26 found
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  1.  12
    Debates About Conflict of Interest in Medicine: Deconstructing a Divided Discourse.Serena Purdy, Miles Little, Christopher Mayes & Wendy Lipworth - 2017 - Journal of Bioethical Inquiry 14 (1):135-149.
    The pharmaceutical industry plays an increasingly dominant role in healthcare, raising concerns about “conflicts of interest” on the part of the medical professionals who interact with the industry. However, there is considerable disagreement over the extent to which COI is a problem and how it should be managed. Participants in debates about COI have become entrenched in their views, which is both unproductive and deeply confusing for the majority of medical professionals trying to work in an increasingly commercialized environment. We (...)
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  2.  14
    Ex Nihilo Nihil Fit? Medicine Rests on Solid Foundations.Miles Little - 2013 - Journal of Evaluation in Clinical Practice 19 (3):467-470.
    There seem to be some misunderstandings abroad in the literature about medical epistemology and person-centered medicine concerning the nature of 'modest' or aetiological foundationalism, and some vagueness about 'emergence'. This paper urges a greater tolerance for a modest, Humean variety of foundationalism, not least because it seems to offer significant support for person-centred medicine. It also suggests a closer examination of emergence as an explanation or justification for medicine, since emergence is a complex concept that does nothing to rule out (...)
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  3.  15
    Virtuous Acts as Practical Medical Ethics: An Empirical Study.Miles Little, Jill Gordon, Pippa Markham, Lucie Rychetnik & Ian Kerridge - 2011 - Journal of Evaluation in Clinical Practice 17 (5):948-953.
  4.  13
    Values‐Based Medicine and Modest Foundationalism.Miles Little, Wendy Lipworth, Jill Gordon, Pippa Markham & Ian Kerridge - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1020-1026.
  5.  9
    Overcoming Entrenched Disagreements: The Case of Misoprostol for Post‐Partum Haemorrhage.Narcyz Ghinea, Wendy Lipworth, Miles Little, Ian Kerridge & Richard Day - 2015 - Developing World Bioethics 15 (1):48-54.
    The debate about whether misoprostol should be distributed to low resource communities to prevent post-partum haemorrhage, recognised as a major cause of maternal mortality, is deeply polarised. This is in spite of stakeholders having access to the same evidence about the risks and benefits of misoprostol. To understand the disagreement, we conducted a qualitative analysis of the values underpinning debates surrounding community distribution of misoprostol. We found that different moral priorities, epistemic values, and attitudes towards uncertainty were the main factors (...)
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  6.  52
    Savior Siblings, Parenting and the Moral Valorization of Children.Kimberly Strong, Ian Kerridge & Miles Little - 2014 - Bioethics 28 (4):187-193.
    Philosophy has long been concerned with ‘moral status’. Discussions about the moral status of children, however, seem often to promote confusion rather than clarity. Using the creation of ‘savior siblings’ as an example, this paper provides a philosophical critique of the moral status of children and the moral relevance of parenting and the role that formative experience, regret and relational autonomy play in parental decisions. We suggest that parents make moral decisions that are guided by the moral significance they attach (...)
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  7.  4
    Meaning and Value in Medical School Curricula.Wendy Lipworth, Ian Kerridge, Miles Little, Jill Gordon & Pippa Markham - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1027-1035.
    Rationale, aims and objectives: Bioethics and professionalism are standard subjects in medical training programmes, and these curricula reflect particular representations of meaning and practice. It is important that these curricula cohere with the actual concerns of practicing clinicians so that students are prepared for real-world practice. We aimed to identify ethical and professional concerns that do not appear to be adequately addressed in standard curricula by comparing ethics curricula with themes that emerged from a qualitative study of medical practitioners. Method: (...)
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  8.  20
    Deriving and Critiquing an Empirically Based Framework for Pharmaceutical Ethics.Wendy Lipworth & Miles Little - 2014 - Ajob Empirical Bioethics 5 (1):23-32.
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  9.  22
    Should Biomedical Publishing Be “Opened Up”? Toward a Values-Based Peer-Review Process.Wendy Lipworth, Ian Kerridge, Stacy Carter & Miles Little - 2011 - Journal of Bioethical Inquiry 8 (3):267-280.
    Peer review of manuscripts for biomedical journals has become a subject of intense ethical debate. One of the most contentious issues is whether or not peer review should be anonymous. This study aimed to generate a rich, empirically-grounded understanding of the values held by journal editors and peer reviewers with a view to informing journal policy. Qualitative methods were used to carry out an inductive analysis of biomedical reviewers’ and editors’ values. Data was derived from in-depth, open-ended interviews with journal (...)
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  10.  6
    Ethics & Evidence in Medical Debates: The Case of Recombinant Activated Factor VII.Narcyz Ghinea, Wendy Lipworth, Ian Kerridge, Miles Little & Richard O. Day - 2014 - Hastings Center Report 44 (2):38-45.
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  11.  43
    The Role of Regret in Informed Consent.Miles Little - 2009 - Journal of Bioethical Inquiry 6 (1):49-59.
    Informed consent to medical procedures tends to be construed in terms of principle-based ethics and one or other form of expected utility theory. These constructions leave problems created by imperfect communication; subjective distress and other emotions; imperfect knowledge and incomplete understanding; complexity, and previous experience or the lack of it. There is evidence that people giving consent to therapy or to research participation act intuitively and assess consequences holistically, being influenced more by the magnitude of outcomes than their probability. People (...)
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  12.  24
    The Fivefold Root of an Ethics of Surgery.Miles Little - 2002 - Bioethics 16 (3):183–201.
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  13.  2
    Evidence, Emotion and Eminence: A Qualitative and Evaluative Analysis of Doctors’ Skills in Macroallocation.Siun Gallagher, Miles Little & Claire Hooker - forthcoming - Health Care Analysis:1-17.
    In this analysis of the ethical dimensions of doctors’ participation in macroallocation we set out to understand the skills they use, how they are acquired, and how they influence performance of the role. Using the principles of grounded moral analysis, we conducted a semi-structured interview study with Australian doctors engaged in macroallocation. We found that they performed expertise as argument, bringing together phronetic and rhetorical skills founded on communication, strategic thinking, finance, and health data. They had made significant, purposeful efforts (...)
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  14. Assisted Suicide, Suffering and the Meaning of a Life.Miles Little - 1999 - Theoretical Medicine and Bioethics 20 (3):287-298.
    The ethical problems surrounding voluntary assisted suicide remain formidable, and are unlikely to be resolved in pluralist societies. An examination of historical attitudes to suicide suggests that modernity has inherited a formidable complex of religious and moral attitudes to suicide, whether assisted or not. Advocates usually invoke the ending of intolerable suffering as one justification for euthanasia of this kind. This does not provide an adequate justification by itself, because there are (at least theoretically) methods which would relieve suffering without (...)
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  15.  14
    Doctors on Status and Respect: A Qualitative Study. [REVIEW]Wendy Lipworth, Miles Little, Pippa Markham, Jill Gordon & Ian Kerridge - 2013 - Journal of Bioethical Inquiry 10 (2):205-217.
    While doctors generally enjoy considerable status, some believe that this is increasingly threatened by consumerism, managerialism, and competition from other health professions. Research into doctors’ perceptions of the changes occurring in medicine has provided some insights into how they perceive and respond to these changes but has generally failed to distinguish clearly between concerns about “status,” related to the entitlements associated with one’s position in a social hierarchy, and concerns about “respect,” related to being held in high regard for one’s (...)
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  16.  16
    How Pharmaceutical Industry Employees Manage Competing Commitments in the Face of Public Criticism.Wendy Lipworth, Kathleen Montgomery & Miles Little - 2013 - Journal of Bioethical Inquiry 10 (3):355-367.
    The pharmaceutical industry has been criticised for pervasive misconduct. These concerns have generally resulted in increasing regulation. While such regulation is no doubt necessary, it tends to assume that everyone working for pharmaceutical companies is equally motivated by commerce, without much understanding of the specific views and experiences of those who work in different parts of the industry. In order to gain a more nuanced picture of the work that goes on in the “medical affairs” departments of pharmaceutical companies, we (...)
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  17.  10
    A Better Grounding for Person-Centered Medicine?Miles Little - 2013 - American Journal of Bioethics 13 (8):40-42.
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  18.  10
    Access to High Cost Cancer Medicines Through the Lens of an Australian Senate Inquiry—Defining the “Goods” at Stake.Narcyz Ghinea, Miles Little & Wendy Lipworth - 2017 - Journal of Bioethical Inquiry 14 (3):401-410.
    Cancer is a major burden on populations and health systems internationally. The development of innovative cancer medicines is seen as a significant part of the solution. These new cancer medicines are, however, expensive, leading to limited or delayed access and disagreements among stakeholders about which medicines to fund. There is no obvious resolution to these disagreements, with stakeholders holding firmly to divergent positions. Access to cancer medicines was recently explored in Australia in a Senate Inquiry into the Availability of New, (...)
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  19.  6
    Challenges to the Validity of Using Medicine Labels to Categorize Clinical Behavior: An Empirical and Normative Critique of “Off-Label” Prescribing.Narcyz Ghinea, Ian Kerridge, Miles Little & Wendy Lipworth - 2017 - Journal of Evaluation in Clinical Practice 23 (3):574-581.
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  20.  12
    Doctors on Values and Advocacy: A Qualitative and Evaluative Study.Siun Gallagher & Miles Little - 2017 - Health Care Analysis 25 (4):370-385.
    Doctors are increasingly enjoined by their professional organisations to involve themselves in supraclinical advocacy, which embraces activities focused on changing practice and the system in order to address the social determinants of health. The moral basis for doctors’ decisions on whether or not to do so has been the subject of little empirical research. This opportunistic qualitative study of the values of medical graduates associated with the Sydney Medical School explores the processes that contribute to doctors’ decisions about taking up (...)
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  21.  28
    In Memory of Gavin Mooney.Miles Little - 2013 - Journal of Bioethical Inquiry 10 (2):133-134.
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  22.  12
    Conflict of Interests, Vested Interests and Health Research.Miles Little - 2000 - Journal of Evaluation in Clinical Practice 6 (4):413-420.
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  23.  9
    Making Medical Knowledge by Miriam Solomon.Miles Little - 2016 - Kennedy Institute of Ethics Journal 26 (1):10-15.
    Robin Downie has distinguished between two enduring cognitive and practical attitudes that have determined the way that doctors and societies thought about medicine. The Hippocratic tradition attached its faith to empirical observation and rational induction and deduction, while the Asklepian approach was holistic, intuitive and strongly spiritual. Hippocrates sought to generalize from individual observations, to generate rules and guidelines from pooled experience. Asklepian physicians believed that cure lay in understanding the personal experience of each patient, and in providing an ambience (...)
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  24.  14
    Perhaps Medicine Is One of the Humanities?Miles Little - 2014 - Journal of Bioethical Inquiry 11 (2):265-266.
    Why on earth should literary skills, or even a love of literature, make for a better doctor? Gribble (1992) has argued that encouraging literary critical skills sharpens those specific skills but has no benefits that flow into other cognitive areas. Nussbaum (1995), per contra, has claimed that literature does indeed allow imaginative participation in situations that are ethically challenging and therefore encourages the development of phronesis, or practical wisdom. Robin Downie (1994) taught an immensely popular course on medicine and the (...)
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  25.  14
    Face, Honor and Dignity in the Context of Colon Cancer.Miles Little, Christopher F. C. Jordens, Kim Paul, Emma Sayers & Dhananjayan Sriskandarajah - 2000 - Journal of Medical Humanities 21 (4):229-243.
    Illness narratives from patients with colorectal cancer commonly record patterns of change in social relationships that follow the diagnosis and treatment of the condition. We believe that these changes are best explained as a process of facework, which reflects losses of face on the part of the patient, and which assists in the creation of new faces that convey new senses of identity. Facework is familiar in the work by E. Goffman (1955) and has been extensively reworked since his time. (...)
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  26. Тип: Статья в журнале-научная статья язык: Английский том: 11 номер: 1 год: 1997 страницы: 75-89 цит. В ринц®: 0.Carole Ulanowsky, Miles Little, Andrew Grubb, Maxwell J. Mehlman, Lennart Nordenfelt, David Lamb & Becky Cox White - 1997 - Bioethics 11 (1):75-89.
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