Top 10 health care ethics challenges facing the public: views of Toronto bioethicists [Book Review]

BMC Medical Ethics 6 (1):1-8 (2005)
Abstract
Background There are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics. The panel was asked the question, what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process and consensus was reached after three rounds. Discussion The top challenge ranked by the group was disagreement between patients/families and health care professionals about treatment decisions. The second highest ranked challenge was waiting lists. The third ranked challenge was access to needed resources for the aged, chronically ill, and mentally ill. Summary Although many of the challenges listed by the panel have received significant public attention, there has been very little attention paid to the top ranked challenge. We propose several steps that can be taken to help address this key challenge.
Keywords info:mesh/Dissent and Disputes  info:mesh/Family  info:mesh/Informed Consent  info:mesh/Health Priorities  info:mesh/Ethicists  info:mesh/Euthanasia, Passive  info:mesh/Medical Errors  info:mesh/Attitude  info:mesh/Waiting Lists  info:mesh/Biomedical Technology  info:mesh/Health Services Accessibility  info:mesh/Physician-Patient Relations  Medical Futility   Terminal Care   Euthanasia, Passive   Attitude   Family   Dissent and Disputes   Professional-Family Relations   Physician-Patient Relations   Informed Consent   Biomedical Technology   Bioethical Issues   Ethics, Clinical   Ethicists   Proxy   Medical Errors   Health Priorities   Waiting Lists   Health Services Accessibility   Canada  info:mesh/Bioethical Issues  info:mesh/Terminal Care  info:mesh/Proxy  info:mesh/Ethics, Clinical  info:mesh/Canada  info:mesh/Medical Futility  info:mesh/Professional-Family Relations
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Dan W. Brock (2000). Broadening the Bioethics Agenda. Kennedy Institute of Ethics Journal 10 (1):21-38.
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