15 found
Order:
Disambiguations
Dick L. Willems [9]Dick Willems [6]
  1.  16
    Developments in the Practice of Physician-Assisted Dying: Perceptions of Physicians Who Had Experience with Complex Cases.Marianne C. Snijdewind, Donald G. van Tol, Bregje D. Onwuteaka-Philipsen & Dick L. Willems - 2018 - Journal of Medical Ethics 44 (5):292-296.
    Background Since the enactment of the euthanasia law in the Netherlands, there has been a lively public debate on assisted dying that may influence the way patients talk about euthanasia and physician-assisted suicide with their physicians and the way physicians experience the practice of EAS. Aim To show what developments physicians see in practice and how they perceive the influence of the public debate on the practice of EAS. Methods We conducted a secondary analysis of in-depth interviews with 28 Dutch (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  2.  33
    Can Physicians Conceive of Performing Euthanasia in Case of Psychiatric Disease, Dementia or Being Tired of Living?Eva Elizabeth Bolt, Marianne C. Snijdewind, Dick L. Willems, Agnes van der Heide & Bregje D. Onwuteaka-Philipsen - 2015 - Journal of Medical Ethics 41 (8):592-598.
  3.  2
    Complexity Perspectives on Clinical Decision Making in an Intensive Care Unit.Ben A. Bock, Dick L. Willems & Henry C. Weinstein - 2018 - Journal of Evaluation in Clinical Practice 24 (1):308-313.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  4.  17
    Parents Who Wish No Further Treatment for Their Child.Mirjam A. de Vos, Antje A. Seeber, Sjef K. M. Gevers, Albert P. Bos, Ferry Gevers & Dick L. Willems - 2015 - Journal of Medical Ethics 41 (2):195-200.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  5.  12
    The Particularity of Dignity: Relational Engagement in Care at the End of Life.Jeannette Pols, Bernike Pasveer & Dick Willems - 2018 - Medicine, Health Care and Philosophy 21 (1):89-100.
    This paper articulates dignity as relational engagement in concrete care situations. Dignity is often understood as an abstract principle that represents inherent worth of all human beings. In actual care practices, this principle has to be substantiated in order to gain meaning and inform care activities. We describe three exemplary substantiations of the principle of dignity in care: as a state or characteristic of a situation; as a way to differentiate between socio-cultural positions; or as personal meaning. We continue our (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  6.  63
    Managing One's Body Using Self-Management Techniques: Practicing Autonomy.Dick Willems - 2000 - Theoretical Medicine and Bioethics 21 (1):23-38.
    This paper discusses some of the anthropological andphilosophical features of the use of self-managementplans by patients with a chronic disease, focusing onpatients with asthma. Characteristics of thistechnologically mediated form of self-care arecontrasted with the work of Mauss and Foucault on bodytechniques and techniques of self. The similaritiesand differences between self-management of asthma andFoucault's technologies of self highlight some of theways in which self-management contributes tomodifications in the definitions of patients andphysicians. Patients, in measuring their lungfunction, first come to rely on (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  7.  20
    Solicitude: Balancing Compassion and Empowerment in a Relational Ethics of Hope—an Empirical-Ethical Study in Palliative Care.Erik Olsman, Dick Willems & Carlo Leget - 2016 - Medicine, Health Care and Philosophy 19 (1):11-20.
    The ethics of hope has often been understood as a conflict between duties: do not lie versus do not destroy hope. However, such a way of framing the ethics of hope may easily place healthcare professionals at the side of realism and patients at the side of hope. That leaves unexamined relational dimensions of hope. The objective of this study was to describe a relational ethics of hope based on the perspectives of palliative care patients, their family members and their (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  8.  78
    Technology in Medicine: Ontology, Epistemology, Ethics and Social Philosophy at the Crossroads.Rein Vos & Dick L. Willems - 2000 - Theoretical Medicine and Bioethics 21 (1):1-7.
    In reference to the different approaches in philosophy(of medicine) of the nature of (medical) technology,this article introduces the topic of this specialissue of Theoretical Medicine and Bioethics, that is,the way the different forms of medical technologyfunction in everyday medical practice. The authorselaborate on the active role technology plays inshaping our views on disease, illness, and the body,whence in shaping our world.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  9.  46
    Understanding Palliative Cancer Chemotherapy: About Shared Decisions and Shared Trajectories.Susanne J. de Kort, Jeannette Pols, Dick J. Richel, Nelleke Koedoot & Dick L. Willems - 2010 - Health Care Analysis 18 (2):164-174.
    Most models of patient-physician communication take decision-making as a central concept. However, we found that often the treatment course of metastatic cancer patients is not easy to describe in straightforward terms used in decision-making models but is instead frequently more erratic. Our aim was to analyse these processes as trajectories. We used a longitudinal case study of 13 patients with metastatic colorectal and pancreatic cancer for whom palliative chemotherapy was a treatment option, and analysed 65 semi-structured interviews. We analysed three (...)
    Direct download (9 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  10.  2
    Hearing What Cannot Be Said.Ben A. Bock & Dick L. Willems - 2020 - Journal of Evaluation in Clinical Practice 26 (2):419-424.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  11.  18
    The Contribution of the Capabilities Approach to Reconciling Culturally Competent Care and Nondiscrimination.Suzanne van de Vathorst, Dick Willems & Marie-Louise Essink-Bot - 2013 - American Journal of Bioethics 13 (8):47-48.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  12.  28
    Research Monitoring by US Medical Institutions to Protect Human Subjects: Compliance or Quality Improvement?Jean Philippe de Jong, Myra C. B. van Zwieten & Dick L. Willems - 2013 - Journal of Medical Ethics 39 (4):236-241.
    In recent years, to protect the rights and welfare of human subjects, institutions in the USA have begun to set up programmes to monitor ongoing medical research. These programmes provide routine, onsite oversight, and thus go beyond existing oversight such as investigating suspected misconduct or reviewing paperwork provided by investigators. However, because of a lack of guidelines and evidence, institutions have had little guidance in setting up their programmes. To help institutions make the right choices, we used interviews and document (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  13.  23
    Risk Detection in Individual Health Care: Any Limits?Ger Palmboom & Dick Willems - 2010 - Bioethics 24 (8):431-438.
    Background: Biomedical science is producing an avalanche of data about risk factors, often with a small predictive value, associated with a broad diversity of diseases. Prevention and screening are increasingly moving from public health into the clinic. Therefore, the question of which risk factors to investigate and disclose in the individual patient, becomes ethically increasingly urgent. In line with Wilson and Jungner's public health-related 10 principles for screening, it seems crucial to distinguish important from unimportant health risks.Aim: to explore the (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  14.  12
    Influence of Response Shift and Disposition on Patient-Reported Outcomes May Lead to Suboptimal Medical Decisions: A Medical Ethics Perspective.Iris D. Hartog, Dick L. Willems, Wilbert B. van den Hout, Michael Scherer-Rath, Tom H. Oreel, José P. S. Henriques, Pythia T. Nieuwkerk, Hanneke W. M. van Laarhoven & Mirjam A. G. Sprangers - 2019 - BMC Medical Ethics 20 (1):1-7.
    Patient-reported outcomes are frequently used for medical decision making, at the levels of both individual patient care and healthcare policy. Evidence increasingly shows that PROs may be influenced by patients’ response shifts and dispositions. We identify how response shifts and dispositions may influence medical decisions on both the levels of individual patient care and health policy. We provide examples of these influences and analyse the consequences from the perspectives of ethical principles and theories of just distribution. If influences of response (...)
    Direct download (4 more)  
    Translate
     
     
    Export citation  
     
    Bookmark  
  15.  7
    Ethical Advice for an Intensive Care Triage Protocol in the COVID-19 Pandemic: Lessons Learned From The Netherlands.Marcel Verweij, Suzanne van de Vathorst, Maartje Schermer, Dick Willems & Martine de Vries - 2020 - Public Health Ethics 13 (2):157-165.
    At the height of the COVID-19 crisis in the Netherlands a shortness of intensive care beds was looming. Dutch professional medical organizations asked a group of ethicists for assistance in drafting guidelines and criteria for selection of patients for intensive care treatment in case of absolute scarcity, when medical selection criteria would no longer suffice. This article describes the Dutch context, the process of drafting the advice and reflects on the role of ethicists and lessons learned. We argue that timely (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark