14 found

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Forthcoming articles
  1. Nancy C. Brown & Summer Johnson McGee (forthcoming). Conceptualizing Boundaries for the Professionalization of Healthcare Ethics Practice: A Call for Empirical Research. HEC Forum:1-17.
    One of the challenges of modern healthcare ethics practice is the navigation of boundaries. Practicing healthcare ethicists in the performance of their role must navigate meanings, choices, decisions and actions embedded in complex cultural and social relationships amongst diverse individuals. In light of the evolving state of modern healthcare ethics practice and the recent move toward professionalization via certification, understanding boundary navigation in healthcare ethics practice is critical. Because healthcare ethics is endowed with many boundaries which often delineate concerns about (...)
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  2. Rachelle Barina (forthcoming). Ethics Outside of Inpatient Care: The Need for Alliances Between Clinical and Organizational Ethics. HEC Forum:1-15.
    The norms and practices of clinical ethics took form relative to the environment and relationships of hospital care. These practices do not easily translate into the outpatient context because the environment and relational dynamics differ. Yet, as outpatient care becomes the center of health care delivery, the experiences of ethical tension for outpatient clinicians warrant greater responses. Although a substantial body of literature on the nature of the doctor–physician relationship has been developed and could provide theoretical groundwork for an outpatient (...)
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  3. Courtenay R. Bruce, Margot M. Eves, Nathan G. Allen, Martin L. Smith, Adam M. Peña, John R. Cheney & Mary A. Majumder (forthcoming). “Systematizing” Ethics Consultation Services. HEC Forum:1-11.
    While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential challenges in (...)
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  4. Gerald D. Coleman Ss (forthcoming). Direct and Indirect Abortion in the Roman Catholic Tradition: A Review of the Phoenix Case. [REVIEW] HEC Forum.
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  5. Barbara J. Daly, Ashley Rosko, Shulin Zhang & Hillard M. Lazarus (forthcoming). The Devil is in the Details: Confidentiality Challenges in the Age of Genetics. HEC Forum:1-8.
    This clinical case report illustrates the potential dilemmas that can arise from knowledge gained through genetic analysis. These conflicts require careful ethical analysis of presumed duties to protect patient privacy and maintain confidentiality, the duty to warn a second party of a health risk, and the duty of veracity. While the questions raised by genetic testing of one individual for disease that reveals potentially important information about relatives, such as risk for Huntington chorea or breast cancer, have been discussed, the (...)
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  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 (PPTs) 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 (...)
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  7. Lauren Sydney Flicker (forthcoming). Review of Guidance for Health Care Ethics Committees. [REVIEW] HEC Forum:1-6.
    Guidance for Healthcare Ethics Committees edited by D. Micah Hester and Toby Schonfeld (2012) is a comprehensive guide for members of ethics committees. The book is designed to address the three essential missions of healthcare ethics committees (HECs): (1) Consultation, (2) Policy Writing, and (3) Education. Although there is already significant literature devoted to ethics consultation, the policy writing and education functions of ethics committees get relatively little attention in the literature. It is valuable to have a source that combines (...)
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  8. Robert Macauley (forthcoming). The Ethics of Cultivated Gratitude. HEC Forum:1-6.
    Given narrow operating margins, health care organizations are increasingly relying on philanthropy to fund operations. Since individuals provide the majority of philanthropic support, many organizations have expanded their “grateful patient fundraising” programs to include current inpatients, both established donors as well as persons of wealth. While this is legally permissible under HIPAA, it raises substantial ethical concerns for potential coercion of vulnerable patients, as well as unequal care stemming from preferential treatment and provided “amenities.” While some have drawn the analogy (...)
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  9. Daniel McCall & Ana S. Iltis (forthcoming). Health Care Voluntourism: Addressing Ethical Concerns of Undergraduate Student Participation in Global Health Volunteer Work. HEC Forum:1-13.
    The popularity and availability of global health experiences has increased, with organizations helping groups plan service trips and companies specializing in “voluntourism,” health care professionals volunteering their services through different organizations, and medical students participating in global health electives. Much has been written about global health experiences in resource poor settings, but the literature focuses primarily on the work of health care professionals and medical students. This paper focuses on undergraduate student involvement in short term medical volunteer work in resource (...)
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  10. Brian Partridge (forthcoming). Adolescent Pediatric Decision-Making: A Critical Reconsideration in the Light of the Data. HEC Forum:1-10.
    Adolescents present a puzzle. There are foundational unclarities about how they should be regarded as decision-makers. Although superficially adolescents may appear to have mature decisional capacity, their decision-making is in many ways unlike that of adults. Despite this seemingly obvious fact, a concern for the claims of autonomy has led to the development of the legal doctrine of the mature minor. This legal construct considers adolescents, as far as possible, as equivalent to adults for the purpose of medical decision-making. The (...)
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  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 (...)
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  12. 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 (...)
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  13. Margreet Stolper, Bert Molewijk & Guy Widdershoven (forthcoming). Learning by Doing. Training Health Care Professionals to Become Facilitator of Moral Case Deliberation. HEC Forum:1-13.
    Moral case deliberation (MCD) is a dialogue among health care professionals about moral issues in practice. A trained facilitator moderates the dialogue, using a conversation method. Often, the facilitator is an ethicist. However, because of the growing interest in MCD and the need to connect MCD to practice, healthcare professionals should also become facilitators themselves. In order to transfer the facilitating expertise to health care professionals, a training program has been developed. This program enables professionals in health care institutions to (...)
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  14. 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 (...)
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