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  1. Brandom and Quine on Perspectivally Hybrid De Re Attitude Ascription: A Solution to a Problem in the Explanation of Action.Sean Crawford - 2022 - Journal of Transcendental Philosophy 3 (1):103-121.
    In Making it Explicit Robert Brandom claims that perspectivally hybrid de re attitude ascriptions explain what an agent actually did, from the point of view of the ascriber, whether or not that was what the agent intended to do. There is a well-known problem, however, first brought to attention by Quine, but curiously ignored by Brandom, that threatens to undermine the role of de re ascriptions in the explanation of action, a problem that stems directly from the fact that, unlike (...)
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  2. Conflicting Aims and Values in the Application of Smart Sensors in Geriatric Rehabilitation: Ethical Analysis.Christopher Predel, Cristian Timmermann, Frank Ursin, Marcin Orzechowski, Timo Ropinski & Florian Steger - 2022 - JMIR mHealth and uHealth 10 (6):e32910.
    Background: Smart sensors have been developed as diagnostic tools for rehabilitation to cover an increasing number of geriatric patients. They promise to enable an objective assessment of complex movement patterns. -/- Objective: This research aimed to identify and analyze the conflicting ethical values associated with smart sensors in geriatric rehabilitation and provide ethical guidance on the best use of smart sensors to all stakeholders, including technology developers, health professionals, patients, and health authorities. -/- Methods: On the basis of a systematic (...)
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  3. ‘The right not to know and the obligation to know’, response to commentaries.Ben Davies - 2020 - Journal of Medical Ethics 46 (5):309-310.
    Response to commentaries on 'The right not to know and the obligation to know'.
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  4. The right not to know and the obligation to know.Ben Davies - 2020 - Journal of Medical Ethics 46 (5):300-303.
    There is significant controversy over whether patients have a ‘right not to know’ information relevant to their health. Some arguments for limiting such a right appeal to potential burdens on others that a patient’s avoidable ignorance might generate. This paper develops this argument by extending it to cases where refusal of relevant information may generate greater demands on a publicly funded healthcare system. In such cases, patients may have an ‘obligation to know’. However, we cannot infer from the fact that (...)
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  5. The Right Not to Know: some Steps towards a Compromise.Ben Davies & Julian Savulescu - 2020 - Ethical Theory and Moral Practice 24 (1):137-150.
    There is an ongoing debate in medicine about whether patients have a ‘right not to know’ pertinent medical information, such as diagnoses of life-altering diseases. While this debate has employed various ethical concepts, probably the most widely-used by both defenders and detractors of the right is autonomy. Whereas defenders of the right not to know typically employ a ‘liberty’ conception of autonomy, according to which to be autonomous involves doing what one wants to do, opponents of the right not to (...)
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  6. Disclosure to genetic relatives without consent – Australian genetic professionals’ awareness of the health privacy law.Jane Fleming, Ainsley J. Newson, Kate Dunlop, Kristine Barlow-Stewart & Natalia Meggiolaro - 2020 - BMC Medical Ethics 21 (1):1-10.
    Background: When a genetic mutation is identified in a family member, internationally, it is usually the proband’s or another responsible family member’s role to disclose the information to at-risk relatives. However, both active and passive non-disclosure in families occurs: choosing not to communicate the information or failing to communicate the information despite intention to do so, respectively. The ethical obligations to prevent harm to at-risk relatives and promote the duty of care by genetic health professionals is in conflict with Privacy (...)
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  7. A challenge to unqualified medical confidentiality.Alexander Bozzo - 2017 - Journal of Medical Ethics 44:medethics-2017-104359.
    Medical personnel sometimes face a seeming conflict between a duty to respect patient confidentiality and a duty to warn or protect endangered third parties. The conventional answer to dilemmas of this sort is that, in certain circumstances, medical professionals have an obligation to breach confidentiality. Kenneth Kipnis has argued, however, that the conventional wisdom on the nature of medical confidentiality is mistaken. Kipnis argues that the obligation to respect patient confidentiality is unqualified or absolute, since unqualified policies can save more (...)
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  8. Mandatory Disclosure and Medical Paternalism.Emma C. Bullock - 2016 - Ethical Theory and Moral Practice 19 (2):409-424.
    Medical practitioners are duty-bound to tell their patients the truth about their medical conditions, along with the risks and benefits of proposed treatments. Some patients, however, would rather not receive medical information. A recent response to this tension has been to argue that that the disclosure of medical information is not optional. As such, patients do not have permission to refuse medical information. In this paper I argue that, depending on the context, the disclosure of medical information can undermine the (...)
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  9. Breaching confidentiality and ‘empowerment’?Coleen Lunt - 2016 - Ethics and Social Welfare 10 (1):75-81.
  10. Professional ethics in extreme circumstances: responsibilities of attending physicians and healthcare providers in hunger strikes.Nurbay Irmak - 2015 - Theoretical Medicine and Bioethics 36 (4):249-263.
    Hunger strikes potentially present a serious challenge for attending physicians. Though rare, in certain cases, a conflict can occur between the obligations of beneficence and autonomy. On the one hand, physicians have a duty to preserve life, which entails intervening in a hunger strike before the hunger striker loses his life. On the other hand, physicians’ duty to respect autonomy implies that attending physicians have to respect hunger strikers’ decisions to refuse nutrition. International medical guidelines state that physicians should follow (...)
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  11. When childhood ends: estimating the age of young people.Daniel Messelken, Johan Crouse & David T. Winkler - 2015 - British Medical Journal 315:h6699.
    Minors are increasingly reaching countries far from their homes as migrants, and their ages are often unknown. In Europe, up to 1500 people per country annually have medical examinations and procedures to estimate their chronological age.1 These procedures can cause considerable harm to individuals, particularly if performed without appropriate safeguards. Inappropriate age estimation may deter minors from applying for asylum in specific countries, and doctors may find themselves exploited in the service of migration policy. During missions, military doctors face demands (...)
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  12. Dobrodziejstwo nowoczesnych technik wspomaganej medycznie prokreacji czy problem rodziny i dziecka? Uwagi na tle projektu ustawy o leczeniu niepłodności.Jadwiga Łuczak-Wawrzyniak & Joanna Agnieszka Haberko - 2015 - Diametros 44:20-44.
    The use of assisted reproductive technology is becoming more and more common nowadays and the procedures that a few years ago would be seen as experimental have now become basic benefits. The present text covers the issues of risks and conflicts faced by family members and related with the use of technology in the process of conceiving and giving birth to a child. The authors pay special attention to the possible use of foreign germ cells in the conception of a (...)
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  13. The medical record as legal document: When can the patient dictate the content? An ethics case from the Department of Neurology.Robert Accordino, Nicholas Kopple-Perry, Nada Gligorov & Stephen Krieger - 2014 - Clinical Ethics 9 (1):53-56.
    Confidentiality of health information is increasingly relevant in the era of electronic medical records. We discuss the case of a hospitalized patient who requested a neurology consultation for an episode he described as an “LSD-like” flashback. The patient expressed concern that the episode was a residual effect of past drug use, but subsequently requested that his drug use not be documented. Involved in a custody battle, he feared that if his records were released to the court he could lose custody (...)
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  14. L'invention des maladies à but lucratif [On disease mongering].Rosangela Barcaro - 2014 - Arc En Ciel. La Revue de Nouveaux Droits de L’Homme (72):24-25.
  15. How Bioethics Principles Can Aid Design of Electronic Health Records to Accommodate Patient Granular Control.Eric M. Meslin & Peter H. Schwartz - 2014 - Journal of General Internal Medicine 30 (1):3-6.
    Ethics should guide the design of electronic health records (EHR), and recognized principles of bioethics can play an important role. This approach was adopted recently by a team of informaticists designing and testing a system where patients exert granular control over who views their personal health information. While this method of building ethics in from the start of the design process has significant benefits, questions remain about how useful the application of bioethics principles can be in this process, especially when (...)
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  16. Book review: Privacy, Confidentiality, and Health Research, written by William H. Lowrance. [REVIEW]Peter G. N. West-Oram - 2014 - European Journal of Health Law 21 (2): 233 – 237.
  17. The Risks of Absolute Medical Confidentiality.M. A. Crook - 2013 - Science and Engineering Ethics 19 (1):107-122.
    Some ethicists argue that patient confidentiality is absolute and thus should never be broken. I examine these arguments that when critically scrutinised, become porous. I will explore the concept of patient confidentiality and argue that although, this is a very important medical and bioethical issue, this needs to be wisely delivered to reduce third party harm or even detriment to the patient. The argument for absolute confidentiality is particularly weak when it comes to genetic information and inherited disease.
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  18. The truth about the truth: What matters when privacy and anonymity can no longer be promised to those who participate in clinical trial research?Ann Freeman Cook & Helena Hoas - 2013 - Research Ethics 9 (3):97-108.
    The ramifications of including genetic components in the clinical studies conducted in non-academic settings create unique ethical challenges. We used a qualitative research design consisting of semi-structured interviews that took place between October 2010 and September 2012. The sample consisted of 80 participants − 38 physicians and 42 coordinators − who worked across a number of different settings, including clinics, private practices, small hospitals, free standing research centers, and blended hospital-institutes in both rural and urban communities in 13 states across (...)
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  19. Giving patients granular control of personal health information: Using an ethics ‘Points to Consider’ to inform informatics system designers.Eric M. Meslin, Sheri A. Alpert, Aaron E. Carroll, Jere D. Odell, William M. Tierney & Peter H. Schwartz - 2013 - International Journal of Medical Informatics 82:1136-1143.
    Objective: There are benefits and risks of giving patients more granular control of their personal health information in electronic health record (EHR) systems. When designing EHR systems and policies, informaticists and system developers must balance these benefits and risks. Ethical considerations should be an explicit part of this balancing. Our objective was to develop a structured ethics framework to accomplish this. -/- Methods: We reviewed existing literature on the ethical and policy issues, developed an ethics framework called a “Points to (...)
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  20. Communicating About Communicable Diseases on Facebook: Whisper, Don't Shout.David Shaw - 2013 - Public Health Ethics (1):pht031.
    Mandeville and colleagues describe a fascinating case where Facebook was used to warn potential contacts that their acquaintance had a communicable disease (Mandeville et al., 2013). They are correct that this case raises important issues about social media, confidentiality and the prevention of harm. However, they underestimate both the dangers of overcommunication via Wall and Timeline postings (and Twitter) and the potential utility of Facebook in cases like this one. Increased awareness of Facebook functionality will allow more accurate targeting of (...)
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  21. Global bioethics as modern medical ethics.Svitlana Pustovit & Liudmyla Paliei - 2012 - Ethics and Bioethics (in Central Europe) 2 (3-4):166-171.
    The paper argues in favor of bioethics as an alternative to traditional medical ethics. Relations between the patient and the doctor placed in the bioethical context are considered as a part of more general, global issues: relations between clients, customers, various (including non-medical) services and the professional medical community and society in general, world-renowned scientists and the international community. Medical ethics is seen in the wider expanse of diverse economic, political and cultural relations not only in terms of responsibilities but (...)
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  22. Health Reform and the Preservation of Confidential Health Care for Young Adults.Lauren Slive & Ryan Cramer - 2012 - Journal of Law, Medicine and Ethics 40 (2):383-390.
    A major issue facing the health of young adults in the United States is the often unintentional lack of confidentiality maintained in the provision of sensitive health services. Of primary concern is that young adults who remain on their parents' health insurance plans forgo Sexually Transmitted Infection screening and treatment, as well as other sensitive services such as family planning services and mental health treatment out of a concern that explanation of benefit forms from such services will inform their parents, (...)
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  23. Disclosure of terminal illness to patients and families: diversity of governing codes in 14 Islamic countries.H. E. Abdulhameed, M. M. Hammami & E. A. Hameed Mohamed - 2011 - Journal of Medical Ethics 37 (8):472-475.
    Background The consistency of codes governing disclosure of terminal illness to patients and families in Islamic countries has not been studied until now. Objectives To review available codes on disclosure of terminal illness in Islamic countries. Data source and extraction Data were extracted through searches on Google and PubMed. Codes related to disclosure of terminal illness to patients or families were abstracted, and then classified independently by the three authors. Data synthesis Codes for 14 Islamic countries were located. Five codes (...)
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  24. Disclosure of terminal illness to patients and families: diversity of governing codes in 14 Islamic countries.Hunida E. Abdulhameed, Muhammad M. Hammami & Elbushra A. Hameed Mohamed - 2011 - Journal of Medical Ethics 37 (8):472-475.
  25. Commercial Speech Bruises Health Privacy in the Supreme Court.Anita L. Allen - 2011 - Hastings Center Report 41 (6):8-9.
    Heath services come with the promise of confidentiality.1 The ethical mandate to safeguard the confidentiality of personal health information aligns with legal mandates to do the same. Numerous state and federal laws demand one form of health data confidentiality or another, best illustrated by the Health Insurance Portability and Accountability Act.2 In early 2011, the Department of Health and Human Services decided to take a tougher stand against HIPAA violators, utilizing powers created by the Health Information Technology for Economic and (...)
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  26. When Public Health and Genetic Privacy Collide: Positive and Normative Theories Explaining How ACA's Expansion of Corporate Wellness Programs Conflicts with GINA's Privacy Rules.Jennifer S. Bard - 2011 - Journal of Law, Medicine and Ethics 39 (3):469-487.
    The Patient Protection and Affordable Care Act of 2010 (ACA) contains many provisions intended to increase access to and lower the cost of health care by adopting public health measures. One of these promotes the use of at-work wellness programs by both providing employers with grants to develop these programs and also increasing their ability to tie the price employees pay for health insurance for participating in these programs and meeting specific health goals. Yet despite ACA's specific alteration of three (...)
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  27. Human Tissue Research. A European perspective on the ethical and legal challenges.Christian Lenk, Nils Hoppe, Katharian Beier & Claudia Wiesemann (eds.) - 2011 - Oxford University Press.
    It will be of value to medics and social scientists, human tissue researchers, and policy makers who have an interest in ethical and legal issues of human tissue research.
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  28. Saying Privacy, Meaning Confidentiality.Abraham P. Schwab, Lily Frank & Nada Gligorov - 2011 - American Journal of Bioethics 11 (11):44-45.
    The American Journal of Bioethics, Volume 11, Issue 11, Page 44-45, November 2011.
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  29. Collection, storage and use of blood samples for future research: views of Egyptian patients expressed in a cross-sectional survey.A. Abou-Zeid, H. Silverman, M. Shehata, M. Shams, M. Elshabrawy, T. Hifnawy, S. A. Rahman, B. Galal, H. Sleem, N. Mikhail & N. Moharram - 2010 - Journal of Medical Ethics 36 (9):539-547.
    Objective To determine the attitudes of Egyptian patients regarding their participation in research and with the collection, storage and future use of blood samples for research purposes. Design Cross-sectional survey. Study population Adult Egyptian patients (n=600) at rural and urban hospitals and clinics. Results Less than half of the study population (44.3%) felt that informed consent forms should provide research participants the option to have their blood samples stored for future research. Of these participants, 39.9% thought that consent forms should (...)
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  30. Transatlantic Issues: Report from Scotland.David M. Shaw - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (3):310-320.
    Several bioethical topics received a great deal of news coverage here in Scotland in 2009. Three important issues with transatlantic connections are the swine flu outbreak, which was handled very differently in Scotland, England and America; the US debate over healthcare reform, which drew the British NHS into the controversy; and the release to Libya of the Lockerbie bomber, which at first glance might not seem particularly bioethical, but which actually hinged on the very public discussion of the prisoner’s medical (...)
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  31. Dentistry and the ethics of infection.David Shaw - 2008 - Journal of Medical Ethics 34 (3):184-187.
    Currently, any dentist in the UK who is HIV-seropositive must stop treating patients. This is despite the fact that hepatitis B-infected dentists with a low viral load can continue to practise, and the fact that HIV is 100 times less infectious than hepatitis B. Dentists are obliged to treat HIV-positive patients, but are obliged not to treat any patients if they themselves are HIV-positive. Furthermore, prospective dental students are now screened for hepatitis B and C and HIV, and are not (...)
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  32. Intimité et secret médical. Interprétation philosophique des rapports entre éthique et droit.Maël Lemoine - 2007 - Médecine et Droit 2007 (84):73-79.
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  33. Rare but routine: The physician's obligation to protect third parties.Elmer D. Abbo & Angelo E. Volandes - 2006 - American Journal of Bioethics 6 (2):34 – 36.
    Kenneth Kipnis (2006) presents a normative defense of strict confidentiality, but it follows from an empirical claim that allowing breach would result in all parties being worse off, including, par...
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  34. Confidentiality in professional medical ethics.Robert Baker - 2006 - American Journal of Bioethics 6 (2):39 – 41.
    In his deftly argued, “A Defense of Unqualified Confidentiality” (Kipnis 2006), Kenneth Kipnis challenges the received view that a physician's duty of confidentiality must be balanced against a dut...
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  35. Should confidentiality in medicine be absolute?John Balint - 2006 - American Journal of Bioethics 6 (2):19 – 20.
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  36. Articles: The problem of privacy in transcultural research: Reflections on an ethnographic study in Sri lanka.Bardia Monshi & Verena Zieglmayer - 2004 - Ethics and Behavior 14 (4):305 – 312.
    Western laws and codes of ethics frequently require that private health information be treated confidentially. However, cross-cultural research shows that it is not always easy to determine what members of a culture consider to be private or how they wish private information to be handled. This article begins by presenting an ethnographic study of patient-healer relationships in Sri Lanka; researchers were surprised to find that participants' views of health and privacy differed greatly from typical Western views, and that the privacy (...)
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  37. Lethal Sex.Elliot D. Cohen - 2003 - International Journal of Applied Philosophy 17 (2):253-265.
    Confidentiality in psychological counseling is necessary if clients are to feel comfortable in revealing their darkest secrets. But this bond of trust has its moral limits. These limits are crossed in some cases in which HIV positive clients are sexually active with unsuspecting third parties. Distinguishing between Type 1 and Type 2 cases, the author shows how he has used applied ethics in drafting and defending a model rule for the American Counseling Association’s Code of Ethics that permits, and sometimes (...)
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  38. Confidentiality in End-of-Life and After-Death Situations.Rebekah J. Bardash, Caroline Burke & James L. Werth - 2002 - Ethics and Behavior 12 (3):205-222.
    Confidentiality is one of the foundations on which psychotherapy is built. Limitations on confidentiality in the therapeutic process have been explained and explored by many authors and organizations. However, controversy and confusion continue to exist with regard to the limitations on confidentiality in situations where clients are considering their options at the end of life and after a client has died. This article reviews these 2 areas and provides some suggestions for future research.
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  39. Confidentiality, General Issues of.M. B. Armstrong - 1998 - In Ruth Chadwick (ed.), Encyclopedia of Applied Ethics. Academic Press, California. pp. 579-582.
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  40. Teaching medical ethics and law within medical education: a model for the UK core curriculum.Richard Ashcroft & Donna Dickenson - 1998 - Journal of Medical Ethics 24:188-192.
  41. Health Care Law—Health Care Confidentiality: Recent Legal Developments in Canada and Australia.Susanna Ford - 1996 - Health Care Analysis 4 (2):157-163.
  42. Principles of biomedical ethics / Tom L. Beauchamp, James F. Childress.Tom L. Beauchamp - 1994 - New York: Oxford University Press. Edited by James F. Childress.
  43. The right to know and the right to privacy: confidentiality, HIV and health care professionals.D. Dickenson - 1994 - Nursing Ethics 1 (2):111-115.
    This article uses a case study to examine the conflicting rights of the patient to know a clinician;s HIV status and the clinician's right to privacy.
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  44. HIV-Infected psychiatric patients: Beyond confidentiality.Ruth Macklin - 1991 - Ethics and Behavior 1 (1):3 – 20.
    The AIDS epidemic calls for an ethical analysis of conflicting obligations surrounding HIV-infected psychiatric patients and confidentiality, as well as issues that go beyond confidentiality. Although laws pertaining to HIV infection have been enacted in a number of states, these statutes leave much discretion to health professionals. The ethical principle known as "the harm principle" can permit disclosure of confidential information and detention or isolation of psychiatric patients who pose a threat of infecting other patients. From an ethical point of (...)
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  45. Confidentiality and Huntington's chorea.J. Adams - 1990 - Journal of Medical Ethics 16 (4):196-199.
    A doctor has duties towards his patients of both confidentiality and veracity and at times these may conflict, as in the following case. A mother who has the symptoms of Huntington's chorea does not wish her daughters to know. The doctor must try to make her realise how valuable the information can be to the daughters, and thus obtain her consent to inform them. If the mother's consent cannot be obtained, then the doctor must tell the mother that he cannot (...)
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  46. Is There a Pharmacist-Patient Privilege?David B. Brushwood - 1984 - Journal of Law, Medicine and Ethics 12 (2):63-67.
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  47. The Importance of Patient Privacy.Thomas E. Cargill - 1984 - Journal of Law, Medicine and Ethics 12 (1):2-2.
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  48. Patient Access to Medical Records.George J. Annas, Daryl Matthews & Leonard H. Glantz - 1980 - Journal of Law, Medicine and Ethics 8 (2):17-18.
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  49. Principles of biomedical ethics.Tom L. Beauchamp - 1979 - New York: Oxford University Press. Edited by James F. Childress.
    Over the course of its first seven editions, Principles of Biomedical Ethics has proved to be, globally, the most widely used, authored work in biomedical ethics. It is unique in being a book in bioethics used in numerous disciplines for purposes of instruction in bioethics. Its framework of moral principles is authoritative for many professional associations and biomedical institutions-for instruction in both clinical ethics and research ethics. It has been widely used in several disciplines for purposes of teaching in the (...)
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  50. A discourse upon the duties of a physician: with some sentiments, on the usefulness and necessity of a public hospital: delivered before the president and governors of King' College, held on the 16th of May 1769: as advice to those gentlemen who then received the first medical degrees conferred by that university.Samuel Bard - 1769 - Bedford, Mass.: Applewood Books.
    This classic essay on the responsibilities of a doctor was first published in New York in 1769. It remains a perfect gift for a young doctor just starting out or for one who is older and wiser. This classic will be an inspiration to any who read its timeless message.
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