David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Medicine and Philosophy 29 (2):195 – 206 (2004)
This paper examines the practice of informed consent in Hong Kong by drawing on structured interviews conducted with eleven physicians, three patients, and four family members primarily at a well-established public hospital in Hong Kong. The findings of this study show that the Hong Kong approach to medical decision-making lies somewhere between that of America on the one hand, and mainland China on the other. It is argued that the practice of medical decision-making in Hong Kong can be modeled by a moderate familism that is directed towards achieving the best interests of the patient (1) as understood by the physician, (2) in consultation with the family, (3) under the prima facie presumption that consent is not required for disclosure of information to the family, (4) while aiming at an eventual albeit frequently partial and vague disclosure to the patient.
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H. T. Engelhardt (2009). Moral Pluralism, the Crisis of Secular Bioethics, and the Divisive Character of Christian Bioethics: Taking the Culture Wars Seriously. Christian Bioethics 15 (3):234-253.
H. T. Engelhardt (2011). Confronting Moral Pluralism in Posttraditional Western Societies: Bioethics Critically Reassessed. Journal of Medicine and Philosophy 36 (3):243-260.
H. T. Engelhardt (2010). Beyond the Best Interests of Children: Four Views of the Family and of Foundational Disagreements Regarding Pediatric Decision Making. Journal of Medicine and Philosophy 35 (5):499-517.
Edwin Hui (2008). Parental Refusal of Life-Saving Treatments for Adolescents: Chinese Familism in Medical Decision-Making Re-Visited. Bioethics 22 (5):286-295.
L. I. LI, L. I. N. CHUNQING, W. U. ZUNYOU, LYNWOOD LORD & W. U. SHENG (2008). To Tell or Not to Tell: Hiv Disclosure to Family Members in China. Developing World Bioethics 8 (3):235-241.
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