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. 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 (...)
    No categories
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  3. 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  
  4. 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 (...)
    No categories
    Direct download (2 more)  
     
    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 (...)
    Direct download (2 more)  
     
    My bibliography  
     
    Export citation  
  8. M. S. Kuyare, Padmaja A. Marathe, S. S. Kuyare & U. M. Thatte (forthcoming). Perceptions and Experiences of Community Members Serving on Institutional Review Boards: A Questionnaire Based Study. HEC Forum:1-17.
    The community representative plays a very important role in an institutional review board but there is sparse data about their understanding of their role in an IRB. This study was conducted to assess perceptions of community members serving on IRBs of one region in India. A validated questionnaire was administered to community members of IRBs in a prospective cross-sectional study. The questions related to demography, perceptions of their role in the IRB, experiences while serving on the IRBs, difficulties faced by (...)
    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. Brian S. Marcus, Gary Shank, Jestin N. Carlson & Arvind Venkat (forthcoming). Qualitative Analysis of Healthcare Professionals’ Viewpoints on the Role of Ethics Committees and Hospitals in the Resolution of Clinical Ethical Dilemmas. HEC Forum:1-24.
    Ethics consultation is a commonly applied mechanism to address clinical ethical dilemmas. However, there is little information on the viewpoints of health care providers towards the relevance of ethics committees and appropriate application of ethics consultation in clinical practice. We sought to use qualitative methodology to evaluate free-text responses to a case-based survey to identify thematically the views of health care professionals towards the role of ethics committees in resolving clinical ethical dilemmas. Using an iterative and reflexive model we identified (...)
    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. Philip M. Rosoff (forthcoming). In Defense of Altered Standards of Care for Ebola Infections in Developed Countries. HEC Forum:1-9.
    The current outbreak of Ebola virus infection in West Africa continues to spread. Several patients have now been treated in the United States and preparations are being made for more. Because of the strict isolation required for their care, questions have been raised about what diagnostic and therapeutic interventions should be available. I discuss the ethical challenges associated with caring for patients in strict isolation and personnel wearing bulky protective gear with reduced dexterity and flexibility, the limitations this may place (...)
    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. 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 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 acquire (...)
    No categories
    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