Search results for 'Physician's Role' (try it on Scholar)

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  1. S. J. Booij, D. P. Engberts, V. Rodig, A. Tibben & R. A. C. Roos (2013). A Plea for End-of-Life Discussions with Patients Suffering From Huntington's Disease: The Role of the Physician. Journal of Medical Ethics 39 (10):621-624.score: 333.0
    Euthanasia and physician-assisted suicide (PAS) by request and/or based on an advance directive are legal in The Netherlands under strict conditions, thus providing options for patients with Huntington's disease (HD) and other neurodegenerative diseases to stay in control and choose their end of life. HD is an inherited progressive disease characterised by chorea and hypokinesia, psychiatric symptoms and dementia. From a qualitative study based on interviews with 15 physicians experienced in treating HD, several ethical issues emerged. Consideration of these aspects (...)
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  2. Professor John R. Williams (2006). The Physician's Role in the Protection of Human Research Subjects. Science and Engineering Ethics 12 (1):5-12.score: 297.0
    Responsibility for the protection of human research subjects is shared by investigators, research ethics committees, sponsors/funders, research institutions, governments and, the focus of this article, physicians who enrol patients in clinical trials. The article describes the general principles of the patient-physician relationship that should regulate the participation of physicians in clinical trials and proposes guidelines for determining when and how such participation should proceed. The guidelines deal with the following stages of the trial: when first considering participation, when deciding whether (...)
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  3. N. S. Wenger & J. Halpern (1994). The Physician's Role in Completing Advance Directives: Ensuring Patients' Capacity to Make Healthcare Decisions in Advance. Journal of Clinical Ethics 5 (4):320.score: 279.0
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  4. Eli Feen (2011). Continuous Deep Sedation: Consistent With Physician's Role as Healer. American Journal of Bioethics 11 (6):49 - 51.score: 270.0
    The American Journal of Bioethics, Volume 11, Issue 6, Page 49-51, June 2011.
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  5. John R. Williams (2006). The Physician's Role in the Protection of Human Research Subjects. Science and Engineering Ethics 12 (1):5-12.score: 270.0
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  6. Daniel Kim, Kristin Schleiter, Bette-Jane Crigger, John W. McMahon, Regina M. Benjamin & Sharon P. Douglas (2010). A Physician's Role Following a Breach of Electronic Health Information. Journal of Clinical Ethics 21 (1):30.score: 270.0
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  7. Chalmers C. Clark (2003). The Physician's Role, "Sham Surgery," and Trust: A Conflict of Duties? American Journal of Bioethics 3 (4):57-58.score: 270.0
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  8. Sharon Lee (1998). The Physician's Role in Protecting Confidentiality--A Consideration of the Implications of AIDS. Bioethics Forum 14 (3-4):18.score: 270.0
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  9. Thomas Warr (1998). The Physician's Role in Maintaining Hope and Spirituality. Bioethics Forum 15 (1):31-37.score: 270.0
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  10. F. D. Ledley (1990). The Physician-Scientist's Role in Medical Research and the Mythology of Intellectual Tradition. Perspectives in Biology and Medicine 34 (3):410-420.score: 261.0
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  11. Gordon R. Mitchell & Kathleen M. McTigue (2012). Translation Through Argumentation in Medical Research and Physician-Citizenship. Journal of Medical Humanities 33 (2):83-107.score: 243.0
    While many "benchtop-to-bedside" research pathways have been developed in "Type I" translational medicine, vehicles to facilitate "Type II" and "Type III" translation that convert scientific data into clinical and community interventions designed to improve the health of human populations remain elusive. Further, while a high percentage of physicians endorse the principle of citizen leadership, many have difficulty practicing it. This discrepancy has been attributed, in part, to lack of training and preparation for public advocacy, time limitation, and institutional resistance. As (...)
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  12. Laurence B. McCullough (2004). The Nature and Limits of the Physician's Professional Responsibilities: Surgical Ethics, Matters of Conscience, and Managed Care. Journal of Medicine and Philosophy 29 (1):3 – 9.score: 213.0
    The nature and limits of the physician's professional responsibilities constitute core topics in clinical ethics. These responsibilities originate in the physician's professional role, which was first examined in the modern English-language literature of medical ethics by two eighteenth-century British physician-ethicists, John Gregory and Thomas Percival. The papers in this annual clinical ethics number of the Journal explore the physician's professional responsibilities in the areas of surgical ethics, matters of conscience, and managed care.
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  13. Andrea F. Patenaude, Joel M. Rappeport & Brian R. Smith (1986). The Physician's Influence on Informed Consent for Bone Marrow Transplantation. Theoretical Medicine and Bioethics 7 (2).score: 213.0
    The influence of physician judgment on the disclosure, competency, understanding, voluntariness, and decision aspects of informed consent for bone marrow transplantation are described. Ethical conflicts which arise from the amount and complexity of the information to be disclosed and from the barriers of limited time, patient anxiety and lack of prior relationship between patient and physician are discussed. The role of the referring physician in the decision-making is considered. Special ethical issues which arise with use of healthy related bone (...)
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  14. Jerome P. Kassirer (2005). On the Take: How America's Complicity with Big Business Can Endanger Your Health. Oxford University Press.score: 210.0
    We all know that doctors accept gifts from drug companies, ranging from pens and coffee mugs to free vacations at luxurious resorts. But as the former Editor-in-Chief of The New England Journal of Medicine reveals in this shocking expose, these innocuous-seeming gifts are just the tip of an iceberg that is distorting the practice of medicine and jeopardizing the health of millions of Americans today. In On the Take, Dr. Jerome Kassirer offers an unsettling look at the pervasive payoffs that (...)
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  15. J. Snyder, V. A. Crooks, K. Adams, P. Kingsbury & R. Johnston (2011). The 'Patient's Physician One-Step Removed': The Evolving Roles of Medical Tourism Facilitators. Journal of Medical Ethics 37 (9):530-534.score: 204.0
    Background: Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood. -/- (...)
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  16. Patrick Grüneberg (2012). From Therapy and Enhancement to Assistive Technologies: An Attempt to Clarify the Role of the Sports Physician. Sport, Ethics and Philosophy 6 (4):480-491.score: 195.0
    Sports physicians are continuously confronted with new biotechnological innovations. This applies not only to doping in sports, but to all kinds of so-called enhancement methods. One fundamental problem regarding the sports physician's self-image consists in a blurred distinction between therapeutic treatment and non-therapeutic performance enhancement. After a brief inventory of the sports physician's work environment I reject as insufficient the attempts to resolve the conflict of the sports physician by making it a classificatory problem. Followed by a critical (...)
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  17. Charles J. Bussey & Donna Bussey (1991). The Physician and Social Renewal: Julius B. Richmond as Role Model. [REVIEW] Journal of Medical Humanities 12 (1):25-34.score: 189.0
    We live in an age of “high tech” medicine which affects both health care recipients and physicians who are taught its many wonders and uses. It is easy in this atmosphere of specialization for clinicians, professors and medical students to become isolated and to ignore social issues which affect health care in its broadest sense.Individuals who are committed to the “common good” are the ones historically who have been effective change agents. It would be tragic simply to stand back and (...)
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  18. Martine C. de Vries, Mirjam Houtlosser, Jan M. Wit, Dirk P. Engberts, Dorine Bresters, Gertjan Jl Kaspers & Evert van Leeuwen (2011). Ethical Issues at the Interface of Clinical Care and Research Practice in Pediatric Oncology: A Narrative Review of Parents' and Physicians' Experiences. BMC Medical Ethics 12 (1):18.score: 189.0
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  19. J. Savulescu (1998). Two Worlds Apart: Religion and Ethics. Journal of Medical Ethics 24 (6):382-384.score: 180.0
    In a recent article entitled, Requests "for inappropriate" treatment based on religious beliefs, Orr and Genesen claim that futile treatment should be provided to patients who request it if their request is based on a religious belief. I claim that this implies that we should also accede to requests for harmful or cost-ineffective treatments based on religious beliefs. This special treatment of religious requests is an example of special pleading on the part of theists and morally objectionable discrimination against atheists. (...)
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  20. A. J. Fenwick (1999). Best Interests in Persistent Vegetative State. Journal of Medical Ethics 25 (1):59-60.score: 180.0
  21. Uta Bittner, Sebastian Armbrust & Franziska Krause (2013). „Doctor knows best“? – Eine Analyse der Arzt-Patient-Beziehung in der TV-KrankenhausserieDr. House. Ethik in der Medizin 25 (1):33-45.score: 180.0
    Vor dem Hintergrund, dass in den Medien und der Öffentlichkeit thematisierte und dargestellte Arztbilder stets auch auf die öffentliche Meinung und die Vorstellungen der Menschen von Ärzten wirken, spürt der Artikel der Frage nach, welches Arztbild die amerikanische TV-KrankenhausserieDr. House transportiert und welche Ausprägung das dargestellte Arzt-Patienten-Verhältnis einnimmt. Hierbei werden die medizinethischen Reflexionen durch eine detaillierte medienwissenschaftliche Genre-Einordnung und dramaturgische Analyse eingerahmt und unterstützt. Zudem werden als Analyseinstrumentarium die vier Modelle des Arzt-Patienten-Verhältnisses nach Emanuel/Emanuel herangezogen. Dieser interdisziplinäre Forschungsansatz zeigt, dass (...)
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  22. Richard E. Thompson (2007). So You're on the Ethics Committee? A Primer and Practical Guidebook: 21st Century Practical Ethics Applied to 21st Century Health Care. [REVIEW] American College of Physician Executives.score: 180.0
     
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  23. 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-.score: 177.0
    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’ ability to comprehend (...)
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  24. T. Z. Movsas, E. Wells, A. Mongoven & V. Grigorescu (2012). Does Medical Insurance Type (Private Vs Public) Influence the Physician's Decision to Perform Caesarean Delivery? Journal of Medical Ethics 38 (8):470-473.score: 162.0
    Introduction US data reveal a Caesarean rate discrepancy between insured and uninsured patients, with the C-section rate highest among the privately insured. The data have prompted concern that financial incentives associated with insurance status might influence American physicians' decisions to perform Caesarean deliveries. Objective To determine whether differences in medical risk factors account for the apparent Caesarean rate discrepancy between Medicaid and privately insured patients in Michigan, USA. Method A retrospective review was performed of 617 269 live birth deliveries in (...)
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  25. A. M. Jafarey (2005). Informed Consent in the Pakistani Milieu: The Physician's Perspective. Journal of Medical Ethics 31 (2):93-96.score: 162.0
    Informed consent enjoys an unassailable position in both clinical and research situations as a safeguard of patients’ rights. Keeping the patient involved in the decision making process is easier when there is direct communication with the individual. The Pakistani milieu offers challenges to this process because crucial decision making is often done by family members or is left entirely up to the attending physician. There seems to be a general acceptance of this shifting of focus from the individual to other (...)
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  26. Ryan M. Antiel, Farr A. Curlin, Katherine M. James & Jon C. Tilburt (2013). The Moral Psychology of Rationing Among Physicians: The Role of Harm and Fairness Intuitions in Physician Objections to Cost-Effectiveness and Cost-Containment. Philosophy, Ethics, and Humanities in Medicine 8 (1):13.score: 138.0
    Physicians vary in their moral judgments about health care costs. Social intuitionism posits that moral judgments arise from gut instincts, called “moral foundations.” The objective of this study was to determine if “harm” and “fairness” intuitions can explain physicians’ judgments about cost-containment in U.S. health care and using cost-effectiveness data in practice, as well as the relative importance of those intuitions compared to “purity”, “authority” and “ingroup” in cost-related judgments.
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  27. Edmund D. Pellegrino (1988). For the Patient's Good: The Restoration of Beneficence in Health Care. Oxford University Press.score: 126.0
    In this companion volume to their 1981 work, A Philosophical Basis of Medical Practice, Pellegrino and Thomasma examine the principle of beneficence and its role in the practice of medicine. Their analysis, which is grounded in a thorough-going philosophy of medicine, addresses a wide array of practical and ethical concerns that are a part of health care decision-making today. Among these issues are the withdrawing and withholding of nutrition and hydration, competency assessment, the requirements for valid surrogate decision-making, quality-of-life (...)
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  28. Steven C. Schachter (ed.) (2008). Managing Relationships with Industry: A Physician's Compliance Manual. Elsevier.score: 116.0
    Background -- Overview of legal sources -- Summary of recent prosecutions and investigations -- Applications of law and professional and trade association standards to physician relationships with industry -- Legal and ethical aspects of specific physician's industry financial relationships -- Approaching and adopting effective compliance plans.
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  29. E. C. A. Asscher, I. Bolt & M. Schermer (2012). Wish-Fulfilling Medicine in Practice: A Qualitative Study of Physician Arguments. Journal of Medical Ethics 38 (6):327-331.score: 114.0
    There has been a move in medicine towards patient-centred care, leading to more demands from patients for particular therapies and treatments, and for wish-fulfilling medicine: the use of medical services according to the patient's wishes to enhance their subjective functioning, appearance or health. In contrast to conventional medicine, this use of medical services is not needed from a medical point of view. Boundaries in wish-fulfilling medicine are partly set by a physician's decision to fulfil or decline a patient's wish (...)
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  30. W. R. Albury (2001). The Medical Ethics of Erasmus and the Physician-Patient Relationship. Medical Humanities 27 (1):35-41.score: 114.0
    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 deal (...)
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  31. Mary B. Mahowald (1987). Sex-Role Stereotypes in Medicine. Hypatia 2 (2):21 - 38.score: 114.0
    I argue for compatibility between feminism and medicine by developing a model of the physician-other relationship which is essentially egalitarian. This entails rejection of (a) a paternalistic model which reinforces sex-role stereotypes, (b) a maternalistic model which exclusively emphasizes patient autonomy, and (c) a model which focuses on the physician's conscience. The model I propose (parentalism) captures the complexity and dynamism of the physician-other relationship, by stressing mutuality in respect for autonomy and regard for each other's interests.
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  32. A. I. Padela, H. Shanawani, J. Greenlaw, H. Hamid, M. Aktas & N. Chin (2008). The Perceived Role of Islam in Immigrant Muslim Medical Practice Within the USA: An Exploratory Qualitative Study. Journal of Medical Ethics 34 (5):365-369.score: 114.0
    Background: Islam and Muslims are underrepresented in the medical literature and the influence of physician’s cultural beliefs and religious values upon the clinical encounter has been understudied. Objective: To elicit the perceived influence of Islam upon the practice patterns of immigrant Muslim physicians in the USA. Design: Ten face-to-face, in-depth, semistructured interviews with Muslim physicians from various backgrounds and specialties trained outside the USA and practising within the the country. Data were analysed according to the conventions of qualitative research using (...)
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  33. A. N. Williams (2007). “To Observe Well … and Thence to Make Himself Rules”: John Locke's Principles and Practice of Child Healthcare. Medical Humanities 33 (1):22-34.score: 114.0
    It is often forgotten that the philosopher John Locke (1632–1704) was a highly regarded physician with a lifelong interest in medicine and was frequently consulted on medical matters, including the health of children. This child health aspect in Locke’s history has been largely ignored, with even modern commentaries on Locke and medicine giving it only a cursory mention. However, it is clear that, in child health, Locke’s influence is far more substantial than GF Still’s and George Jackson’s opinions, which limited (...)
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  34. Richard Sobel (1996). The Virgil Role. Journal of Medical Humanities 17 (2):85-89.score: 114.0
    The referral of a patient for subspecialty consultation and examination is but one facet of the primary care physician's involvement with his patient. Using examples from my practice, I argue that the term “gatekeeper” is an inadequate term for describing what the primary care physician does, or should do, for his patient. “Virgil Role” is offered as an alternative expression based on a proposed parallel between Dante's passage through the Inferno accompanied by his mentor-guide, Virgil, and a sick (...)
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  35. Mark R. Wicclair (2008). Is Conscientious Objection Incompatible with a Physician's Professional Obligations? Theoretical Medicine and Bioethics 29 (3):171--185.score: 112.0
    In response to physicians who refuse to provide medical services that are contrary to their ethical and/or religious beliefs, it is sometimes asserted that anyone who is not willing to provide legally and professionally permitted medical services should choose another profession. This article critically examines the underlying assumption that conscientious objection is incompatible with a physician’s professional obligations (the “incompatibility thesis”). Several accounts of the professional obligations of physicians are explored: general ethical theories (consequentialism, contractarianism, and rights-based theories), internal morality (...)
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  36. Glenn G. Griener (1995). The Physician's Authority to Withhold Futile Treatment. Journal of Medicine and Philosophy 20 (2):207-224.score: 112.0
    The debate over futility is driven, in part, by physicians' desire to recover some measure of decision-making authority from their patients. The standard approach begins by noting that certain interventions are futile for certain patients and then asserts that doctors have no obligation to provide futile treatment. The concept of futility is a complex one, and many commentators find it useful to distinguish ‘physiological futility’ from ‘qualitative futility’. The assertion that physicians can decide to withhold physiologically futile treatment generates little (...)
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  37. Thomas Tomlinson (1986). The Physician's Influence on Patients' Choices. Theoretical Medicine and Bioethics 7 (2).score: 112.0
    Although the traditional physician ethic sees nothing objectionable about the doctor's influence over patients, superficial conceptions of the patient's right to self-determination imply that this influence may be manipulative. On the contrary, there are several different lines of argument which can reconcile self-determination with the physician's influence. Nevertheless, drawing the boundaries between legitimate methods of persuasion, and manipulation or coercion sometimes proves difficult.
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  38. Laurence B. McCullough (1998). A Transcultural, Preventive Ethics Approach to Critical-Care Medicine: Restoring the Critical Care Physician's Power and Authority. Journal of Medicine and Philosophy 23 (6):628 – 642.score: 112.0
    This article comments on the treatment of critical-care ethics in four preceding articles about critical-care medicine and its ethical challenges in mainland China, Hong Kong, Japan, and the Philippines. These articles show how cultural values can be in both synchrony and conflict in generating these ethical challenges and in the constraints that they place on the response of critical-care ethics to them. To prevent ethical conflict in critical care the author proposes a two-step approach to the ethical jus tification of (...)
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  39. R. D. Orr (2012). The Physician's Right of Refusal: What Are the Limits? Christian Bioethics 18 (1):30-40.score: 112.0
    A physician’s long-established right to refuse to provide a requested service based on his or her moral beliefs is being challenged. Some authors suggest that physicians should not be licensed if they are unwilling to provide all legal services. Others would grant them the right to refuse, but require them to refer to a willing professional. What are the limits of a physician’s right to refuse? When such a right is claimed on moral grounds, what residual obligations does the physician (...)
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  40. C. K. Fang, P. Y. Li, M. L. Lai, M. H. Lin, D. T. Bridge & H. W. Chen (2011). Establishing a 'Physician's Spiritual Well-Being Scale' and Testing its Reliability and Validity. Journal of Medical Ethics 37 (1):6-12.score: 112.0
    The purpose of this study was to develop a Physician's Spiritual Well-Being Scale (PSpWBS). The significance of a physician's spiritual well-being was explored through in-depth interviews with and qualitative data collection from focus groups. Based on the results of qualitative analysis and related literature, the PSpWBS consisting of 25 questions was established. Reliability and validity tests were performed on 177 subjects. Four domains of the PSpWBS were devised: physician's characteristics; medical practice challenges; response to changes; and overall (...)
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  41. Frank P. Lengers (1994). The Idea of the Absurd and the Moral Decision. Possibilities and Limits of a Physician's Actions in the View of the Absurd. Theoretical Medicine and Bioethics 15 (3).score: 108.0
    In reference to two central concepts of Albert Camus' philosophy, that is, the absurd and the rebellion, this article examines to what extent hisThe Plague is of interest to medical ethics. The interpretation of this novel put forward in this article focuses on the main character of the novel, the physician Dr. Rieux. For Rieux, the plague epidemic, as it is described in the novel, implies an unquestioning commitment to his patients and fellow men. According to Camus this epidemic has (...)
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  42. Delon Human (2002). Conflicts of Interest in Science and Medicine: The Physician's Perspective. Science and Engineering Ethics 8 (3):273-276.score: 108.0
    The various statements and declarations of the World Medical Association that address conflicts of interest on the part of physicians as (1) researchers, and (2) practitioners, are examined, with particular reference to the October 2000 revision of the Declaration of Helsinki. Recent contributions to the literature, notably on conflicts of interest in medical research, are noted. Finally, key provisions of the American Medical Association’s Code of Medical Ethics (2000–2001 Edition) that address the various forms of conflict of interest that can (...)
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  43. Lisa J. Downing (1995). Siris and the Scope of Berkeley's Instrumentalism. British Journal for the History of Philosophy 3 (2):279 – 300.score: 108.0
    I. Introduction Siris, Berkeley's last major work, is undeniably a rather odd book. It could hardly be otherwise, given Berkeley's aims in writing it, which are three-fold: 'to communicate to the public the salutary virtues of tar-water,'1 to provide scientific background supporting the efficacy of tar-water as a medicine, and to lead the mind of the reader, via gradual steps, toward contemplation of God.2 The latter two aims shape Berkeley's extensive use of contemporary natural science in Siris. In particular, Berkeley's (...)
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  44. Tal Bergman Levy, Shlomi Azar, Ronen Huberfeld, Andrew M. Siegel & Rael D. Strous (2013). Attitudes Towards Euthanasia and Assisted Suicide: A Comparison Between Psychiatrists and Other Physicians. Bioethics 27 (7):402-408.score: 108.0
    Euthanasia and physician assisted-suicide are terms used to describe the process in which a doctor of a sick or disabled individual engages in an activity which directly or indirectly leads to their death. This behavior is engaged by the healthcare provider based on their humanistic desire to end suffering and pain. The psychiatrist's involvement may be requested in several distinct situations including evaluation of patient capacity when an appeal for euthanasia is requested on grounds of terminal somatic illness or when (...)
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  45. William E. Stempsey (1995). Incommensurability: Its Implications for the Patient/Physician Relation. Journal of Medicine and Philosophy 20 (3):253-269.score: 108.0
    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 of (...)
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  46. Laurence B. McCullough (1999). Hume's Influence on John Gregory and the History of Medical Ethics. Journal of Medicine and Philosophy 24 (4):376 – 395.score: 108.0
    The concept of medicine as a profession in the English-language literature of medical ethics is of recent vintage, invented by the Scottish physician and medical ethicist, John Gregory (1724-1773). Gregory wrote the first secular, philosophical, clinical, and feminine medical ethics and bioethics in the English language and did so on the basis of Hume's principle of sympathy. This paper provides a brief account of Gregory's invention and the role that Humean sympathy plays in that invention, with reference to key (...)
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  47. James P. Cadello (1988). Richard Rorty's Philosophy and the Mirror of Nature: An Existential Critique. [REVIEW] Journal of Value Inquiry 22 (1):67-76.score: 108.0
    Seeing philosophy as conversation with a number of fruitful avenues of discourse, Rorty seems to be caught in limbo, unwilling to follow through or commit himself to any particular line of discourse for fear of closing himself off to alternative discourses. Choosing to adopt this particular attitude he still has made a choice: he has made a commitment to non-commitment, or as Ortega puts it, “decided not to decide.” Jose Ortega y Gasset, The Revolt of the Masses, trans. anonymously (New (...)
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  48. A. Dreyer, R. Forde & P. Nortvedt (2009). Autonomy at the End of Life: Life-Prolonging Treatment in Nursing Homes--Relatives' Role in the Decision-Making Process. Journal of Medical Ethics 35 (11):672-677.score: 108.0
    Background: The increasing number of elderly people in nursing homes with failing competence to give consent represents a great challenge to healthcare staff’s protection of patient autonomy in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation. The lack of national guidelines and internal routines can threaten the protection of patient autonomy. Objectives: To place focus on protecting patient autonomy in the decision-making process by studying how relatives experience their role as substitute decision-makers. Design: A qualitative descriptive design with (...)
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  49. B. J. Zikmund-Fisher, H. P. Lacey & A. Fagerlin (2008). The Potential Impact of Decision Role and Patient Age on End-of-Life Treatment Decision Making. Journal of Medical Ethics 34 (5):327-331.score: 108.0
    Background: Recent research demonstrates that people sometimes make different medical decisions for others than they would make for themselves. This finding is particularly relevant to end-of-life decisions, which are often made by surrogates and require a trade-off between prolonging life and maintaining quality of life. We examine the impact of decision role, patient age, decision maker age and multiple individual differences on these treatment decisions. Methods: Participants read a scenario about a terminally ill cancer patient faced with a choice (...)
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  50. Daniel Z. Buchman & Anita Ho (forthcoming). What's Trust Got to Do with It? Revisiting Opioid Contracts. Journal of Medical Ethics:2013-101320.score: 108.0
    Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...)
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