Search results for 'Physicians' (try it on Scholar)

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  1.  70
    Satish P. Deshpande (2009). A Study of Ethical Decision Making by Physicians and Nurses in Hospitals. Journal of Business Ethics 90 (3):387 - 397.
    This research investigates the impact of various factors on ethical behavior of 180 not-for-profit hospital employees. Ethical behavior of peers, ethical behavior of successful managers, and emotional intelligence had a significant positive impact on ethical behavior of respondents. Physicians and hospital employees with political connections within the organization were significantly less ethical than other employees. The results have many implications for researchers and healthcare practitioners.
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  2. Marc A. Rodwin (1993). Medicine, Money, and Morals: Physicians' Conflicts of Interest. Oxford University Press.
    Conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest (40% of physicians in Florida invest in medical centers); for hospitals to offer incentives to physicians who refer patients (a practice that can lead to unnecessary hospitalization); or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs (which are much more (...)
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  3.  3
    Silviya Aleksandrova (2008). Survey on the Experience in Ethical Decision-Making and Attitude of Pleven University Hospital Physicians Towards Ethics Consultation. Medicine, Health Care and Philosophy 11 (1):35-42.
    BackgroundContemporary medical practice is complicated by many dilemmas requiring ethical sensitivity and moral reasoning.ObjectiveTo investigate physicians’ experience in ethical decision-making and their attitude towards ethics consultation.MethodsIn a cross-sectional survey 126 physicians representing the main clinics of Pleven University hospital were investigated by a self-administered questionnaire. The following variables were measured: occurrence, nature and ways of resolving ethical problems; physicians’ attitudes towards ethics consultation; physicians’ opinions on qualities and skills of an ethics consultant, and socio-demographic characteristics. Data (...)
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  4.  6
    Susan L. Norris, Haley K. Holmer, Lauren A. Ogden, Brittany U. Burda & Rongwei Fu (2012). Characteristics of Physicians Receiving Large Payments From Pharmaceutical Companies and the Accuracy of Their Disclosures in Publications: An Observational Study. [REVIEW] BMC Medical Ethics 13 (1):24-.
    Background Financial relationships between physicians and industry are extensive and public reporting of industry payments to physicians is now occurring. Our objectives were to describe physician recipients of large total payments from these seven companies, and to examine discrepancies between these payments and conflict of interest (COI) disclosures in authors’ concurrent publications. Methods The investigative journalism organization, ProPublica, compiled the Dollars for Docs database of payments to individuals from publically available data from seven US pharmaceutical companies during the (...)
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  5.  4
    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 (...)
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  6.  3
    G. K. Kimsma (2010). Death by Request in The Netherlands: Facts, the Legal Context and Effects on Physicians, Patients and Families. Medicine, Health Care and Philosophy 13 (4):355-361.
    In this article I intend to describe an issue of the Dutch euthanasia practice that is not common knowledge. After some general introductory descriptions, by way of formulating a frame of reference, I shall describe the effects of this practice on patients, physicians and families, followed by a more philosophical reflection on the significance of these effects for the assessment of the authenticity of a request and the nature of unbearable suffering, two key concepts in the procedure towards euthanasia (...)
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  7.  30
    Robin R. Radtke (2008). Role Morality in the Accounting Profession – How Do We Compare to Physicians and Attorneys? Journal of Business Ethics 79 (3):279 - 297.
    Role morality can be defined as “claim(ing) a moral permission to harm others in ways that, if not for the role, would be wrong” (A. Applbaum: 1999, Ethics for Adversaries: The Morality of Roles in Public and Professional Life (Princeton University Press, Princeton, NJ) p. 3). Adversarial situations resulting in role morality occur most frequently in the fields of law, business, and government. Within the realm of accounting, professional obligations may place the accountant in a situation where he/she is susceptible (...)
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  8.  9
    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.
    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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  9.  2
    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.
    BackgroundPediatric oncology has a strong research culture. Most pediatric oncologists are investigators, involved in clinical care as well as research. As a result, a remarkable proportion of children with cancer enrolls in a trial during treatment. This paper discusses the ethical consequences of the unprecedented integration of research and care in pediatric oncology from the perspective of parents and physicians.MethodologyAn empirical ethical approach, combining a narrative review of qualitative studies on parents' and physicians' experiences of the pediatric oncology (...)
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  10.  2
    Joris Gielen, Sushma Bhatnagar, Seema Mishra, Arvind K. Chaturvedi, Harmala Gupta, Ambika Rajvanshi, Stef Van den Branden & Bert Broeckaert (2011). Can Curative or Life-Sustaining Treatment Be Withheld or Withdrawn? The Opinions and Views of Indian Palliative-Care Nurses and Physicians. Medicine, Health Care and Philosophy 14 (1):5-18.
    Introduction: Decisions to withdraw or withhold curative or life-sustaining treatment can have a huge impact on the symptoms which the palliative-care team has to control. Palliative-care patients and their relatives may also turn to palliative-care physicians and nurses for advice regarding these treatments. We wanted to assess Indian palliative-care nurses and physicians’ attitudes towards withholding and withdrawal of curative or life-sustaining treatment. Method: From May to September 2008, we interviewed 14 physicians and 13 nurses working in different (...)
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  11.  2
    D. C. Malloy, P. Sevigny, T. Hadjistavropoulos, M. Jeyaraj, E. Fahey McCarthy, M. Murakami, S. Paholpak, Y. Lee & I. Park (2009). Perceptions of the Effectiveness of Ethical Guidelines: An International Study of Physicians. [REVIEW] Medicine, Health Care and Philosophy 12 (4):373-383.
    The intent of ethics is to establish a set of standards that will provide a framework to modify, regulate, and possibly enhance moral behaviour. Eleven focus groups were conducted with physicians from six culturally distinct countries to explore their perception of formalized, written ethical guidelines (i.e., codes of ethics, credos, value and mission statements) that attempt to direct their ethical practice. Six themes emerged from the data: lack of awareness, no impact, marginal impact, other codes or value statements supersede, (...)
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  12.  0
    Vicente Medina (1994). HIV and Entrenched Social Roles: Patients' Rights Vs. Physicians' Duties. Public Affairs Quarterly 8 (4):359-375.
    Physicians, so it will be argued have by virtue of their profession a weightier obligation than patients to disclose their HIV infection, and also have a duty to refrain from performing exposure-prone invasive procedures. This argument supports both the AMA and CDC guidelines on HIV infected health care workers (HCWS), while undermining the recommendations against disclosure suggested by the National Commission on AIDS (NCA). The argument is divided into three parts. First, a distinction is made between entrenched and fuzzy (...)
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  13. Lucie White (2010). Euthanasia, Assisted Suicide and the Professional Obligations of Physicians. Emergent Australasian Philosophers 3 (1).
    Euthanasia and assisted suicide have proved to be very contentious topics in medical ethics. Some ethicists are particularly concerned that allowing physicians to carry out these procedures will undermine their professional obligations and threaten the very goals of medicine. However, I maintain that the fundamental goals of medicine not only do not preclude the practice of euthanasia and assisted suicide by physicians, but can in fact be seen to support these practices in some instances. I look at two (...)
     
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  14.  2
    Reginald P. Sequeira, Khalid A. Jassim, Awatif H. H. Damanhori & Vijay S. Mathur (2002). Prescribing Pattern of Antihypertensive Drugs by Family Physicians and General Practitioners in the Primary Care Setting in Bahrain. Journal of Evaluation in Clinical Practice 8 (4):407-414.
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  15.  1
    Raphael Sassower (1990). Medical Education: The Training of Ethical Physicians. Studies in Philosophy and Education 10 (3):251-261.
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  16.  2
    J. J. Caro, C. N. Coleman, A. Knebel & E. G. DeRenzo (2010). Unaltered Ethical Standards for Individual Physicians in the Face of Drastically Reduced Resources Resulting From an Improvised Nuclear Device Event. Journal of Clinical Ethics 22 (1):33-41.
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  17.  5
    Charlotte McDaniel (2010). Assessing Physicians' Roles on Health Care Ethics Committees. HEC Forum 22 (4):275-286.
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  18.  0
    Maria Del Refugio Gonzalez‐Losa, Glendy K. Gongora‐Marfil & Marylin Puerto‐Solis (2009). Knowledge About Cervical Cancer Screening Among Family Physicians: Cross‐Sectional Survey. Journal of Evaluation in Clinical Practice 15 (2):289-291.
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  19.  0
    Tacettin Inandi Md, Nalan Sahin Md & Asuman Guraksin Md (2002). A Preliminary Study for the Development of a Scale to Assess Perceptions About Physicians. Journal of Evaluation in Clinical Practice 8 (1):71-75.
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  20.  0
    Khalid A. J. Al Khaja PhD, Reginald P. Sequeira PhD, Vijay S. Mathur Md D. Phil Fams, Awatif H. H. Damanhori MBBCh & Abdul Wahab M. Abdul Wahab Frcs (2002). Family Physicians' and General Practitioners' Approaches to Drug Management of Diabetic Hypertension in Primary Care. Journal of Evaluation in Clinical Practice 8 (1):19-30.
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  21.  37
    R. Stephen Parker & Charles E. Pettijohn (2003). Ethical Considerations in the Use of Direct-to-Consumer Advertising and Pharmaceutical Promotions: The Impact on Pharmaceutical Sales and Physicians. [REVIEW] Journal of Business Ethics 48 (3):279-290.
    The influence of direct-to-consumer advertising and physician promotions are examined in this study. We further examine some of the ethical issues which may arise when physicians accept promotional products from pharmaceutical companies. The data revealed that direct-to-consumer advertising is likely to increase the request rates of both the drug category and the drug brand choices, as well as the likelihood that those drugs will be prescribed by physicians. The data further revealed that the majority of responding physicians (...)
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  22.  4
    B. S. Elger (2009). Factors Influencing Attitudes Towards Medical Confidentiality Among Swiss Physicians. Journal of Medical Ethics 35 (8):517-524.
    Medical confidentiality is a core concept of professionalism and should be an integral part of pregraduate and postgraduate medical education. The aim of our study was to define the factors influencing attitudes towards patient confidentiality in everyday situations in order to define the need for offering further education to various subgroups of physicians. All internists and general practitioners who were registered members of the association of physicians in Geneva or who were working in the department of internal medicine (...)
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  23.  74
    D. A. Barr (1996). The Ethics of Soviet Medical Practice: Behaviours and Attitudes of Physicians in Soviet Estonia. Journal of Medical Ethics 22 (1):33-40.
    OBJECTIVES: To study and report the attitudes and practices of physicians in a former Soviet republic regarding issues pertaining to patients' rights, physician negligence and the acceptance of gratuities from patients. DESIGN: Survey questionnaire administered to physicians in 1991 at the time of the Soviet breakup. SETTING: Estonia, formerly a Soviet republic, now an independent state. SURVEY SAMPLE: A stratified, random sample of 1,000 physicians, representing approximately 20 per cent of practicing physicians under the age of (...)
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  24.  12
    William E. Stempsey (1999). The Quarantine of Philosophy in Medical Education: Why Teaching the Humanities May Not Produce Humane Physicians. Medicine, Health Care and Philosophy 2 (1):3-9.
    Patients increasingly see physicians not as humane caregivers but as unfeeling technicians. The study of philosophy in medical school has been proposed to foster critical thinking about one's assumptions, perspectives and biases, encourage greater tolerance toward the ideas of others, and cultivate empathy. I suggest that the study of ethics and philosophy by medical students has failed to produce the humane physicians we seek because of the way the subject matter is quarantined in American medical education. First, the (...)
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  25.  29
    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.
    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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  26.  1
    Mireille Lavoie, Gaston Godin, Lydi-Anne Vézina-Im, Danielle Blondeau, Isabelle Martineau & Louis Roy (2015). Psychosocial Determinants of Physicians’ Intention to Practice Euthanasia in Palliative Care. BMC Medical Ethics 16 (1):6.
    Euthanasia remains controversial in Canada and an issue of debate among physicians. Most studies have explored the opinion of health professionals regarding its legalization, but have not investigated their intentions when faced with performing euthanasia. These studies are also considered atheoretical. The purposes of the present study were to fill this gap in the literature by identifying the psychosocial determinants of physicians’ intention to practice euthanasia in palliative care and verifying whether respecting the patient’s autonomy is important for (...)
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  27.  2
    Dominika W. Wranik & Martine Durier-Copp (2010). Physician Remuneration Methods for Family Physicians in Canada: Expected Outcomes and Lessons Learned. [REVIEW] Health Care Analysis 18 (1):35-59.
    Canada is a leader in experimenting with alternative, non fee for service provider remuneration methods; all jurisdictions have implemented salaries and payment models that blend fee for service with salary or capitation components. A series of qualitative interviews were held with 27 stakeholders in the Canadian health care system to assess the reasons and expectations behind the implementation of these payment methods for family physicians, as well as the extent to which objectives have been achieved. Results indicate that the (...)
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  28.  10
    Lenny López & Arthur J. Dyck (2009). Educating Physicians for Moral Excellence in the Twenty-First Century. Journal of Religious Ethics 37 (4):651-668.
    Medical professionals are a community of highly educated individuals with a commitment to a core set of ideals and principles. This community provides both technical and ethical socialization. The ideal physician is confident, empathic, forthright, respectful, and thorough. These ideals allow us to define broadly "the excellence" of being a physician. At the core of these ideals is the ability to be empathic. Empathy exhibits itself in attributes of an individual's moral character and also in actions that actualize and support (...)
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  29.  4
    Jonathan R. Scarff & Steven Lippmann (2012). When Physicians Intervene in Their Relatives' Health Care. HEC Forum 24 (2):127-137.
    Physicians often struggle with ethical issues surrounding intervention in their relatives’ health care. Many editorials, letters, and surveys have been written on this topic, but there is no systematic review of its prevalence. An Ovid Medline search was conducted for articles in English, written between January 1950 and December 2010, using the key words family member, relatives, treatment, prescribing, physician, and ethics. The search identified 41 articles (editorials, letters, and surveys). Surveys were reviewed to explore demographics of these treating (...)
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  30.  6
    Greg M. Thibadoux, Marsha Scheidt & Elizabeth Luckey (2007). Accounting and Medicine: An Exploratory Investigation Into Physicians' Attitudes Toward the Use of Standard Cost-Accounting Methods in Medicine. [REVIEW] Journal of Business Ethics 75 (2):137 - 149.
    Research studies demonstrate wide variation in how physicians diagnose and treat patients with similar medical conditions and suggest that at least some of the variation reflects inefficiencies and unnecessary medical costs. Health care researchers are actively examining ways to reduce variations in practice through standardization of medicine to reduce the cost of treatment and ensure the quality of outcomes. The most widely accepted form of this standardization is Evidence Based Best Practices (EBBP). Furthermore, financial health care providers such as (...)
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  31.  0
    Bethany Crandell Goodier & Michael Irvin Arrington (2007). Physicians, Patients, and Medical Dialogue in the NYPD Blue Prostate Cancer Story. Journal of Medical Humanities 28 (1):45-58.
    Extending literature on health information to entertainment television, we analyze the prostate cancer narrative presented in the police drama, NYPD Blue. We explain how the physician-patient interaction depicted on the show followed (and sometimes did not follow) the medical dialogue model. Findings reveal that the producers of this show advocate a more dialogic model of medical interaction. Portrayals of incompetent, ineffective physicians are contrasted with the superior, effective efforts of other physicians. The audience learns that a non-dialogic approach (...)
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  32.  20
    Matthew K. Wynia, Emily E. Anderson, Kavita Shah & Timothy D. Hotze (2011). “Doctor, Would You Prescribe a Pill to Help Me…?” A National Survey of Physicians on Using Medicine for Human Enhancement. American Journal of Bioethics 11 (1):3 - 13.
    Using medical advances to enhance human athletic, aesthetic, and cognitive performance, rather than to treat disease, has been controversial. Little is known about physicians? experiences, views, and attitudes in this regard. We surveyed a national sample of physicians to determine how often they prescribe enhancements, their views on using medicine for enhancement, and whether they would be willing to prescribe a series of potential interventions that might be considered enhancements. We find that many physicians occasionally prescribe enhancements, (...)
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  33.  10
    Tony Hope & John McMillan (2012). Physicians' Duties and the Non-Identity Problem. American Journal of Bioethics 12 (8):21 - 29.
    The non-identity problem arises when an intervention or behavior changes the identity of those affected. Delaying pregnancy is an example of such a behavior. The problem is whether and in what ways such changes in identity affect moral considerations. While a great deal has been written about the non-identity problem, relatively little has been written about the implications for physicians and how they should understand their duties. We argue that the non-identity problem can make a crucial moral difference in (...)
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  34.  9
    Nicolas Tavaglione & Samia A. Hurst (2012). Why Physicians Ought to Lie for Their Patients. American Journal of Bioethics 12 (3):4-12.
    Sometimes physicians lie to third-party payers in order to grant their patients treatment they would otherwise not receive. This strategy, commonly known as gaming the system, is generally condemned for three reasons. First, it may hurt the patient for the sake of whom gaming was intended. Second, it may hurt other patients. Third, it offends contractual and distributive justice. Hence, gaming is considered to be immoral behavior. This article is an attempt to show that, on the contrary, gaming may (...)
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  35.  18
    Simon N. Whitney & Laurence B. McCullough (2007). Physicians' Silent Decisions: Because Patient Autonomy Does Not Always Come First. American Journal of Bioethics 7 (7):33 – 38.
    Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions - not all - are ethically justified by this standard. Justified silent decisions are typically dependent on the physician's professional judgment, experience (...)
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  36.  10
    D. Strech, M. Synofzik & G. Marckmann (2008). How Physicians Allocate Scarce Resources at the Bedside: A Systematic Review of Qualitative Studies. Journal of Medicine and Philosophy 33 (1):80-99.
    Although rationing of scarce health-care resources is inevitable in clinical practice, there is still limited and scattered information about how physicians perceive and execute this bedside rationing (BSR) and how it can be performed in an ethically fair way. This review gives a systematic overview on physicians’ perspectives on influences, strategies, and consequences of health-care rationing. Relevant references as identified by systematically screening major electronic databases and manuscript references were synthesized by thematic analysis. Retrieved studies focused on themes (...)
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  37.  82
    Dan W. Brock (2008). Conscientious Refusal by Physicians and Pharmacists: Who is Obligated to Do What, and Why? Theoretical Medicine and Bioethics 29 (3):187-200.
    Some medical services have long generated deep moral controversy within the medical profession as well as in broader society and have led to conscientious refusals by some physicians to provide those services to their patients. More recently, pharmacists in a number of states have refused on grounds of conscience to fill legal prescriptions for their customers. This paper assesses these controversies. First, I offer a brief account of the basis and limits of the claim to be free to act (...)
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  38. Philip Charles Hebert (2009/2008). Doing Right: A Practical Guide to Ethics for Medical Trainees and Physicians. Oxford University Press.
    Doing Right: A Practical Guide to Ethics for Medical Trainees and Physicians is a concise and practical guide to ethical decision-making in medicine. The text is aimed at second- and third-year one-semester ethics courses offered in medical schools, health sciences departments, and nursing programs. By taking an applied approach rather than a theoretical approach, this text serves the needs of medical and nursing students, residents, and practicing physicians by sorting through questions of moral principles relevant to the diverse (...)
     
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  39.  3
    E. Chwang, D. C. Landy & R. R. Sharp (2007). Views Regarding the Training of Ethics Consultants: A Survey of Physicians Caring for Patients in ICU. Journal of Medical Ethics 33 (6):320-324.
    Background: Despite the expansion of ethics consultation services, questions remain about the aims of clinical ethics consultation, its methods and the expertise of those who provide such services.Objective: To describe physicians’ expectations regarding the training and skills necessary for ethics consultants to contribute effectively to the care of patients in intensive care unit .Design: Mailed survey.Participants: Physicians responsible for the care of at least 10 patients in ICU over a 6-month period at a 921-bed private teaching hospital with (...)
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  40.  86
    D. Robert MacDougall (2013). Physicians' Strikes and the Competing Bases of Physicians' Moral Obligations. Kennedy Institute of Ethics Journal 23 (3):249-274.
    During the last several decades, professional medicine has undergone profound changes in its organization. In particular, the growth of managed care organizations and publicly funded medicine has increasingly standardized physician working conditions and reimbursement. While it is sometimes disputed whether the profession of medicine is suffering reduced autonomy as a whole, there is little doubt that individual physicians are losing autonomy (Burdi and Baker 1999; Harrison and Schulz 1989; Iglehart 1992). As a result, physicians are increasingly attracted to (...)
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  41.  6
    M. Cetin, M. Ucar, T. Guven, A. Atac & M. Ozer (2012). What Do Patients Expect From Their Physicians? Qualitative Research on the Ethical Aspects of Patient Statements. Journal of Medical Ethics 38 (2):112-116.
    This study aimed to examine the thoughts and expectations of patients receiving healthcare from their physicians and evaluate the ethical aspects of these thoughts and expectations. To determine the ethical aspects of the thoughts and expectations of patients, an open-ended question was asked on the web page of the Turkish Armed Forces (TAF) Health Care Command, which is accessible to the users of the TAF intranet system (the internet system used within TAF institutions). The participants were asked to express (...)
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  42.  3
    Sabine Beck, Andreas van de Loo & Stella Reiter-Theil (2008). A “Little Bit Illegal”? Withholding and Withdrawing of Mechanical Ventilation in the Eyes of German Intensive Care Physicians. Medicine, Health Care and Philosophy 11 (1):7-16.
    Research questions and backgroundThis study explores a highly controversial issue of medical care in Germany: the decision to withhold or withdraw mechanical ventilation in critically ill patients. It analyzes difficulties in making these decisions and the physicians’ uncertainty in understanding the German terminology of Sterbehilfe, which is used in the context of treatment limitation. Used in everyday language, the word Sterbehilfe carries connotations such as helping the patient in the dying process or helping the patient to enter the dying (...)
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  43.  4
    S. A. Hurst (2005). How Physicians Face Ethical Difficulties: A Qualitative Analysis. Journal of Medical Ethics 31 (1):7-14.
    Next SectionBackground: Physicians face ethical difficulties daily, yet they seek ethics consultation infrequently. To date, no systematic data have been collected on the strategies they use to resolve such difficulties when they do so without the help of ethics consultation. Thus, our understanding of ethical decision making in day to day medical practice is poor. We report findings from the qualitative analysis of 310 ethically difficult situations described to us by physicians who encountered them in their practice. When (...)
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  44. Chalmers C. Clark (2005). In Harm's Way: AMA Physicians and the Duty to Treat. Journal of Medicine and Philosophy 30 (1):65 – 87.
    In June 2001, the American Medical Association (AMA) issued a revised and expanded version of the Principles of Medical Ethics (last published in 1980). In light of the new and more comprehensive document, the present essay is geared to consideration of a longstanding tension between physician's autonomy rights and societal obligations in the AMA Code. In particular, it will be argued that a duty to treat overrides AMA autonomy rights in social emergencies, even in cases that involve personal risk to (...)
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  45.  10
    A. Craig, B. Cronin, W. Eward, J. Metz, L. Murray, G. Rose, E. Suess & M. E. Vergara (2007). Attitudes Toward Physician-Assisted Suicide Among Physicians in Vermont. Journal of Medical Ethics 33 (7):400-403.
    Background: Legislation on physician-assisted suicide is being considered in a number of states since the passage of the Oregon Death With Dignity Act in 1994. Opinion assessment surveys have historically assessed particular subsets of physicians.Objective: To determine variables predictive of physicians’ opinions on PAS in a rural state, Vermont, USA.Design: Cross-sectional mailing survey.Participants: 1052 physicians licensed by the state of Vermont.Results: Of the respondents, 38.2% believed PAS should be legalised, 16.0% believed it should be prohibited and 26.0% (...)
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  46.  0
    Niels Lynøe (2014). Physicians’ Practices When Frustrating Patients’ Needs: A Comparative Study of Restrictiveness in Offering Abortion and Sedation Therapy. Journal of Medical Ethics 40 (5):306-309.
    In this paper it is argued that physicians’ restrictive attitudes in offering abortions during 1946–1965 in Sweden were due to their private values. The values, however, were rarely presented openly. Instead physicians’ values influenced their assessment of the facts presented—that is, the women's’ trustworthiness. In this manner the physicians were able to conceal their private values and impede the women from getting what they wanted and needed. The practice was concealed from both patients and physicians and (...)
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  47.  9
    H. M. Buiting, A. van Der Heide, B. D. Onwuteaka-Philipsen, M. L. Rurup, J. A. C. Rietjens, G. Borsboom, P. J. van Der Maas & J. J. M. van Delden (2009). Physicians' Labelling of End-of-Life Practices: A Hypothetical Case Study. Journal of Medical Ethics 36 (1):24-29.
    Objectives: To investigate why physicians label end-of-life acts as either ‘euthanasia/ending of life’ or ‘alleviation of symptoms/palliative or terminal sedation’, and to study the association of such labelling with intended reporting of these acts. Methods: Questionnaires were sent to a random, stratified sample of 2100 Dutch physicians (response: 55%). They were asked to label six hypothetical end-of-life cases: three ‘standard’ cases and three cases randomly selected (out of 47), that varied according to (1) type of medication, (2) physician’s (...)
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  48.  4
    Marie-Ange Einaudi, Catherine Gire, Pascal Auquier & Pierre Le Coz (2015). How Do Physicians Perceive Quality of Life? Ethical Questioning in Neonatology. BMC Medical Ethics 16 (1):50.
    The outcome of very preterm infants is marked by the development of complications that can have an impact on the quality of life of the children and their families. The concept of quality of life and its evaluation in the long term raise semantic and ethical problems for French physicians in perinatal care. Our reflection aims to gain a better understanding of the representations surrounding quality of life in neonatal medicine.
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  49.  4
    Eva Schaden, Petra Herczeg, Stefan Hacker, Andrea Schopper & Claus G. Krenn (2010). The Role of Advance Directives in End-of-Life Decisions in Austria: Survey of Intensive Care Physicians. [REVIEW] BMC Medical Ethics 11 (1):1-6.
    BackgroundCurrently, intensive care medicine strives to define a generally accepted way of dealing with end-of-life decisions, therapy limitation and therapy discontinuation.In 2006 a new advance directive legislation was enacted in Austria. Patients may now document their personal views regarding extension of treatment. The aim of this survey was to explore Austrian intensive care physicians' experiences with and their acceptance of the new advance directive legislation two years after enactment (2008).MethodsUnder the aegis of the OEGARI (Austrian Society of Anaesthesiology, Resuscitation (...)
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  50.  2
    G. K. Silverman, G. F. Loewenstein, B. L. Anderson, P. A. Ubel, S. Zinberg & J. Schulkin (2010). Failure to Discount for Conflict of Interest When Evaluating Medical Literature: A Randomised Trial of Physicians. Journal of Medical Ethics 36 (5):265-270.
    Context Physicians are regularly confronted with research that is funded or presented by industry. Objective To assess whether physicians discount for conflicts of interest when weighing evidence for prescribing a new drug. Design and setting Participants were presented with an abstract from a single clinical trial finding positive results for a fictitious new drug. Physicians were randomly assigned one version of a hypothetical scenario, which varied on conflict of interest: ‘presenter conflict’, ‘researcher conflict’ and ‘no conflict’. Participants (...)
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