32 found
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  1.  2
    Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski (2013). Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model From the American Society for Bioethics and Humanities. Hastings Center Report 43 (5):26-36.
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  2.  52
    Daniel Strech, Govind Persad, Georg Marckmann & Marion Danis (2009). Are Physicians Willing to Ration Health Care? Conflicting Findings in a Systematic Review of Survey Research. Health Policy 90 (2):113-124.
    Several quantitative surveys have been conducted internationally to gather empirical information about physicians’ general attitudes towards health care rationing. Are physicians ready to accept and implement rationing, or are they rather reluctant? Do they prefer implicit bedside rationing that allows the physician–patient relationship broad leeway in individual decisions? Or do physicians prefer strategies that apply explicit criteria and rules?
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  3.  4
    Seema K. Shah, David Wendler & Marion Danis (2015). Examining the Ethics of Clinical Use of Unproven Interventions Outside of Clinical Trials During the Ebola Epidemic. American Journal of Bioethics 15 (4):11-16.
    The recent Ebola outbreak in West Africa began in the spring of 2014 and has since caused the deaths of over 6,000 people. Since there are no approved treatments or prevention modalities specifically targeted at Ebola Virus Disease , debate has focused on whether unproven interventions should be offered to Ebola patients outside of clinical trials. Those engaged in the debate have responded rapidly to a complex and evolving crisis, however, and this debate has not provided much opportunity for in-depth (...)
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  4.  16
    Christine Grady, Marion Danis, Karen L. Soeken, Patricia O'Donnell, Carol Taylor, Adrienne Farrar & Connie M. Ulrich (2008). Does Ethics Education Influence the Moral Action of Practicing Nurses and Social Workers? American Journal of Bioethics 8 (4):4 – 11.
    Purpose/methods: This study investigated the relationship between ethics education and training, and the use and usefulness of ethics resources, confidence in moral decisions, and moral action/activism through a survey of practicing nurses and social workers from four United States (US) census regions. Findings: The sample (n = 1215) was primarily Caucasian (83%), female (85%), well educated (57% with a master's degree). no ethics education at all was reported by 14% of study participants (8% of social workers had no ethics education, (...)
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  5.  28
    Samia A. Hurst & Marion Danis (2007). A Framework for Rationing by Clinical Judgment. Kennedy Institute of Ethics Journal 17 (3):247-266.
    : Although rationing by clinical judgment is controversial, its acceptability partly depends on how it is practiced. In this paper, rationing by clinical judgment is defined in three different circumstances that represent increasingly wider circles of resource pools in which the rationing decision takes place: triage during acute shortage, comparison to other potential patients in a context of limited but not immediately strained resources, and determination of whether expected benefit of an intervention is deemed sufficient to warrant its cost by (...)
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  6.  14
    Marion Danis, Adrienne Farrar, Christine Grady, Carol Taylor, Patricia O'Donnell, Karen Soeken & Connie Ulrich (2008). Does Fear of Retaliation Deter Requests for Ethics Consultation? Medicine, Health Care and Philosophy 11 (1):27-34.
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  7.  4
    Douglas MacKay & Marion Danis (2016). Federalism and Responsibility for Health Care. Public Affairs Quarterly 30 (1):1-29.
    Political philosophers often formulate the problem of distributive justice as the problem of how the government ought to distribute different types of goods—for example, income or health care—to its citizens. They therefore presuppose that the government is a unitary agent that governs its citizens directly. However, although a number of governments are unitary in this way, many are federations, exhibiting a division of sovereignty between two or more levels of government having independent grounds of authority. In contrast to unitary states, (...)
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  8.  5
    S. A. Hurst, Stella Reiter-Theil, A. M. Slowther, R. Pegoraro, R. Forde & Marion Danis (2008). Should Ethics Consultants Help Clinicians Face Scarcity in Their Practice? Journal of Medical Ethics 34 (4):241-246.
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  9.  29
    Alex Friedman & Marion Danis (2011). Intransitivity and Priority Setting. Journal of Philosophical Research 36:173-189.
    It is a basic and intuitive assumption that the relation of moral preference must be transitive—if A is overall morally preferable to B; and B is overall morally preferably to C; then, if our views are coherent, it better be the case that A is overall morally preferable to C. However, recent work by Temkin and Rachels has undermined that assumption by showing that common-sense ethical distributive principles that we are unlikely to give up generate intransitive sets of moral preferences. (...)
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  10.  5
    Samia A. Hurst, Stella Reiter-Theil, Arnaud Perrier, Reidun Forde, Anne-Marie Slowther, Renzo Pegoraro & Marion Danis (2007). Physicians' Access to Ethics Support Services in Four European Countries. Health Care Analysis 15 (4):321-335.
    Clinical ethics support services are developing in Europe. They will be most useful if they are designed to match the ethical concerns of clinicians. We conducted a cross-sectional mailed survey on random samples of general physicians in Norway, Switzerland, Italy, and the UK, to assess their access to different types of ethics support services, and to describe what makes them more likely to have used available ethics support. Respondents reported access to formal ethics support services such as clinical ethics committees (...)
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  11.  22
    Mark Parascandola, Jennifer Hawkins & Marion Danis (2002). Patient Autonomy and the Challenge of Clinical Uncertainty. Kennedy Institute of Ethics Journal 12 (3):245-264.
    : Bioethicists have articulated an ideal of shared decision making between physician and patient, but in doing so the role of clinical uncertainty has not been adequately confronted. In the face of uncertainty about the patient's prognosis and the best course of treatment, many physicians revert to a model of nondisclosure and nondiscussion, thus closing off opportunities for shared decision making. Empirical studies suggest that physicians find it more difficult to adhere to norms of disclosure in situations where there is (...)
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  12.  2
    Marion Danis, Yolonda Wilson & Amina White (2016). Bioethicists Can and Should Contribute to Addressing Racism. American Journal of Bioethics 16 (4):3-12.
    The problems of racism and racially motivated violence in predominantly African American communities in the United States are complex, multifactorial, and historically rooted. While these problems are also deeply morally troubling, bioethicists have not contributed substantially to addressing them. Concern for justice has been one of the core commitments of bioethics. For this and other reasons, bioethicists should contribute to addressing these problems. We consider how bioethicists can offer meaningful contributions to the public discourse, research, teaching, training, policy development, and (...)
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  13.  2
    Marion Danis & Samia Hurst (2009). Developing the Capacity of Ethics Consultants to Promote Just Resource Allocation. American Journal of Bioethics 9 (4):37-39.
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  14.  1
    Yolonda Wilson, Marion Danis & Amina White (2016). Response to Open Peer Commentaries on “Bioethicists Can and Should Contribute to Addressing Racism”. American Journal of Bioethics 16 (5):1-4.
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  15.  1
    Marion Danis, Adrienne Farrar, Christine Grady, Carol Taylor, Patricia O'Donnell, Karen Soeken & Connie Ulrich (2008). Does Fear of Retaliation Deter Requests for Ethics Consultation? Medicine, Health Care and Philosophy 11 (1):27-34.
    BackgroundReports suggest that some health care personnel fear retaliation from seeking ethics consultation. We therefore examined the prevalence and determinants of fear of retaliation and determined whether this fear is associated with diminished likelihood of consulting an ethics committee.MethodsWe surveyed registered nurses (RNs) and social workers (SWs) in four US states to identify ethical problems they encounter. We developed a retaliation index (1–7 point range) with higher scores indicating a higher perceived likelihood of retaliation. Linear regression analysis was performed to (...)
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  16.  13
    Chiara Lepora, Marion Danis & Alan Wertheimer (2009). No Exceptionalism Needed to Treat Terrorists. American Journal of Bioethics 9 (10):53-54.
    Gesundheit and colleagues offer dramatic examples of the medical treatment of terrorists but then pose the suggestion that those who engage in terrorism forfeit their right to medical care, and, consequently, that physicians have no obligation to treat them. Their argument presupposes that a physician’s obligation to provide medical care depends on the patients’ right to health care. Therefore, someone who commits heinous and abhorrent acts thereby waives the right to health care and the physicians’ duty to provide health care (...)
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  17.  11
    Samia A. Hurst & Marion Danis (2005). Indecent Coverage? Protecting the Goals of Health Insurance From the Impact of Co-Payments. Cambridge Quarterly of Healthcare Ethics 15 (1):107-113.
    As pressures increase to contain growing healthcare expenditures, there is currently a prominent rise in the shift of healthcare costs to patients in the form of deductibles, co-pays, and co-insurance. Rising co-payments are part of a larger picture of increasing overall out-of-pocket healthcare expenditures. From 1990 to 2000, per capita out-of-pocket payments for healthcare reached $707 in the United States, and doubled in several European countries with universal health insurance, reaching $396 in Denmark, $290 in Germany, and $466 in Italy (...)
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  18.  3
    Marion Danis & Larry R. Churchill (1991). Autonomy and the Common Weal. Hastings Center Report 21 (1):25-31.
  19.  9
    Tom L. Beauchamp, Baruch Brody, Marion Danis, Samia A. See Hurst, David Degrazia, Must We Have, Alber W. Dzur, Daniel Levin, Daniel M. Fox & Diane Gianelli (2007). By Author. Kennedy Institute of Ethics Journal 17 (4):405-407.
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  20.  4
    Marion Danis (1994). Following Advance Directives. Hastings Center Report 24 (6):21-23.
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  21.  3
    Marion Danis & Amy Sepinwall (2002). Regulation of the Global Marketplace for the Sake of Health. Journal of Law, Medicine & Ethics 30 (4):667-676.
  22.  21
    Greer Donley & Marion Danis (2011). Making the Case for Talking to Patients About the Costs of End-of-Life Care. Journal of Law, Medicine & Ethics 39 (2):183-193.
    Costs at the end of life disproportionately contribute to health care costs in the United States. Addressing these costs will therefore be an important component in making the U.S. health care system more financially sustainable. In this paper, we explore the moral justifications for having discussions of end-of-life costs in the doctor-patient encounter as part of an effort to control costs. As health care costs are partly shared through pooled resources, such as insurance and taxation, and partly borne by individuals (...)
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  23.  3
    Marion Danis (2015). Weighing the Importance of Palliation of Symptoms for Ebola Patients During the Epidemic in West Africa. American Journal of Bioethics 15 (4):70-72.
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  24.  1
    Marion Danis, David Wendler & Scott Kim (2015). Acceptable Approaches to Enrolling Adults Who Cannot Consent in More Than Minimal Risk Research. American Journal of Bioethics 15 (10):70-71.
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  25. Marion Danis & Amy Sepinwall (2002). Regulation of the Global Marketplace for the Sake of Health. Journal of Law, Medicine and Ethics 30 (4):667-676.
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  26.  1
    Alister Browne, Gideon Calder, Felicia Cohn & Marion Danis (2006). Barbro Björkman is a Ph. D Student at the Philosophy Unit of the Royal Institute of Technology in Stockholm, Sweden. Her Previous Academic Degrees Include an M. Sc. From London School of Economics and a BA From King's College London. Her Primary Research Interests Are Ethics, Bioethics, and Political Philosophy. [REVIEW] Cambridge Quarterly of Healthcare Ethics 15:1-3.
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  27.  4
    Loane Skene, Jeremy Sugarman, Nancy E. Kass, Nadine Taub & Marion Danis (1994). Request From a Middle Eastern Bride. Cambridge Quarterly of Healthcare Ethics 3 (3):422.
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  28.  3
    Christine Grady, Marion Danis, Karen Soeken, Patricia O'Donnell, Carol Taylor, Adrienne Farrar & Connie Ulrich (2008). Response to Peer Commentary on “Does Ethics Education Influence the Moral Action of Practicing Nurses and Social Workers?”. American Journal of Bioethics 8 (4):1-2.
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  29. Marion Danis (ed.) (2012). Clinical Research Consultation: A Casebook. Oxford University Press.
    Starting research -- Enrolling research participants -- Protecting research participants -- Conducting research with vulnerable populations -- Balancing clinical research and clinical care -- Navigating interpersonal difficulties -- Ending research.
     
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  30. Jennifer Desante, David Degrazia & Marion Danis (2016). Parents of Adults with Diminished Self-Governance. Cambridge Quarterly of Healthcare Ethics 25 (1):93-107.
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  31. Greer Donley & Marion Danis (2011). Making the Case for Talking to Patients About the Costs of End-of-Life Care. Journal of Law, Medicine and Ethics 39 (2):183-193.
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  32. Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner (2016). A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants. American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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