Search results for 'Physician and patient History' (try it on Scholar)

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  1.  67
    R. Puustinen (2000). Voices to Be Heard—the Many Positions of a Physician in Anton Chekhov's Short Story, A Case History. Medical Humanities 26 (1):37-42.
    Next SectionAnton Chekhov (1860-1904) dealt in many of his short stories and plays with various phenomena as encountered in everyday medical practice in late 19th century Russia. In A Case History (1898) Chekhov illustrates the physician's many positions in relation to his patient. According to Mikhail Bakhtin's philosophy of language, a speaker occupies a certain position from which he or she addresses the listener. A phenomenon may gain different meanings depending on the position from which it is (...)
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  2.  20
    David J. Rothman (2003). Strangers at the Bedside: A History of How Law and Bioethics Transformed Medical Decision Making. Aldinetransaction.
    Introduction: making the invisible visible -- The nobility of the material -- Research at war -- The guilded age of research -- The doctor as whistle-blower -- New rules for the laboratory -- Bedside ethics -- The doctor as stranger -- Life through death -- Commissioning ethics -- No one to trust -- New rules for the bedside -- Epilogue: The price of success.
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  3.  32
    Keith Bauer (2004). Cybermedicine and the Moral Integrity of the PhysicianPatient Relationship. Ethics and Information Technology 6 (2):83-91.
    Some critiques of cybermedicine claim that it is problematic because it fails to create physicianpatient relationships. But, electronically mediated encounters do create such relationships. The issue is the nature and quality of those relationships and whether they are conducive to good patient care and meet the ethical ideals and standards of medicine. In this paper, I argue that effective communication and compassion are, in most cases, necessary for the establishment of trusting and morally appropriate physicianpatient (...)
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  4.  17
    Marli Huijer & Guy Widdershoven (2001). Desires in Palliative Medicine. Five Models of the PhysicianPatient Interaction on Palliative Treatment Related to Hellenistic Therapies of Desire. Ethical Theory and Moral Practice 4 (2):143-159.
    In this paper, we explore the desires that play a role at the palliative stage and relate them to various approaches to patient autonomy. What attitude can physicians and other caregivers take to the desires of patients at the palliative stage? We examine this question by introducing five physicians who are consulted by Jackie, an imaginary patient with metastatic lung carcinoma. By combining the models of the physician-patient relationship developed by Emanuel and Emanuel (1992) and the (...)
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  5.  22
    Christina M. van Der Feltz-Cornelis (2002). The Impact of Factitious Disorder on the Physician-Patient Relationship. An Epistemological Model. Medicine, Health Care and Philosophy 5 (3):253-261.
    Theoretical models for physician-patient communication in clinical practice are described in literature, but none of them seems adequate for solving the communication problem in clinical practice that emerges in case of factitious disorder. Theoretical models generally imply open communication and respect for the autonomy of the patient. In factitious disorder, the physician is confronted by lies and (self)destructive behaviour of the patient, who in one way or another tries to involve the physician in this (...)
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  6.  58
    Stephen Wear & Jonathan D. Moreno (1994). Informed Consent: Patient Autonomy and Physician Beneficence Within Clinical Medicine. [REVIEW] HEC Forum 6 (5):323-325.
    Substantial efforts have recently been made to reform the physician-patient relationship, particularly toward replacing the `silent world of doctor and patient' with informed patient participation in medical decision-making. This 'new ethos of patient autonomy' has especially insisted on the routine provision of informed consent for all medical interventions. Stronly supported by most bioethicists and the law, as well as more popular writings and expectations, it still seems clear that informed consent has, at best, been received (...)
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  7. Douglas N. Walton (1985). Physician-Patient Decision-Making: A Study in Medical Ethics. Greenwood Press.
     
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  8.  11
    Christopher M. Burkle, Paul S. Mueller, Keith M. Swetz, C. Hook & Mark T. Keegan (2012). Physician Perspectives and Compliance with Patient Advance Directives: The Role External Factors Play on Physician Decision Making. [REVIEW] BMC Medical Ethics 13 (1):31-.
    Background Following passage of the Patient Self Determination Act in 1990, health care institutions that receive Medicare and Medicaid funding are required to inform patients of their right to make their health care preferences known through execution of a living will and/or to appoint a surrogate-decision maker. We evaluated the impact of external factors and perceived patient preferences on physicians’ decisions to honor or forgo previously established advance directives (ADs). In addition, physician views regarding legal risk, patients’ (...)
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  9. Andreas-Holger Maehle (2009). Doctors, Honour, and the Law: Medical Ethics in Imperial Germany. Palgrave Macmillan.
    Disciplining doctors : medical courts of honour and professional conduct -- Medical confidentiality : the debate on private versus public interests -- Patient information and consent : self-determination versus paternalism -- Duties and habitus of a doctor : the literature on medical ethics.
     
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  10.  4
    Rupinder K. Legha (2012). A History of Physician Suicide in America. Journal of Medical Humanities 33 (4):219-244.
    Over the course of the last century, physicians have written a number of articles about suicide among their own. These articles reveal how physicians have fundamentally conceived of themselves, how they have addressed vulnerability among their own, and how their self-identification has changed over time, due, in part, to larger historical changes in the profession, psychiatry, and suicidology. The suicidal physician of the Golden Age (1900–1970), an expendable deviant, represents the antithesis of that era’s image of strength and invincibility. (...)
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  11.  22
    Beverly Woodward (2001). Confidentiality, Consent and Autonomy in the Physician-Patient Relationship. Health Care Analysis 9 (3):337-351.
    In the practice of medicine there has long been a conflict between patient management and respect for patient autonomy. In recent years this conflict has taken on a new form as patient management has increasingly been shifted from physicians to insurers, employers, and health care bureaucracies. The consequence has been a diminshment of both physician and patient autonomy and a parallel diminishment of medical record confidentiality. Although the new managers pay lip service to the rights (...)
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  12.  9
    Nikola Biller-Andorno (2004). The Use of the Placebo Effect in Clinical Medicine — Ethical Blunder or Ethical Imperative? Science and Engineering Ethics 10 (1):43-50.
    The current debate in medical ethics on placebos focuses mainly on their use in health research. Whereas this is certainly an important topic the discussion tends to overlook another longstanding but nevertheless highly relevant question, namely if and how the placebo effect should be employed in clinical practice. This paper describes the way the placebo effect is perceived in modern medicine and offers some historical reflections on how these perceptions have developed; discusses elements of a definition of the placebo effect; (...)
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  13. Martyn Evans, Rolf Ahlzén, Pekka Louhiala & J. Jill Gordon (eds.) (2008). Medical Humanities Companion. Radcliffe Publishing.
     
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  14.  48
    Arndt Heßling & Silke Schicktanz (2012). What German Experts Expect From Individualized Medicine: Problems of Uncertainty and Future Complication in PhysicianPatient Interaction. Clinical Ethics 7 (2):86-93.
    ‘Individualized medicine’ is an emerging paradigm in clinical life science research. We conducted a socio-empirical interview study in a leading German clinical research group, aiming at implementing ‘individualized medicine’ of colorectal cancer. The goal was to investigate moral and social issues related to physicianpatient interaction and clinical care, and to identify the points raised, supported and rejected by the physicians and researchers. Up to now there has been only limited insight into how experts dedicated to individualized medicine view (...)
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  15.  12
    A. Hessling & S. Schicktanz (2012). What German Experts Expect From Individualized Medicine: Problems of Uncertainty and Future Complication in Physician-Patient Interaction. Clinical Ethics 7 (2):86-93.
    ‘Individualized medicine’ is an emerging paradigm in clinical life science research. We conducted a socio-empirical interview study in a leading German clinical research group, aiming at implementing ‘individualized medicine’ of colorectal cancer. The goal was to investigate moral and social issues related to physicianpatient interaction and clinical care, and to identify the points raised, supported and rejected by the physicians and researchers. Up to now there has been only limited insight into how experts dedicated to individualized medicine view (...)
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  16.  8
    M. S. Henry (2006). Uncertainty, Responsibility, and the Evolution of the Physician/Patient Relationship. Journal of Medical Ethics 32 (6):321-323.
    The practice of evidence based medicine has changed the role of the physician from information dispenser to gatherer and analyser. Studies and controlled trials that may contain unknown errors, or uncertainties, are the primary sources for evidence based decisions in medicine. These sources may be corrupted by a number of means, such as inaccurate statistical analysis, statistical manipulation, population bias, or relevance to the patient in question. Regardless of whether any of these inaccuracies are apparent, the uncertainty of (...)
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  17.  16
    Greg Clarke, Robert T. Hall & Greg Rosencrance (2004). Physician-Patient Relations: No More Models. American Journal of Bioethics 4 (2):16 – 19.
    Currently, the common theoretical models of "preferred" decision-making relationships do not correspond well with clinical experience. This interview study of congestive heart failure (CHF) patients documents the variety of patient preferences for decision-making, and the necessity for attention to family involvement. In addition, these findings illustrate the confusion as to the designation of surrogate decision-makers and physicians in charge. We conclude that no single model of physician-patient decision-making should be preferred, and that physicians should first ask patients (...)
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  18.  22
    W. R. Albury (2001). The Medical Ethics of Erasmus and the Physician-Patient Relationship. Medical Humanities 27 (1):35-41.
    Desiderius Erasmus set out his views on medical ethics just over 500 years ago. Applying the characteristic approach of Renaissance Humanism, he drew upon a variety of classical sources to develop his own account of medical obligation. Of particular interest is Erasmus's attention to the patient's duties as well as the physician's. By treating this reciprocal relationship as a friendship between extreme unequals, Erasmus was able to maintain the nobility of the medical art and at the same time (...)
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  19.  24
    Gary B. Weiss (1984). Patient Truthfulness: A Test of Models of the Physician-Patient Relationship. Journal of Medicine and Philosophy 9 (4):353-372.
    Little attention has been given in medical ethics literature to issues relating to the truthfulness of patients. Beginning with an actual medical case, this paper first explores truth-telling by doctors and patients as related to two prominent models of the physician-patient relationship. Utilizing this discussion and the literature on the truthfulness and accuracy of the information patients convey to doctors, these models are then critically assessed. It is argued that the patient agency (patient autonomy or contractual) (...)
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  20.  27
    Howard Brody (1987). The Physician-Patient Relationship: Models and Criticisms. Theoretical Medicine and Bioethics 2 (2).
    A review of the philosophical debate on theoretical models for the physician-patient relationship over the past fifteen years may point to some of the more productive questions for future research. Contractual models have been criticized for promoting a legalistic and minimalistic image of the relationship, such that another form of model (such as convenant) is required. Shifting from a contractual to a contractarian model (in keeping with Rawls' notion of an original position) provides an adequate response to many (...)
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  21.  5
    D. A. Moros, R. Rhodes, B. Baumrin & J. J. Strain (1991). Chronic Illness and the Physician-Patient Relationship: A Response to the Hastings Center's "Ethical Challenges of Chronic Illness". Journal of Medicine and Philosophy 16 (2):161-181.
    The following article is a response to the position paper of the Hastings Center, “Ethical Challenges of Chronic Illness”, a product of their three year project on Ethics and Chronic Care. The authors of this paper, three prominent bioethicists, Daniel Callahan, Arthur Caplan, and Bruce Jennings, argue that there should be a different ethic for acute and chronic care. In pressing this distinction they provide philosophical grounds for limiting medical care for the elderly and chronically ill. We give a critical (...)
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  22.  10
    Leslie Pickering Francis (2010). The Physician-Patient Relationship and a National Health Information Network. Journal of Law, Medicine & Ethics 38 (1):36-49.
    The growing use of interoperable electronic health records is likely to have significant effects on the physician-patient relationship. This relationship involves two-way trust: of the physician in patients, and of the patients in their providers. Interoperable records opens up this relationship to further view, with consequences that may both enhance and undermine trust. On the one hand, physicians may learn that information from their patients is — or is not — to be trusted. On the other hand, (...)
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  23.  8
    J. Strain James (1991). Chronic Illness and the Physician-Patient Relationship: A Response to the Hastings Center's "Ethical Challenges of Chronic Illness". Journal of Medicine and Philosophy 16 (2).
    The following article is a response to the position paper of the Hastings Center, "Ethical Challenges of Chronic Illness", a product of their three year project on Ethics and Chronic Care. The authors of this paper, three prominent bioethicists, Daniel Callahan, Arthur Caplan, and Bruce Jennings, argue that there should be a different ethic for acute and chronic care. In pressing this distinction they provide philosophical grounds for limiting medical care for the elderly and chronically ill. We give a critical (...)
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  24.  1
    H. Y. Vanderpool & G. B. Weiss (1984). Patient Truthfulness: A Test of Models of the Physician-Patient Relationship. Journal of Medicine and Philosophy 9 (4):353-372.
    Little attention has been given in medical ethics literature to issues relating to the truthfulness of patients. Beginning with an actual medical case, this paper first explores truth-telling by doctors and patients as related to two prominent models of the physician-patient relationship. Utilizing this discussion and the literature on the truthfulness and accuracy of the information patients convey to doctors, these models are then critically assessed. It is argued that the patient agency (patient autonomy or contractual) (...)
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  25. Ratna Dutta Sharma & Sashinungla (eds.) (2007). Patient-Physician Relationship. Distributed by D.K. Printworld.
     
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  26. Robert M. Veatch (2009). Patient, Heal Thyself: How the New Medicine Puts the Patient in Charge. Oxford University Press.
    The puzzling case of the broken arm -- Hernias, diets, and drugs -- Why physicians cannot know what will benefit patients -- Sacrificing patient benefit to protect patient rights -- Societal interests and duties to others -- The new, limited, twenty-first-century role for physicians as patient assistants -- Abandoning modern medical concepts: doctor's "orders" and hospital "discharge" -- Medicine can't "indicate": so why do we talk that way? --"Treatments of choice" and "medical necessity": who is fooling whom? (...)
     
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  27.  14
    Eugene V. Boisaubin (2004). Observations of Physician, Patient and Family Perceptions of Informed Consent in Houston, Texas. Journal of Medicine and Philosophy 29 (2):225 – 236.
    Informed consent is one of the most important ethical and legal principles in the United States, including Texas, and reflects a profound respect for individuals and their ability to make decisions in their own best interest. It is also a critical underpinning of medical practice, although how it is actually carried out has not been well studied. A survey was conducted in the private practices and a hospital in the Texas Medical Center in Houston, Texas to ascertain how physicians, patients (...)
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  28. Somdatta Bhattacharyya (2007). Shades of Confidentiality in Physician-Patient Relationship In the Context of Mental Health. In Ratna Dutta Sharma & Sashinungla (eds.), Patient-Physician Relationship. Distributed by D.K. Printworld 135.
     
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  29.  6
    Nelly Tsouyopoulos (1994). Postmodernist Theory and the Physician-Patient Relationship. Theoretical Medicine and Bioethics 15 (3).
    The author discusses the postmodernist claim that the grand theories have lost credibility, even in the field of medical science and practice. Rather than representing a shared reality among physician and patient, illness represents two quite distinct realities — the meaning of one being significantly and distinctively different from the meaning of the other. However, existential clinical narratives can function as important bridges between the world of the patient and the world of the physician. Such narratives (...)
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  30.  2
    S. Kay Toombs, The Meaning of Illness : A Phenomenological Approach to the Physician/Patient Relationship.
    It is my purpose in this thesis to explore the "reality" of illness, using philosophical phenomenology as a guide. In particular, I am concerned to show that the experience of illness, rather than representing a shared "reality" between physician and patient, represents in effect two quite distinct "realities" . Philosophical phenomenology focuses on the nature of experience, and particularly upon the manner in which all experience is structured by the activity of consciousness. In so doing phenomenology emphasizes the (...)
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  31.  4
    Dorothy Rasinski Gregory & Miriam Piven Cotler (1994). The Problem of Futility: III. The Importance of Physician-Patient Communication and a Suggested Guide Through the Minefield. Cambridge Quarterly of Healthcare Ethics 3 (2):257.
    As noted In Part II of this series, perhaps the most critical elements to define in deciding when treatment Is futile are the goals of therapy from, both the physician's and the patient's point of view. A patient's personal goals are based upon value system., life goals, and personal definition of “quality of life.” These personal goals must then be interpreted and applied in a reasonable and realistic fashion against what the physician has previously described as (...)
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  32.  3
    Reidar Lie (1997). The Ethics of the Physician-Patient Relationship. Ethical Perspectives 4 (4):263-270.
    It is a remarkable fact about the development of medical ethics from the 1960s until today that there has been a dramatic shift from a position where it was taken for granted that the physician knows best, to a position where much greater emphasis is put on the patient’s treatment preferences. This shift is evident with regard to physician attitudes towards disclosing a cancer diagnosis. For example, in 1961, a survey of cancer physicians showed that almost 90% (...)
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  33. Ratna Dutta Sharma (2007). Caraka and the Notification of the Indian Medical Council on Physician-Patient Relationship A Comparative Study. In Ratna Dutta Sharma & Sashinungla (eds.), Patient-Physician Relationship. Distributed by D.K. Printworld
     
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  34. Farokh Erach Udwadia (2009). The Forgotten Art of Healing and Other Essays. Oxford University Press.
    These essays bring medical discoveries from ancient times to landmarks in modern medicine, and take the reader to twenty-first century biogenetics and molecular biology. This unique volume focuses on medical science as an art of healing, where modern medicine is not just restricted to science and technology.
     
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  35.  21
    Madhumalati Adhikari (2002). History and Story: Unconventional History in Michael Ondaatje's the English Patient and James A. Michener's Tales of the South Pacific. History and Theory 41 (4):43–55.
    “Literary history” is a cross between conventional history and pure fiction. The resulting hybrid provides access to history that the more conventional sort does not . This claim is demonstrated by an analysis of two novels about World War II, The English Patient by Michael Ondaatje, and Tales of the South Pacific by James Michener. These two very different novels in English are by writers themselves very different from each other, writers from different times, different social (...)
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  36.  23
    David Gary Smith & Lisa H. Newton (1984). Physician and Patient: Respect for Mutuality. Theoretical Medicine and Bioethics 5 (1).
    Philosophers and physicians alike tend to discuss the physician-patient relationship in terms of physician privilege and patient autonomy, stressing the duty of the physician to respect the autonomy and the variously elaborated rights of the patient. The authors of this article argue that such emphasis on rights was initially productive, in a first generation of debate on medical ethical issues, but that it is now time for a second generation effort that will stress the (...)
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  37.  6
    D. Steinberg & E. A. Pomfret (2008). A Novel Boundary Issue: Should a Patient Be an Organ Donor for Their Physician? Journal of Medical Ethics 34 (11):772-774.
    It is argued that organ donation from a patient to the patient's physician is ethically dubious because donation decisions will be inappropriately influenced and the negative public perceptions will result in more harm than good. It is suggested that to protect the perception of the physicianpatient relationship, avoid cynicism about medicine’s attitude to patient welfare and maintain trust in the medical profession, a new professional boundary should be established to prevent physicians from receiving organs (...)
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  38.  34
    Albert R. Jonsen (2000). A Short History of Medical Ethics. Oxford University Press.
    A physician says, "I have an ethical obligation never to cause the death of a patient," another responds, "My ethical obligation is to relieve pain even if the patient dies." The current argument over the role of physicians in assisting patients to die constantly refers to the ethical duties of the profession. References to the Hippocratic Oath are often heard. Many modern problems, from assisted suicide to accessible health care, raise questions about the traditional ethics of medicine (...)
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  39.  13
    R. C. McMillan (1995). Responsibility to or for in the Physician-Patient Relationship? Journal of Medical Ethics 21 (2):112-115.
    The threat of malpractice litigation in the United States is encouraging physicians again to assume responsibility for their patients. The fundamental ethical problem, however, is that this approach denies the patient's moral agency. In this essay, responsibility to patients, rather than for them, is discussed as an alternative to the emerging neo-paternalism. Responsibility to avoids the ethical problems of assuming responsibility for moral agents and could reduce the threat of litigation as well.
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  40.  10
    Roderick S. Hooker & Gregory L. Larkin (2010). Patient Willingness to Be Seen by Physician Assistants, Nurse Practitioners, and Residents in the Emergency Department: Does the Presumption of Assent Have an Empirical Basis? American Journal of Bioethics 10 (8):1-10.
    Physician assistants (PAs), nurse practitioners (NPs), and medical residents constitute an increasingly significant part of the American health care workforce, yet patient assent to be seen by nonphysicians is only presumed and seldom sought. In order to assess the willingness of patients to receive medical care provided by nonphysicians, we administered provider preference surveys to a random sample of patients attending three emergency departments (EDs). Concurrently, a survey was sent to a random selection of ED residents and PAs. (...)
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  41.  2
    Mark E. Frisse (2010). Health Information Exchange in Memphis: Impact on the Physician-Patient Relationship. Journal of Law, Medicine & Ethics 38 (1):50-57.
    Health information exchanges represent one way of making medical information available to practitioners across institutional boundaries. One health information exchange in Memphis Tennessee has been operational since May of 2006 and provides information supporting care for over 1.2 million individuals. Creating such an exchange challenged traditional institutional boundaries, roles, and perceptions. Approaching these challenges required leadership, trust, sound policy, new forms of dialogue, and an incremental approach to technology. Early evidence suggests a positive impact on patient care and a (...)
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  42. S. Kay Toombs (1987). The Meaning of Illness: A Phenomenological Approach to the Patient-Physician Relationship. Journal of Medicine and Philosophy 12 (3):219-240.
    This essay argues that philosophical phenomenology can provide important insights into the patient-physician relationship. In particular, it is noted that the physician and patient encounter the experience of illness from within the context of different "worlds", each "world" providing a horizon of meaning. Such phenomenological notions as focusing, habits of mind, finite provinces of meaning, and relevance are shown to be central to the way these "worlds" are constituted. An eidetic interpretation of illness is proposed. Such (...)
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  43.  13
    Roderick S. Hooker & Gregory L. Larkin (2010). Patient Willingness to Be Seen by Physician Assistants, Nurse Practitioners, and Residents in the Emergency Department: Does the Presumption of Assent Have an Empirical Basis? American Journal of Bioethics 10 (8):1-10.
    Physician assistants (PAs), nurse practitioners (NPs), and medical residents constitute an increasingly significant part of the American health care workforce, yet patient assent to be seen by nonphysicians is only presumed and seldom sought. In order to assess the willingness of patients to receive medical care provided by nonphysicians, we administered provider preference surveys to a random sample of patients attending three emergency departments (EDs). Concurrently, a survey was sent to a random selection of ED residents and PAs. (...)
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  44.  13
    M. Hall (2005). The Impact on Patient Trust of Legalising Physician Aid in Dying. Journal of Medical Ethics 31 (12):693-697.
    Objective: Little empirical evidence exists to support either side of the ongoing debate over whether legalising physician aid in dying would undermine patient trust.Design: A random national sample of 1117 US adults were asked about their level of agreement with a statement that they would trust their doctor less if “euthanasia were legal [and] doctors were allowed to help patients die”.Results: There was disagreement by 58% of the participants, and agreement by only 20% that legalising euthanasia would cause (...)
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  45.  8
    Carrie-Anne Marie Hains & Nicholas J. Hulbert-Williams (2013). Attitudes Toward Euthanasia and Physician-Assisted Suicide: A Study of the Multivariate Effects of Healthcare Training, Patient Characteristics, Religion and Locus of Control. Journal of Medical Ethics 39 (11):713-716.
    Next SectionPublic and healthcare professionals differ in their attitudes towards euthanasia and physician-assisted suicide (PAS), the legal status of which is currently in the spotlight in the UK. In addition to medical training and experience, religiosity, locus of control and patient characteristics (eg, patient age, pain levels, number of euthanasia requests) are known influencing factors. Previous research tends toward basic designs reporting on attitudes in the context of just one or two potentially influencing factors; we aimed to (...)
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  46.  9
    Paul B. Miller & Charles Weijer (2006). Trust Based Obligations of the State and Physician-Researchers to Patient-Subjects. Journal of Medical Ethics 32 (9):542-547.
    When may a physician enroll a patient in clinical research? An adequate answer to this question requires clarification of trust-based obligations of the state and the physician-researcher respectively to the patient-subject. The state relies on the voluntarism of patient-subjects to advance the public interest in science. Accordingly, it is obligated to protect the agent-neutral interests of patient-subjects through promulgating standards that secure these interests. Component analysis is the only comprehensive and systematic specification of regulatory (...)
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  47.  67
    William E. Stempsey (1995). Incommensurability: Its Implications for the Patient/Physician Relation. Journal of Medicine and Philosophy 20 (3):253-269.
    Scientific authority and physician authority are both challenged by Thomas Kuhn's concept of incommensurability. If competing "paradigms" or "world views" cannot rationally be compared, we have no means to judge the truth of any particular view. However, the notion of local or partial incommensurability might provide a framework for understanding the implications of contemporary philosophy of science for medicine. We distinguish four steps in the process of translating medical science into clinical decisions: the doing of the science, the appropriation (...)
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  48.  10
    A. Kuper (2007). The Intersubjective and the Intrasubjective in the Patient Physician Dyad: Implications for Medical Humanities Education. Medical Humanities 33 (2):75-80.
    At the heart of medicine is the patient, and the fundamental relationship in medicine is the patientphysician dyad. Smith’s argument for the intersubjective creation of knowledge, which is itself indebted to Bakhtin’s notion of the utterance and of the necessity of “the other” in the development of meaning, enables an exploration of the creation of meaning during the patientphysician encounter. The analysis is enriched by Haraway’s concepts of partial perspectives and of dispersion, which expose the (...)
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  49. R. M. Veatch & W. E. Stempsey (1995). Incommensurability: Its Implications for the Patient/Physician Relation. Journal of Medicine and Philosophy 20 (3):253-269.
    Scientific authority and physician authority are both challenged by Thomas Kuhn's concept of incommensurability. If competing “paradigms” or “world views” cannot rationally be compared, we have no means to judge the truth of any particular view. However, the notion of local or partial incommensurability might provide a framework for understanding the implications of contemporary philosophy of science for medicine. We distinguish four steps in the process of translating medical science into clinical decisions: the doing of the science, the appropriation (...)
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  50.  7
    C. Meyers (1992). The Impact of Physician Denial Upon Patient Autonomy and Well-Being. Journal of Medical Ethics 18 (3):135-137.
    It is now widely accepted that a patient's ability to engage in autonomous decision-making can be seriously threatened when she denies significant aspects of her medical condition. In this paper I use a true case to reveal the harmful effects of physician denial upon patient autonomy and well-being. I suggest further that such physician denial may be more common than is generally acknowledged, since aspects of the contemporary medical ethos likely serve to reinforce rather than to (...)
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