David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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BMC Medical Ethics 6 (1):1-8 (2005)
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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Mary Beth Foglia, Robert Pearlman, Melissa Bottrell, Jane Altemose & Ellen Fox (2009). Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons. American Journal of Bioethics 9 (4):28-36.
R. A. Greenberg, K. W. Anstey, R. Macri, A. Heesters, S. Bean & R. Zlotnik Shaul (2014). Bioethics Consultation Practices and Procedures: A Survey of a Large Canadian Community of Practice. HEC Forum 26 (2):135-146.
Rusla Anne Springer (2011). Pharmaceutical Industry Discursives and the Marketization of Nursing Work: A Case Example. Nursing Philosophy 12 (3):214-228.
Anna Falcó-Pegueroles, Teresa Lluch-Canut & Joan Guàrdia-Olmos (2013). Development Process and Initial Validation of the Ethical Conflict in Nursing Questionnaire-Critical Care Version. BMC Medical Ethics 14 (1):22.
Ruth A. Mickelsen, Daniel S. Bernstein, Mary Faith Marshall & Steven H. Miles (2013). TheBarnesCase: Taking Difficult Futility Cases Public. Journal of Law, Medicine and Ethics 41 (1):374-378.
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