer.
    It is well known that prisoners’ human rights are often violated. In this chapter we examine whether guidelines can be effective in preventing such violations and in helping physicians resolve the significant conflicts of interest that they often face in trying to protect prisoners’ rights. We begin by explaining the role of clinical and ethical guidelines outside prisons, in the context of healthcare for non-incarcerated prisoners, and then the specific role of such guidelines within prisons, where the main concerns are (...)
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  28. Paul J. Ford (2008). Special Section on Clincial Neuroethics Consultation: Introduction. [REVIEW] HEC Forum 20 (4):311-314.
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  29. R. Forde & R. Pedersen (2012). Evaluation of Case Consultations in Clinical Ethics Committees. Clinical Ethics 7 (1):45-50.
    If ethics consultation services influence medical decisions it is important to evaluate how ethical dilemmas are dealt with by clinical ethics committees (CECs). Such evaluation is rare. This study presents a feasible and practical method of evaluating case discussions in CECs and the results emerging from the use of this method. A written presentation of an end-of-life dilemma was sent to all Norwegian ethics committees. The committees were asked to deal with the case as they would do if it was (...)
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  30. Henda Foreid, Carla Bentes & José Pimentel (2010). The Use of Placebo as a Provocative Test in the Diagnosis of Psychogenic Non Epileptic Seizures. Neuroethics 3 (2):95-98.
    Psychogenic non epileptic seizures (PNES) are clinical events of psychological nature. Video-electroencephalography monitoring (V-EEGM) is a valuable method for the diagnosis of PNES and may be combined with provocative tests to induce seizures. The use of placebo in provocative tests for the diagnosis of PNES is controversial because of associated deception, and contrasts with the use of truly decreasing epileptogenic threshold techniques such as hyperventilation and photo stimulation. We present a clinical case of a pregnant woman with a past history (...)
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  31. Kwm Fulford (2004). Neuro-Ethics or Neuro-Values? Delusion and Religious Experience as a Case Study in Values-Based Medicine. Poiesis and Praxis 2 (4):297-313.
    Values-Based Medicine (VBM) is the theory and practice of clinical decision-making for situations in which legitimately different values are in play. VBM is thus to values what Evidence-Based Medicine (EBM) is to facts. The theoretical basis of VBM is a branch of analytic philosophy called philosophical value theory. As a set of practical tools, VBM has been developed to meet the challenges of value diversity as they arise particularly in psychiatry. These challenges are illustrated in this paper by a case (...)
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  32. Eugenijus Gefenas (2011). Clinical Ethics Committees and Ethics Support Infrastructure: A European Perspective. Asian Bioethics Review 3 (3):293-298.
  33. Maya J. Goldenberg (2012). Defining Quality of Care Persuasively. Theoretical Medicine and Bioethics 33 (4):243-261.
    As the quality movement in health care now enters its fourth decade, the language of quality is ubiquitous. Practitioners, organizations, and government agencies alike vociferously testify their commitments to quality and accept numerous forms of governance aimed at improving quality of care. Remarkably, the powerful phrase ‘‘quality of care’’ is rarely defined in the health care literature. Instead it operates as an accepted and assumed goal worth pursuing. The status of evidence-based medicine, for instance, hinges on its ability to improve (...)
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  34. Maya J. Goldenberg (2010). Perspectives on Evidence-Based Healthcare for Women. Journal of Women's Health 19 (7):1235-1238.
    We live in an age of evidence-based healthcare, where the concept of evidence has been avidly and often uncritically embraced as a symbol of legitimacy, truth, and justice. By letting the evidence dictate healthcare decision making from the bedside to the policy level, the normative claims that inform decision making appear to be negotiated fairly—without subjectivity, prejudice, or bias. Thus, the term ‘‘evidence-based’’ is typically read in the health sciences as the empirically adequate standard of reasonable practice and a means (...)
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  35. Maya J. Goldenberg (2009). Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence. Perspectives in Biology and Medicine 52 (2):168-187.
    Because “evidence” is at issue in evidence-based medicine (EBM), the critical responses to the movement have taken up themes from post-positivist philosophy of science to demonstrate the untenability of the objectivist account of evidence. While these post-positivist critiques seem largely correct, I propose that when they focus their analyses on what counts as evidence, the critics miss important and desirable pragmatic features of the evidence-based approach. This article redirects critical attention toward EBM’s rigid hierarchy of evidence as the culprit of (...)
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  36. Maya J. Goldenberg (2007). "Health." in [Reference] Oxford Encyclopedia of Women in World History. Oxford University Press.
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  37. Daniel Groll (2011). What Health Care Providers Know: A Taxonomy of Clinical Disagreements. Hastings Center Report 41 (5):27-36.
    When, if ever, can healthcare provider's lay claim to knowing what is best for their patients? In this paper, I offer a taxonomy of clinical disagreements. The taxonomy, I argue, reveals that healthcare providers often can lay claim to knowing what is best for their patients, but that oftentimes, they cannot do so *as* healthcare providers.
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  38. Nicole Hassoun (2012). Measuring Global Health Impact: Incentivizing Research and Development of Drugs for Neglected Diseases. Developing World Bioethics 12 (3):121-134.
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  39. Daniel Hausman (2013). Motives and Markets in Health Care. Journal of Practical Ethics 1 (2):64-84.
    The truth about health care policy lies between two exaggerated views: a market view in which individuals purchase their own health care from profit maximizing health-care firms and a control view in which costs are controlled by regulations limiting which treatments health insurance will pay for. This essay suggests a way to avoid on the one hand the suffering, unfairness, and abandonment of solidarity entailed by the market view and, on the other hand, to diminish the inflexibility and inefficiency of (...)
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  40. L. Hawryluck (2002). Neuromuscular Blockers--A Means of Palliation? Journal of Medical Ethics 28 (3):170-172.
    As we die, our respiratory pattern is altered and we seem to gasp and struggle for each breath. Such gasping is commonly seen as a clear sign of dyspnoea and suffering by families and loved ones, however, it is unclear whether it is perceived at all by the dying person. Narcotics and sedatives do not seem to affect these gasping respirations. In this issue of the Journal of Medical Ethics, we are asked to consider whether the last gasp of a (...)
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  41. Jules Holroyd (forthcoming). Clarifying Capacity: Reasons and Value. In Lubomira Radoilska (ed.), Autonomy and Mental Health. Oxford University Press.
    It is usually appropriate for adults to make significant decisions, such as about what kinds of medical treatment to undergo, for themselves. But sometimes impairments are suffered - either temporary or permanent - which render an individual unable to make such decisions. The Mental Capacity Act 2005 sets out the conditions under which it is appropriate to regard an individual as lacking the capacity to make a particular decision (and when provisions should be made for a decision on their behalf). (...)
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  42. Donna Jeffery & Jennifer Nelson (2011). 'What Are We To Do About Difference?': Race, Culture and the Ethical Encounter. Ethics and Social Welfare 5 (3):247-265.
    This paper is based on the findings from a study in which social workers in healthcare settings were asked for their perspectives on cultural and racial difference as these apply to their practice with racialized clients. In examining the varied practice philosophies and approaches they employ, we find that older practice models based on problematized knowledge about racialized Others are being, alternately, reinstated and contested. In grappling with how to practise, participants describe approaches that, in many cases, effectively individualize clients (...)
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  43. Fabrice Jotterand, Does Virtue Ethics Contribute to Medical Ethics? : An Examination of Stanley Hauerwas' Ethics of Virtue and its Relevance to Medical Ethics.
    The aim of this thesis is to examine the concept of virtue ethics in Stanley Hauerwas's understanding of virtue and delineate how that contributes to his ethical reasoning and his comprehension of medical ethics. The first chapter focuses on the shift that occurred in moral theory under the stance of the Enlightenment that eroded the traditional idea of morality as the formation of the self, allowing space for new concepts that dismissed the importance of the agent in the ethical task (...)
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  44. Niklas Juth & Christian Munthe (2012). The Ethics of Screening in Health Care and Medicine: Serving Society Or Serving the Patient? Springer Verlag.
    This book involves an in-depth analysis of the ethical, political and philosophical issues related to health-oriented screening programs.
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  45. Bryan Kibbe (2011). Aging and Disasters: Facing Natural and Other Disasters. In Ethics, Aging, and Society: The Critical Turn. Springer Publishing. 255-279.
    “Aging and Disasters,” is an effort to tell a consistent and compelling story about the elderly amidst catastrophic disaster, and to then develop an ethical analysis and practical strategy for addressing the unique situation of the elderly. In the first portion of the chapter I make the case that the elderly are routinely overlooked amidst catastrophic disasters, and thereby often suffer disproportionately relative to the general population. More than being just a vulnerable population of people, the elderly are susceptible to (...)
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  46. Vic Larcher (2009). The Development and Function of Clinical Ethics Committees (CECs) in the United Kingdom. Diametros 22:47-63.
    In the UK an increasing number of Clinical Ethics Committees (CECs) have been developed mainly in response to local need and interest. Their functions include education of health professionals, of policy and guideline development, and case review (both retrospective analysis of topics and advice on acute cases). The UK Clinical Ethics Network, a charitable foundation provides CEC s with help, support and advice and enables them to share their experience The legal status of UK CECs is unclear but some legal (...)
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  47. Guy Lebeer (2002). Ethical Function in Hospital Ethics Committees 191 G. Lebeer (Ed.) IOS Press, 2002. In , Ethical Function in Hospital Ethics Committees. Ios Press. 51--191.
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  48. Ignacio Mastroleo (forthcoming). Introducción al problema de la continuidad del tratamiento beneficioso para los sujetos de investigación. In Jorge Alberto Álvarez Díaz (ed.), Ensayos sobre ética de la salud. Universidad Autónoma Metropolitana - Unidad Xochimilco.
    ¿Qué ocurre con la continuidad del tratamiento de los sujetos de investigación después de que realizan la última visita del ensayo en el que participan? En algunos casos, la falta de continuidad de atención de la salud apropiada podría poner en peligro la salud de estas personas. Por lo tanto, es probable que los sujetos de investigación que al terminar su participación en un ensayo todavía se encuentran enfermos, necesiten continuar con el tratamiento en estudio u otra atención de la (...)
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  49. Ignacio Mastroleo (2011). The evaluation of scientific research in democratic societies: Kitcher, Rawls and the approach of scientific significant truths. Revista Redbioética/UNESCO 2 (4):43-60.
    This paper critically assesses the model of evaluation of scientific research for democratic societies defended by Philip Kitcher. The “significant truth” approach proposes a viable alternative to two classic images of science: that of the “critics”, who believe that science always serves the interests of the powerful and that of the “faithful”, who argue that the pursuit of scientific knowledge is always valuable and necessary. However, the democratic justification of Kitcher’s proposal is not compatible with the ethical problems generated by (...)
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  50. Leah McClimans, Anne-Marie Slowther & Michael Parker (2012). Can UK Clinical Ethics Committees Improve Quality of Care? HEC Forum 24 (2):139-147.
    Failings in patient care and quality in NHS Trusts have become a recurring theme over the past few years. In this paper, we examine the Care Quality Commission’s Guidance about Compliance : Essential Standards of Quality and Safety and ask how NHS Trusts might be better supported in fulfilling the regulations specified therein. We argue that clinical ethics committees (CECs) have a role to play in this regard. We make this argument by attending to the many ethical elements that are (...)
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