7 found

Year:

  1.  7
    Making Medical Decisions for Incapacitated Patients Without Proxies: Part II.Eric Blackstone, Barbara J. Daly & Cynthia Griggins - 2020 - HEC Forum 32 (1):47-62.
    In the United States, there is no consensus about who should make decisions in acute but non-emergent situations for incapacitated patients who lack surrogates. For more than a decade, our academic medical center has utilized community volunteers from the hospital ethics committee to engage in shared decision-making with the medical providers for these patients. In order to add a different point of view and minimize conflict of interest, the volunteers are non-clinicians who are not employed by the hospital. Using case (...)
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  2.  18
    Differing Thresholds for Overriding Parental Refusals of Life-Sustaining Treatment.Hannah Gerdes & John Lantos - 2020 - HEC Forum 32 (1):13-20.
    When should doctors seek protective custody to override a parent’s refusal of potentially lifesaving treatment for their child? The answer to this question seemingly has different answers for different subspecialties of pediatrics. This paper specifically looks at different thresholds for physicians overriding parental refusals of life-sustaining treatment between neonatology, cardiology, and oncology. The threshold for mandating treatment of premature babies seems to be a survival rate of 25–50%. This is not the case when the treatment in question is open heart (...)
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  3.  6
    Making Medical Decisions for Incapacitated Patients Without Proxies: Part I.Cynthia Griggins, Eric Blackstone, Lauren McAliley & Barbara Daly - 2020 - HEC Forum 32 (1):33-45.
    To date no one has identified or described the population of incapacitated patients being treated in an inpatient setting who lack proxy decision-makers. Nor, despite repeated calls for protocols to be developed for decision-making, has any institution reported on the utilization of such a protocol. In 2005, our urban tertiary care hospital instituted a protocol utilizing community members of the ethics committee to meet with the medical providers and engage in shared decision-making for patients without proxies. We conducted a retrospective (...)
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  4.  6
    A Qualitative Study on Experiences and Perspectives of Members of a Dutch Medical Research Ethics Committee.Rien M. J. P. A. Janssens, Wieke E. Van der Borg, Maartje Ridder, Mariëlle Diepeveen, Benjamin Drukarch & Guy A. M. Widdershoven - 2020 - HEC Forum 32 (1):63-75.
    The aim of this research was to gain insight into the experiences and perspectives of individual members of a Medical Research Ethics Committee regarding their individual roles and possible tensions within and between these roles. We conducted a qualitative interview study among members of a large MREC, supplemented by a focus group meeting. Respondents distinguish five roles: protector, facilitator, educator, advisor and assessor. Central to the role of protector is securing valid informed consent and a proper risk-benefit analysis. The role (...)
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  5.  2
    A Qualitative Study on Experiences and Perspectives of Members of a Dutch Medical Research Ethics Committee.Rien M. J. P. A. Janssens, Wieke E. van der Borg, Maartje Ridder, Mariëlle Diepeveen, Benjamin Drukarch & Guy A. M. Widdershoven - 2020 - HEC Forum 32 (1):63-75.
    The aim of this research was to gain insight into the experiences and perspectives of individual members of a Medical Research Ethics Committee regarding their individual roles and possible tensions within and between these roles. We conducted a qualitative interview study among members of a large MREC, supplemented by a focus group meeting. Respondents distinguish five roles: protector, facilitator, educator, advisor and assessor. Central to the role of protector is securing valid informed consent and a proper risk-benefit analysis. The role (...)
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  6.  6
    Clinical Ethics Needs Assessment: Adapting Clinical Ethics to a Population Health Program.Etan Kuperberg - 2020 - HEC Forum 32 (1):21-32.
    The clinical encounter between providers and patients is insufficient: most factors influencing health outcomes occur outside the clinic. Community Health Needs Assessments address this insufficiency via collaboration between hospitals and the communities they serve to address systemic sociological-economic variables impacting health outcomes. Considering this, why are Health Care Ethics Consultation services limited to the clinical setting? We can cultivate better ethics outcomes by addressing systemic sociological-economic factors that cause recurring ethics issues in the hospital. In this article, I argue for (...)
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  7.  9
    Towards Ethically and Medically Sustainable Care for the Elderly: The Case of China.Wenye Xie & Ruiping Fan - 2020 - HEC Forum 32 (1):1-12.
    An enormous challenge facing China is how to provide sustainable care for its rapidly-increasing elderly population. Its recent policy directives include three medical forms—the institution-cooperation-form, the institution-medical-form, and the family-physician-form—to integrate medical care into ordinary care for the elderly. This essay indicates that China will not be able to maintain sustainable elderly care unless it places emphasis on the family-physician-form that focuses on family physicians and the use of primary care services. The essay constructs arguments for this policy suggestion based (...)
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