39 found
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  1.  6
    Duties When an Anonymous Student Health Survey Finds a Hot Spot of Suicidality.Arnold H. Levinson, M. Franci Crepeau-Hobson, Marilyn E. Coors, Jacqueline J. Glover, Daniel S. Goldberg & Matthew K. Wynia - 2020 - American Journal of Bioethics 20 (10):50-60.
    Public health agencies regularly survey randomly selected anonymous students to track drug use, sexual activities, and other risk behaviors. Students are unidentifiable, but a recent project that i...
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  2.  48
    “Doctor, Would You Prescribe a Pill to Help Me …?” A National Survey of Physicians on Using Medicine for Human Enhancement.Matthew K. Wynia, Emily E. Anderson, Kavita Shah & Timothy D. Hotze - 2011 - American Journal of Bioethics 11 (1):3 - 13.
    Using medical advances to enhance human athletic, aesthetic, and cognitive performance, rather than to treat disease, has been controversial. Little is known about physicians? experiences, views, and attitudes in this regard. We surveyed a national sample of physicians to determine how often they prescribe enhancements, their views on using medicine for enhancement, and whether they would be willing to prescribe a series of potential interventions that might be considered enhancements. We find that many physicians occasionally prescribe enhancements, but doctors hold (...)
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  3.  69
    When Pestilence Prevails Physician Responsibilities in Epidemics.Samuel J. Huber & Matthew K. Wynia - 2004 - American Journal of Bioethics 4 (1):5 – 11.
    The threat of bioterrorism, the emergence of the SARS epidemic, and a recent focus on professionalism among physicians, present a timely opportunity for a review of, and renewed commitment to, physician obligations to care for patients during epidemics. The professional obligation to care for contagious patients is part of a larger "duty to treat," which historically became accepted when 1) a risk of nosocomial infection was perceived, 2) an organized professional body existed to promote the duty, and 3) the public (...)
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  4.  4
    Comments Confirm That Student Health Surveillance Needs Ethics Guidelines to Act on Risk-Cluster Findings.Arnold H. Levinson, M. Franci Crepeau-Hobson, Jacqueline Glover, Marilyn E. Coors, Daniel S. Goldberg & Matthew K. Wynia - 2020 - American Journal of Bioethics 20 (10):W4-W7.
    Volume 20, Issue 10, October 2020, Page W4-W7.
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  5.  24
    Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement.Matthew K. Wynia, Deborah Cummins, David Fleming, Kari Karsjens, Amber Orr, James Sabin, Inger Saphire-Bernstein & Renee Witlen - 2004 - American Journal of Bioethics 4 (3):87-100.
    Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by (...)
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  6.  98
    Ethics and Public Health Emergencies: Restrictions on Liberty.Matthew K. Wynia - 2007 - American Journal of Bioethics 7 (2):1 – 5.
    Responses to public health emergencies can entail difficult decisions about restricting individual liberties to prevent the spread of disease. The quintessential example is quarantine. While isolating sick patients tends not to provoke much concern, quarantine of healthy people who only might be infected often is controversial. In fact, as the experience with severe acute respiratory syndrome (SARS) shows, the vast majority of those placed under quarantine typically don't become ill. Efforts to enforce involuntary quarantine through military or police powers also (...)
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  7.  49
    The Short History and Tenuous Future of Medical Professionalism: The Erosion of Medicine’s Social Contract.Matthew K. Wynia - 2008 - Perspectives in Biology and Medicine 51 (4):565-578.
  8.  68
    Ethics and Public Health Emergencies: Rationing Vaccines.Matthew K. Wynia - 2006 - American Journal of Bioethics 6 (6):4 – 7.
    There are three broad ethical issues related to handling public health emergencies. They are the three R's - rationing, restrictions and responsibilities. Recently, a severe shortage of annual influenza vaccine in the US, combined with the threat of pandemic flu, has provided an opportunity for policy makers to think about rationing in very concrete terms. Some lessons from annual flu vaccination likely will apply to pandemic vaccine distribution, but many preparatory decisions must be based on very rough estimates. What ethical (...)
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  9.  92
    Improving Access to Health Care: A Consensus Ethical Framework to Guide Proposals for Reform.Mark A. Levine, Matthew K. Wynia, Paul M. Schyve, J. Russell Teagarden, David A. Fleming, Sharon King Donohue, Ron J. Anderson, James Sabin & Ezekiel J. Emanuel - 2007 - Hastings Center Report 37 (5):14-19.
  10.  17
    Oversimplifications I: Physicians Don't Do Public Health.Matthew K. Wynia - 2005 - American Journal of Bioethics 5 (4):4 – 5.
    *The views in this article are the author's alone and should not be construed as policy statements of the American Medical Association.
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  11.  21
    Public Health Principlism: The Precautionary Principle and Beyond.Matthew K. Wynia - 2005 - American Journal of Bioethics 5 (3):3 – 4.
    *The views represented are the author's alone and should not be construed as representing policies of the American Medical Association.
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  12.  29
    Risk and Trust in Public Health: A Cautionary Tale.Matthew K. Wynia & American Medical Association - 2006 - American Journal of Bioethics 6 (2):3 – 6.
    *The views expressed are the author's own. This article should not be construed as representing policies of the American Medical Association.
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  13.  31
    Consequentialism and Harsh Interrogations.Matthew K. Wynia - 2005 - American Journal of Bioethics 5 (1):4 – 6.
    With this issue, we begin a regular feature on bioethics and public health. We welcome Matthew K. Wynia, M.D., M.P.H., Director of the Institute for Ethics of the American Medical Association as our new Contributing Editor. If you have comments or suggestions regarding this feature, please email us at manuscript@ bioethics.net.
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  14.  84
    Mandating Vaccination: What Counts as a "Mandate" in Public Health and When Should They Be Used?Matthew K. Wynia - 2007 - American Journal of Bioethics 7 (12):2 – 6.
    Recent arguments over whether certain public health interventions should be mandatory raise questions about what counts as a "mandate." A mandate is not the same as a mere recommendation or the standard of practice. At minimum, a mandate should require an active opt-out and there should be some penalty for refusing to abide by it. Over-loose use of the term "mandate" and the easing of opt-out provisions could eventually pose a risk to the gains that truly mandatory public health interventions, (...)
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  15.  23
    Routine Screening: Informed Consent, Stigma and the Waning of HIV Exceptionalism.Matthew K. Wynia - 2006 - American Journal of Bioethics 6 (4):5 – 8.
    The Centers for Disease Control and Prevention (CDC) recently recommended that HIV screening should become routine for all adults in the United States. Implicit in the CDC proposal is the notion that pre-test counseling would be more limited than at present, and that written informed consent to screening would no longer be required. If widely implemented, routine testing would mark a tremendous shift in the US HIV screening strategy. There are a number of considerations used to determine what screening tests (...)
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  16.  22
    Science, Faith and AIDS: The Battle Over Harm Reduction.Matthew K. Wynia - 2005 - American Journal of Bioethics 5 (2):3 – 4.
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  17.  46
    Fairness and the Public's Role in Defining Decent Benefits.Matthew K. Wynia & Susan Dorr Goold - 2011 - American Journal of Bioethics 11 (7):1 - 2.
    The American Journal of Bioethics, Volume 11, Issue 7, Page 1-2, July 2011.
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  18.  35
    Public Health, Public Trust and Lobbying.Matthew K. Wynia - 2007 - American Journal of Bioethics 7 (6):4 – 7.
    Each year, infection with Human Papillomavirus (HPV) leads to millions of abnormal Pap smears and thousands of cases of cervical cancer in the US. Throughout the developing world, where Pap smears are less common, HPV is a leading cause of cancer death among women. So when the international pharmaceutical giant Merck developed a vaccine that could prevent infection with several key strains of HPV, the public health community was anxious to celebrate a major advance. But then marketing and lobbying got (...)
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  19.  15
    Oversimplifications II: Public Health Ethics Ignores Individual Rights.Matthew K. Wynia - 2005 - American Journal of Bioethics 5 (5):6-8.
    * Disclaimer: The views expressed are the author's own. This article should not be construed as representing policies of the American Medical Association.
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  20.  26
    Ethics and Public Health Emergencies: Encouraging Responsibility.Matthew K. Wynia - 2007 - American Journal of Bioethics 7 (4):1 – 4.
    The three primary ethical challenges in preparing for public health emergencies - addressing questions of rationing, restrictions and responsibilities - all entail confronting uncertainty. But the third, considering whether people and institutions will live up to their responsibilities in a crisis, is perhaps the hardest to predict and therefore plan for. The quintessential example of a responsibility during a public health emergency is that of health care professionals' obligation to continue caring for patients during epidemics. Historically, this 'duty to treat' (...)
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  21. Physician Professionalism and Preparing for Epidemics: Challenges and Opportunities.Matthew K. Wynia, Jacob F. Kurlander & Shane K. Green - 2006 - Advances in Bioethics 9:135-161.
     
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  22.  14
    Answering the 'So What?' Question for Empirical Research in Bioethics.Matthew K. Wynia - 2009 - American Journal of Bioethics 9 (6-7):68-69.
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  23.  23
    The Social-Contract Model of Professionalism: Baby or Bath Water?Jacob E. Kurlander, Karine Morin & Matthew K. Wynia - 2004 - American Journal of Bioethics 4 (2):33-36.
  24.  12
    The Honesty Effect.Bette-Jane Crigger & Matthew K. Wynia - 2012 - Hastings Center Report 42 (3):3-3.
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  25.  20
    The Elephant in the Room: Collaboration and Competition Among Relief Organizations During High-Profile Disasters.Italo Subbarao, Matthew K. Wynia & Frederick M. Burkle Jr - 2010 - Journal of Clinical Ethics 21 (4):328.
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  26.  26
    Ethics and Heroin Prescription: No More Fuzzy Goals!Amber S. Orr & Matthew K. Wynia - 2002 - American Journal of Bioethics 2 (2):52-53.
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  27.  15
    Mercy Coming Under Strain.Matthew K. Wynia - 2004 - American Journal of Bioethics 4 (4):74-76.
  28. Survey Research in Bioethics.G. Caleb Alexander & Matthew K. Wynia - 2007 - Advances in Bioethics 11:139-160.
     
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  29.  14
    Clinical Image Consent Requirements: Variability Among Top Ten Medical Journals.Juan N. Lessing, Nicholas M. Mark, Matthew K. Wynia & Ethan Cumbler - 2019 - Journal of Academic Ethics 17 (4):423-427.
    The consent process for publication of clinical images in medical journals varies widely. The extent of this variation is not known. It is also not known whether journals follow their own stated best practices or the guidance of the International Committee of Medical Journal Editors. We assessed consent requirements in a sample of 10 top impact factor general medicine journals that publish clinical images, examining variability in consent requirements for clinical image publication and congruence of requirements with the recommendations of (...)
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  30.  23
    What is Managed Care Anyway?Abraham P. Schwab, Kelly A. Carroll & Matthew K. Wynia - 2006 - American Journal of Bioethics 6 (1):36 – 37.
    1The opinions contained in this article are those of the authors and should not be construed as policies of the American Medical Association.
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  31.  30
    A Response to Commentators on “Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement”.Matthew K. Wynia, Deborah Cummins, David Fleming, Kari Karsjens, Amber Orr, James Sabin, Inger Saphire-Bernstein & Renee Witlen - 2004 - American Journal of Bioethics 4 (3):W40-W42.
    Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by (...)
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  32.  8
    Consequentialism and Outrageous Options: Response to Commentary on “Consequentialism and Harsh Interrogations”.Matthew K. Wynia & American Medical Association* - 2006 - American Journal of Bioethics 6 (2):W37-W37.
    *Disclaimer: The views expressed are the author's and should not be ascribed to the American Medical Association.
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  33.  8
    Conflicts—and Consensus—About Conflicts of Interest in Medicine.Matthew K. Wynia & Bette–Jane Crigger - 2011 - Narrative Inquiry in Bioethics 1 (2):101-105.
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  34.  3
    Ethical Triage Demands a Better Triage Survivability Score.Matthew K. Wynia & Peter D. Sottile - 2020 - American Journal of Bioethics 20 (7):75-77.
    Volume 20, Issue 7, July 2020, Page 75-77.
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  35.  25
    Judging Public Health Research: Epistemology, Public Health and the Law.Matthew K. Wynia - 2005 - American Journal of Bioethics 5 (6):4 – 7.
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  36.  55
    Laying the Groundwork for a Defense Against Participation in Torture?Matthew K. Wynia - 2008 - Hastings Center Report 38 (1):11-13.
  37.  31
    Personal Responsibility, Public Policy, and the Economic Stimulus Plan.Matthew K. Wynia - 2009 - Hastings Center Report 39 (2):13-15.
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  38.  31
    Response to Open Peer Commentaries on “'Doctor, Would You Prescribe a Pill to Help Me…?'A National Survey of Physicians on Using Medicine for Human Enhancement”.Timothy D. Hotze, Kavita Shah, Emily E. Anderson & Matthew K. Wynia - 2011 - American Journal of Bioethics 11 (1):W1 - W3.
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  39.  16
    The Intractable and the Novel: Looking Ahead in Bioethics.Matthew K. Wynia - 2013 - American Journal of Bioethics 13 (1):11-12.
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