Medicine, Health Care and Philosophy 17 (3):365-375 (2014)

Authors
Guy Widdershoven
VU University Amsterdam
Abstract
The attention for Moral case deliberation has increased over the past years. Previous research on MCD is often written from the perspective of MCD experts or MCD participants and we lack a more distant view to the role of MCD in Dutch health care institutions in general. The purpose of this paper is to provide an overview of the state of the art concerning MCD in the Netherlands. As part of a larger national study on clinical ethics support in the Netherlands, we will focus on the prevalence and characteristics of MCD in Dutch health. A mixed methods design was used in which we combined two survey questionnaires, two focus groups and 17 individual interviews with top managers or ethics support staff. The findings demonstrate that the prevalence of MCD is relatively high in Dutch health care, especially in mental health care. Institutions with MCD differ from institutions without MCD concerning size, kind of problems and importance of ideological background. Characteristic of MCD is that it often exists for 3 years or more, has a high participation of health professionals and middle managers and is both organized scheduled as unscheduled. As well integration in existing policy as key persons emerge as important issues in relation to the positioning of MCD. We conclude that MCD is a part of an integrated ethics policy and serves as a catalyst for such an integrated ethics policy.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
ISBN(s)
DOI 10.1007/s11019-013-9537-6
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 50,342
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

View all 16 references / Add more references

Citations of this work BETA

View all 18 citations / Add more citations

Similar books and articles

Health Care Ethics and Health Law in the Dutch Discussion on End-of-Life Decisions: A Historical Analysis of the Dynamics and Development of Both Disciplines.Loes Kater, Rob Houtepen, Raymond De Vries & Guy Widdershoven - 2003 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 34 (4):669-684.

Analytics

Added to PP index
2016-09-07

Total views
12 ( #715,418 of 2,326,047 )

Recent downloads (6 months)
3 ( #286,727 of 2,326,047 )

How can I increase my downloads?

Downloads

My notes