10 found
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  1.  19
    After the DNR: Surrogates Who Persist in Requesting Cardiopulmonary Resuscitation.Ellen M. Robinson, Wendy Cadge, Angelika A. Zollfrank, M. Cornelia Cremens & Andrew M. Courtwright - 2017 - Hastings Center Report 47 (1):10-19.
    Some health care organizations allow physicians to withhold cardiopulmonary resuscitation from a patient, despite patient or surrogate requests that it be provided, when they believe it will be more harmful than beneficial. Such cases usually involve patients with terminal diagnoses whose medical teams argue that aggressive treatments are medically inappropriate or likely to be harmful. Although there is state-to-state variability and a considerable judicial gray area about the conditions and mechanisms for refusals to perform CPR, medical teams typically follow a (...)
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  2.  7
    An Ethical Framework for the Care of Patients with Prolonged Hospitalization Following Lung Transplantation.Andrew M. Courtwright, Emily Rubin, Ellen M. Robinson, Souheil El-Chemaly, Daniela Lamas, Joshua M. Diamond & Hilary J. Goldberg - 2019 - HEC Forum 31 (1):49-62.
    The lung allocation score system in the United States and several European countries gives more weight to risk of death without transplantation than to survival following transplantation. As a result, centers transplant sicker patients, leading to increased length of initial hospitalization. The care of patients who have accumulated functional deficits or additional organ dysfunction during their prolonged stay can be ethically complex. Disagreement occurs between the transplant team, patients and families, and non-transplant health care professionals over the burdens of ongoing (...)
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  3.  33
    Ethics Committee Consultation Due to Conflict Over Life-Sustaining Treatment: A Sociodemographic Investigation.Andrew M. Courtwright, Frederic Romain, Ellen M. Robinson & Eric L. Krakauer - 2016 - Ajob Empirical Bioethics 7 (4):220-226.
  4.  5
    The Role of a Hospital Ethics Consultation Service in Decision-Making for Unrepresented Patients.Andrew M. Courtwright, Joshua Abrams & Ellen M. Robinson - 2017 - Journal of Bioethical Inquiry 14 (2):241-250.
    Despite increased calls for hospital ethics committees to serve as default decision-makers about life-sustaining treatment for unrepresented patients who lack decision-making capacity or a surrogate decision-maker and whose wishes regarding medical care are not known, little is known about how committees currently function in these cases. This was a retrospective cohort study of all ethics committee consultations involving decision-making about LST for unrepresented patients at a large academic hospital from 2007 to 2013. There were 310 ethics committee consultations, twenty-five of (...)
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  5.  59
    Justice, Stigma, and the New Epidemiology of Health Disparities.Andrew M. Courtwright - 2009 - Bioethics 23 (2):90-96.
    Recent research in epidemiology has identified a number of factors beyond access to medical care that contribute to health disparities. Among the so-called socioeconomic determinants of health are income, education, and the distribution of social capital. One factor that has been overlooked in this discussion is the effect that stigmatization can have on health. In this paper, I identify two ways that social stigma can create health disparities: directly by impacting health-care seeking behaviour and indirectly through the internalization of negative (...)
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  6.  54
    Justice, Health, and Status.Andrew M. Courtwright - 2007 - Theoria 54 (112):1-24.
    Philosophical and political discussions of health inequalities have largely focused on questions of justice. The general strategy employed by philosophers like Norman Daniels is to identify a certain state of affairs—in his case, equality of opportunity—and then argue that health disparities limiting an individual's or group's access to that condition are unjust, demanding intervention. Recent work in epidemiology, however, has highlighted the importance of socioeconomic status in creating health inequalities. I explore the ways in which theories of justice have been (...)
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  7.  2
    Ethics Consultation for Adult Solid Organ Transplantation Candidates and Recipients: A Single Centre Experience.Andrew M. Courtwright, Kim S. Erler, Julia I. Bandini, Mary Zwirner, M. Cornelia Cremens, Thomas H. McCoy, Ellen M. Robinson & Emily Rubin - forthcoming - Journal of Bioethical Inquiry:1-13.
    Systematic study of the intersection of ethics consultation services and solid organ transplants and recipients can identify and illustrate ethical issues that arise in the clinical care of these patients, including challenges beyond resource allocation. This was a single-centre, retrospective cohort study of all adult ethics consultations between January 1, 2007, and December 31, 2017, at a large academic medical centre in the north-eastern United States. Of the 880 ethics consultations, sixty involved solid organ transplant, thirty-nine for candidates and twenty-one (...)
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  8.  2
    Experience with a Revised Hospital Policy on Not Offering Cardiopulmonary Resuscitation.Andrew M. Courtwright, Emily Rubin, Kimberly S. Erler, Julia I. Bandini, Mary Zwirner, M. Cornelia Cremens, Thomas H. McCoy & Ellen M. Robinson - forthcoming - HEC Forum:1-16.
    Critical care society guidelines recommend that ethics committees mediate intractable conflict over potentially inappropriate treatment, including Do Not Resuscitate status. There are, however, limited data on cases and circumstances in which ethics consultants recommend not offering cardiopulmonary resuscitation despite patient or surrogate requests and whether physicians follow these recommendations. This was a retrospective cohort of all adult patients at a large academic medical center for whom an ethics consult was requested for disagreement over DNR status. Patient demographic predictors of ethics (...)
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  9.  6
    Justice, Health, and Status.Andrew M. Courtwright - 2007 - Theoria 54 (112):1-24.
    Philosophical and political discussions of health inequalities have largely focused on questions of justice. The general strategy employed by philosophers like Norman Daniels is to identify a certain state of affairs—in his case, equality of opportunity—and then argue that health disparities limiting an individual's or group's access to that condition are unjust, demanding intervention. Recent work in epidemiology, however, has highlighted the importance of socioeconomic status in creating health inequalities. I explore the ways in which theories of justice have been (...)
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  10.  4
    When Exclusion Criteria Are Appropriate.Andrew M. Courtwright - 2020 - American Journal of Bioethics 20 (7):158-160.
    Volume 20, Issue 7, July 2020, Page 158-160.
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