18 found

Year:

Forthcoming articles
  1. Annette Dufner (forthcoming). Blood Products and the Commodification Debate: The Blurry Concept of Altruism and the ‘Implicit Price’ of Readily Available Body Parts. HEC Forum:1-13.
    There is a widespread consensus that a commodification of body parts is to be prevented. Numerous policy papers by international organizations extend this view to the blood supply and recommend a system of uncompensated volunteers in this area—often, however, without making the arguments for this view explicit. This situation seems to indicate that a relevant source of justified worry or unease about the blood supply system has to do with the issue of commodification. As a result, the current health minister (...)
    Direct download (3 more)  
     
    My bibliography  
     
    Export citation  
  2. Ann Freeman Cook & Helena Hoas (forthcoming). Exploring the Potential for Moral Hazard When Clinical Trial Research is Conducted in Rural Communities: Do Traditional Ethics Concepts Apply? HEC Forum:1-17.
    Over the past 20 years, clinical research has migrated from academic medical centers to community-based settings, including rural settings. This evolving research environment may present some moral hazards or challenges that could undermine traditionally accepted standards for the protection of human subjects. The study described in this article was designed to explore the influence of motives driving the decisions to conduct clinical trial research in rural community settings. The researchers conducted semi-structured interviews with 80 participants who conducted clinical trials with (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  3. Sarah Wall, Wendy J. Austin & Daniel Garros (forthcoming). Organizational Influences on Health Professionals’ Experiences of Moral Distress in PICUs. HEC Forum:1-15.
    This article reports the findings of a qualitative study that explored the organizational influences on moral distress for health professionals working in pediatric intensive care units across Canada. Participants were recruited to the study from PICUs across Canada. The PICU is a high-tech, fast-paced, high-pressure environment where caregivers frequently face conflict and ethical tension in the care of critically ill children. A number of themes including relationships with management, organizational structure and processes, workload and resources, and team dynamics were identified. (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  4. Gerald D. Coleman Ss (forthcoming). Direct and Indirect Abortion in the Roman Catholic Tradition: A Review of the Phoenix Case. [REVIEW] HEC Forum.
    Direct download  
     
    My bibliography  
     
    Export citation  
  5. Simon Derpmann & Michael Quante (forthcoming). Money for Blood and Markets for Blood. HEC Forum:1-15.
    Ontario’s Bill 178 proposing a Voluntary Blood Donations Act declares the offer or acceptance of payment for the donation of blood a legal offence and makes it subject to penalty. The bill reinvigorates a fundamental debate about the ethical problems associated with the payment of money for blood. Scarcity of blood donors is a recurring problem in most health systems, and monetary remuneration of the willingness to donate blood is regularly discussed—and sometimes practiced—as a means to overcome scarcity in blood. (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  6. Albert Farrugia, Joshua Penrod & Jan M. Bult (forthcoming). The Ethics of Paid Plasma Donation: A Plea for Patient Centeredness. HEC Forum:1-13.
    Plasma protein therapies are a group of essential medicines extracted from human plasma through processes of industrial scale fractionation. They are used primarily to treat a number of rare, chronic disorders ensuing from inherited or acquired deficiencies of a number of physiologically essential proteins. These disorders include hemophilia A and B, different immunodeficiencies and alpha 1-antitrypsin deficiency. In addition, acute blood loss, burns and sepsis are treated by PPTs. Hence, a population of vulnerable and very sick individuals is dependent on (...)
    No categories
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  7. Shawn Floyd (forthcoming). Substantial Goodness and Nascent Human Life. HEC Forum:1-20.
    Many believe that moral value is—at least to some extent—dependent on the developmental states necessary for supporting rational activity. My paper rejects this view, but does not aim simply to register objections to it. Rather, my essay aims to answer the following question: if a human being’s developmental state and occurrent capacities do not bequeath moral standing, what does? The question is intended to prompt careful consideration of what makes human beings objects of moral value, dignity, or goodness. Not only (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  8. Jill Graper Hernandez (forthcoming). Human Value, Dignity, and the Presence of Others. HEC Forum:1-15.
    In the health care professions, the meaning of—and implications for—‘dignity’ and ‘value’ are progressively more important, as scholars and practitioners increasingly have to make value judgments when making care decisions. This paper looks at the various arguments for competing sources of human value that medical professionals can consider—human rights, autonomy, and a higher-order moral value—and settles upon a foundational model that is related to the Kantian model that is popular within the medical community: human value is foundational; human dignity, autonomy, (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  9. Brian S. Marcus, Jestin N. Carlson, Gajanan G. Hegde, Jennifer Shang & Arvind Venkat (forthcoming). Evaluation of Viewpoints of Health Care Professionals on the Role of Ethics Committees and Hospitals in the Resolution of Clinical Ethical Dilemmas Based on Practice Environment. HEC Forum:1-18.
    We sought to evaluate whether health care professionals’ viewpoints differed on the role of ethics committees and hospitals in the resolution of clinical ethical dilemmas based on practice location. We conducted a survey study from December 21, 2013 to March 15, 2014 of health care professionals at six hospitals . The survey consisted of eight clinical ethics cases followed by statements on whether there was a role for the ethics committee or hospital in their resolution, what that role might be (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  10. Joshua Penrod & Albert Farrugia (forthcoming). Errors and Omissions: Donor Compensation Policies and Richard Titmuss. HEC Forum:1-12.
    Many global and national systems of regulation of blood donors and donor compensation rely for intellectual support on Richard Titmuss’s views, represented in The Gift Relationship. Based on selective interpretation of data from the 1960s, Titmuss engineered an ethical view pertaining to donors and, in so doing, created not only ongoing stereotypes, but created a cause for followers to perpetuate misunderstandings about the nature of such donations. In many cases, donors are, in fact compensated, but regulatory systems persevere in using (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  11. M. Berry Roberta, Sylvia Caley Lisa Bliss, A. Lombardo Paul, Jonathan Todres Jerri Nims Rooker & E. Wolf Leslie (forthcoming). Recent Developments in Health Care Law: Partners in Innovation. HEC Forum.
    This article reviews recent developments in health care law, focusing on the engagement of law as a partner in health care innovation. The article addresses: the history and contents of recent United States federal law restricting the use of genetic information by insurers and employers; the recent federal policy recommending routine HIV testing; the recent revision of federal policy regarding the funding of human embryonic stem cell research; the history, current status, and need for future attention to advance directives; the (...)
    Translate to English
    | Direct download  
     
    My bibliography  
     
    Export citation  
  12. Erica K. Salter (forthcoming). The Re-Contextualization of the Patient: What Home Health Care Can Teach Us About Medical Decision-Making. HEC Forum:1-14.
    This article examines the role of context in the development and deployment of standards of medical decision-making. First, it demonstrates that bioethics, and our dominant standards of medical decision-making, developed out of a specific historical and philosophical environment that prioritized technology over the person, standardization over particularity, individuality over relationship and rationality over other forms of knowing. These forces de-contextualize the patient and encourage decision-making that conforms to the unnatural and contrived environment of the hospital. The article then explores several (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  13. Jeremy Frank Shearmur (forthcoming). The Gift Relationship Revisited. HEC Forum:1-17.
    If unremunerated blood donors are willing to participate, and if the use of them is economical from the perspective of those collecting blood, I can see no objection to their use. But there seems to me no good reason, moral or practical, why they should be used. The system of paid plasmapheresis as it currently operates in the United States and in Canada would seem perfectly adequate, and while there may always be ways in which the safety and efficiency of (...)
    No categories
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  14. Jung-hye Shin (forthcoming). Declining Body, Institutional Life, and Making Home—Are They at Odds? HEC Forum:1-19.
    This study examines elderly residential life in long-term care settings, focusing on the ways residents interact with their physical and social environments. It further proposes that the residential environment is an important player for everyday ethics in long-term care settings, and is also an important factor in enhancing the quality of life for residents. By employing the theories of place identity and environmental meanings and listening to the voices of the elderly collected through an ethnographic field study in elderly homes (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  15. Arvind Venkat & David Kim (forthcoming). Ethical Tensions in the Pain Management of an End-Stage Cancer Patient with Evidence of Opioid Medication Diversion. HEC Forum:1-7.
    At the end of life, pain management is commonly a fundamental part of the treatment plan for patients where curative measures are no longer possible. However, the increased recognition of opioid diversion for secondary gain coupled with efforts to treat patients in the home environment towards the end of life creates the potential for ethical dilemmas in the palliative care management of terminal patients in need of continuous pain management. We present the case of an end-stage patient with rectal cancer (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  16. Steven Weimer (forthcoming). “I Can’T Eat If I Don’T Plass”: Impoverished Plasma Donors, Alternatives, and Autonomy. HEC Forum:1-25.
    One of the central considerations to be taken into account in evaluating the ethics of compensation for donated plasma is respect for donor autonomy. And one of the main arguments against compensated donation systems is that many donors do or would come from circumstances of poverty that restrict their alternatives in a way that compromises those donors’ autonomy. In this paper, I develop and defend a novel version of this “compromised autonomy argument” which improves upon extant versions by employing a (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  17. Lucie White (forthcoming). Does Remuneration for Plasma Compromise Autonomy? HEC Forum:1-14.
    In accordance with a recent statement released by the World Health Organization, the Canadian province of Ontario is moving to ban payment for plasma donation. This is partially based on contentions that remuneration for blood and blood products undermines autonomy and personal dignity. This paper is dedicated to evaluating this claim. I suggest that traditional autonomy-based arguments against commodification of human body parts and substances are less compelling in the context of plasma donation in Canada, but that there is another (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  18. H. Colby William, John Lantos Constance Dahlin & Myra Christopher John Carney (forthcoming). The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines Domain 8: Ethical and Legal Aspects of Care. HEC Forum.
    In 2001, leaders with palliative care convened to discuss the standardization of palliative care and formed the National Consensus Project for Quality Palliative Care. In 2004, the National Consensus Project for Quality Palliative Care produced the first edition of Clinical Guidelines for Quality Palliative Care. The Guidelines were developed by leaders in the field who examined other national and international standards with the intent to promote consistent, accessible, comprehensive, optimal palliative care through the health care spectrum. Within the guidelines there (...)
    Translate to English
    | Direct download  
     
    My bibliography  
     
    Export citation  
 Previous issues
  
Next issues