David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
P. Nortvedt, R. Pedersen, K. H. Grothe, M. Nordhaug, M. Kirkevold, A. Slettebo, B. S. Brinchmann & B. Andersen
Journal of Medical Ethics 34 (5):332-335 (2008)
Background: Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians’ considerations in clinical prioritisation within this field is scarce. Objectives: To explore how clinicians understand their professional role in clinical prioritisations in healthcare services for old patients. Design: A semi-structured interview-guide was employed to interview 45 clinicians working with older patients. The interviews were analysed qualitatively using hermeneutical content analysis. Participants: 20 physicians and 25 nurses working in public hospitals and nursing homes in different parts of Norway. Results and interpretations: The clinicians struggle with not being able to attend to the comprehensive needs of older patients, and being unfaithful to professional ideals and expectations. There is a tendency towards lowering the standards and narrowing the role of the clinician. This is done in order to secure the vital needs of the patient, but is at the expense of good practice and holistic role modelling. Increased specialisation, advances and increase in medical interventions, economical incentives, organisational structures, and biomedical paradigms, may all contribute to a narrowing of the clinicians’ role. Conclusion: Distributing healthcare services in a fair way is generally not described as integral to the clinicians’ role in clinical prioritisations. If considerations of justice are not included in clinicians’ role, it is likely that others will shape major parts of their roles and responsibilities in clinical prioritisations. Fair distribution of healthcare services for older patients is possible only if clinicians accept responsibility in these questions.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Helge Skirbekk & Per Nortvedt (2012). Inadequate Treatment for Elderly Patients: Professional Norms and Tight Budgets Could Cause “Ageism” in Hospitals. [REVIEW] Health Care Analysis (2):1-10.
Marita Nordhaug & Per Nortvedt (2011). Justice and Proximity: Problems for an Ethics of Care. [REVIEW] Health Care Analysis 19 (1):3-14.
Similar books and articles
R. Pedersen, P. Nortvedt, M. Nordhaug, A. Slettebo, K. H. Grothe, M. Kirkevold, B. S. Brinchmann & B. Andersen (2008). In Quest of Justice? Clinical Prioritisation in Healthcare for the Aged. Journal of Medical Ethics 34 (4):230-235.
K. Halvorsen, A. Slettebo, P. Nortvedt, R. Pedersen, M. Kirkevold, M. Nordhaug & B. S. Brinchmann (2008). Priority Dilemmas in Dialysis: The Impact of Old Age. Journal of Medical Ethics 34 (8):585-589.
Atsushi Asai & Yasuhiro Kadooka (2013). Reexamination of the Ethics of Placebo Use in Clinical Practice. Bioethics 27 (4):186-193.
Justin Oakley (2001). Virtue Ethics and Professional Roles. Cambridge University Press.
Robert Sparrow & Linda Sparrow (2006). In the Hands of Machines? The Future of Aged Care. Minds and Machines 16 (2):141-161.
Adalberto de Hoyos, Rodrigo Nava-Diosdado, Jorge Mendez, Sergio Ricco, Ana Serrano, Carmen Flores Cisneros, Carlos Macías-Ojeda, Héctor Cisneros, David Bialostozky, Nelly Altamirano-Bustamante & Myriam Altamirano-Bustamante (2013). Cardiovascular Medicine at Face Value: A Qualitative Pilot Study on Clinical Axiology. Philosophy, Ethics, and Humanities in Medicine 8 (1):3.
Donnie J. Self & Joy D. Skeel (1986). Potential Roles of the Medical Ethicist in the Clinical Setting. Theoretical Medicine and Bioethics 7 (1).
Garrath Williams & Ruth Chadwick (2012). Responsibilities for Healthcare. Cambridge Quarterly of Healthcare Ethics 21 (02):155-165.
Robert Halliday (2000). Professional Codes and Healthcare Decisions: A Pilot Study of the Role Played by Professional Codes of Ethics in Decisionmaking by Healthcare Professionals. [REVIEW] HEC Forum 12 (1):78-82.
Daniel Groll (2011). What Health Care Providers Know: A Taxonomy of Clinical Disagreements. Hastings Center Report 41 (5):27-36.
Ruth Chadwick & Alison Thompson (2000). Professional Ethics and Labor Disputes: Medicine and Nursing in the United Kingdom. Cambridge Quarterly of Healthcare Ethics 9 (4):483-497.
Pavel Tichtchenko (2003). Changing Roles in Russian Healthcare. Cambridge Quarterly of Healthcare Ethics 12 (03):265-267.
Friedrich Heubel (1992). Healthcare Professionals, Roles and Virtue. Cambridge Quarterly of Healthcare Ethics 1 (03):197-.
Kristine Bærøe & Ole Frithjof Norheim (2011). Mapping Out Structural Features in Clinical Care Calling for Ethical Sensitivity: A Theoretical Approach to Promote Ethical Competence in Healthcare Personnel and Clinical Ethical Support Services (Cess). Bioethics 25 (7):394-402.
Nathan Emmerich (2013). For an Ethnomethodology of Healthcare Ethics. Health Care Analysis 21 (4):372-389.
Added to index2010-09-13
Total downloads8 ( #267,136 of 1,725,439 )
Recent downloads (6 months)1 ( #349,420 of 1,725,439 )
How can I increase my downloads?