63 found
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  1.  31
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):623-633.
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  2.  18
    Physicians’ Personal Values in Determining Medical Decision-Making Capacity: A Survey Study.Helena Hermann, Manuel Trachsel & Nikola Biller-Andorno - 2015 - Journal of Medical Ethics 41 (9):739-744.
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  3.  33
    Ethical Challenges of Simulation-Driven Big Neuroscience.Markus Christen, Nikola Biller-Andorno, Berit Bringedal, Kevin Grimes, Julian Savulescu & Henrik Walter - 2016 - American Journal of Bioethics Neuroscience 7 (1):5-17.
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  4. By Author.Nikola Biller-Andorno, Alexander Morgan, Andrea Boggio, Alex See Capron & Mark T. Brown - 2009 - Kennedy Institute of Ethics Journal 19 (4):415-418.
  5.  78
    Lehrziele "Medizinethik im Medizinstudium".Claudia Wiesemann, Andreas Frewer, Gerald Neitzke & Nikola Biller-Andorno - 2003 - Ethik in der Medizin 15 (2):117-121.
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  6.  8
    “I Don’T Want to Do Anything Bad.” Perspectives on Scientific Responsibility: Results From a Qualitative Interview Study with Senior Scientists.Sebastian Wäscher, Nikola Biller-Andorno & Anna Deplazes-Zemp - forthcoming - NanoEthics:1-19.
    This paper presents scientists’ understanding of their roles in society and corresponding responsibilities. It discusses the researchers’ perspective against the background of the contemporary literature on scientific responsibility in the social sciences and philosophy and proposes a heuristic that improves the understanding of the complexity of scientific responsibility. The study is based on qualitative interviews with senior scientists. The presented results show what researchers themselves see as their responsibilities, how they assume them, and what challenges they perceive with respect to (...)
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  7.  22
    Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments.Helena Hermann, Manuel Trachsel, Bernice S. Elger & Nikola Biller-Andorno - 2016 - Frontiers in Psychology 7.
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  8.  41
    Ethics: Would You Sell a Kidney in a Regulated Kidney Market? Results of an Exploratory Study.Annette Rid, Lucas Bachmann, Vincent Wettstein & Nikola Biller-Andorno - 2009 - Journal of Medical Ethics 35 (9):558-564.
    Background: It is often claimed that a regulated kidney market would significantly reduce the kidney shortage, thus saving or improving many lives. Data are lacking, however, on how many people would consider selling a kidney in such a market. Methods: A survey instrument, developed to assess behavioural dispositions to and attitudes about a hypothetical regulated kidney market, was given to Swiss third-year medical students. Results: Respondents’ median age was 23 years. Their socioeconomic status was high or middle. 48 considered selling (...)
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  9.  4
    Towards a Broader Understanding of Agency in Biomedical Ethics.Rodrigo López Barreda, Manuel Trachsel & Nikola Biller-Andorno - 2016 - Medicine, Health Care and Philosophy 19 (3):475-483.
    With advances in medical science, the concept of agency has received increasing attention in biomedical ethics. However, most of the ethical discussion around definitions of agency has focused either on patients suffering from mental disorders or on patients receiving cutting-edge medical treatments in developed countries. Very little of the discussion around concepts of agency has focused on the situation of patients suffering from common diseases that affect populations worldwide. Therefore, the most widely-used definitions of agency may be not appropriate to (...)
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  10.  52
    Different Understandings of Life as an Opportunity to Enrich the Debate About Synthetic Biology.Nikola Biller-Andorno, Daniel Gregorowius & Anna Deplazes-Zemp - 2015 - NanoEthics 9 (2):179-188.
    Comments and reports on synthetic biology often focus on the idea that this field may lead to synthetic life or life forms. Such claims attract general attention because “life” is a basic concept that is understood, interpreted and explained in multiple ways. While these different understandings of life may influence the ethical assessment of synthetic biology by experts and the public, this field might, in turn, influence how academics or the public view life. We suggest in this paper that synthetic (...)
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  11.  8
    Nanomedicine–Emerging or Re-Emerging Ethical Issues? A Discussion of Four Ethical Themes.Christian Lenk & Nikola Biller-Andorno - 2007 - Medicine, Health Care and Philosophy 10 (2):173-184.
    Nanomedicine plays a prominent role among emerging technologies. The spectrum of potential applications is as broad as it is promising. It includes the use of nanoparticles and nanodevices for diagnostics, targeted drug delivery in the human body, the production of new therapeutic materials as well as nanorobots or nanoprotheses. Funding agencies are investing large sums in the development of this area, among them the European Commission, which has launched a large network for life-sciences related nanotechnology. At the same time government (...)
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  12.  30
    Compulsory Treatment in Chronic Anorexia Nervosa by All Means? Searching for a Middle Ground Between a Curative and a Palliative Approach.Manuel Trachsel, Verina Wild, Nikola Biller-Andorno & Tanja Krones - 2015 - American Journal of Bioethics 15 (7):55-56.
  13.  20
    The Contribution of Kantian Moral Theory to Contemporary Medical Ethics: A Critical Analysis.Friedrich Heubel & Nikola Biller-Andorno - 2005 - Medicine, Health Care and Philosophy 8 (1):5-18.
    Kantian deontology is one of three classic moral theories, among virtue ethics and consequentialism. Issues in medical ethics are frequently addressed within a Kantian paradigm, at least – although not exclusively – in European medical ethics. At the same time, critical voices have pointed to deficits of Kantian moral philosophy which must be examined and discussed. It is argued that taking concrete situations and complex relationships into account is of paramount importance in medical ethics. Encounters between medical or nursing staff (...)
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  14. Applying Evidence to Support Ethical Decisions: Is the Placebo Really Powerless?Prof Dr Franz Porzsolt, Nicole Scholtz-Gorton, Nikola Biller-Andorno, Anke Thim, Karin Meissner, Irmgard Roeckl-Wiedmann, Barbara Herzberger, Renatus Ziegler, Wilhelm Gaus & Ernst Pöppel - 2004 - Science and Engineering Ethics 10 (1):119-132.
    Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and “knowledge framing”. While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing — which is only conceptually different from placebo — is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the (...)
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  15. Ethical Norms and the International Governance of Genetic Databases and Biobanks: Findings From an International Study.Capron Alexander Morgan, Mauron Alexandre, Elger Bernice Simone, Boggio Andrea, Ganguli-Mitra Agomoni & Biller-Andorno Nikola - 2009 - Kennedy Institute of Ethics Journal 19 (2):101-124.
  16.  12
    Is Selecting Better Than Modifying? An Investigation of Arguments Against Germline Gene Editing as Compared to Preimplantation Genetic Diagnosis.Alix Lenia V. Hammerstein, Matthias Eggel & Nikola Biller-Andorno - 2019 - BMC Medical Ethics 20 (1):1-13.
    Recent scientific advances in the field of gene editing have led to a renewed discussion on the moral acceptability of human germline modifications. Gene editing methods can be used on human embryos and gametes in order to change DNA sequences that are associated with diseases. Modifying the human germline, however, is currently illegal in many countries but has been suggested as a ‘last resort’ option in some reports. In contrast, preimplantation genetic diagnosis is now a well-established practice within reproductive medicine. (...)
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  17.  48
    Gender Imbalance in Living Organ Donation.Nikola Biller-Andorno - 2002 - Medicine, Health Care and Philosophy 5 (2):199-203.
    Living organ donation has developed into an important therapeutic option in transplantation medicine. However, there are some medico-ethical problems that come along with the increasing reliance on this organ source. One of these concerns is based on the observation that many more women than men function as living organ donors. Whereas discrimination and differential access have been extensively discussed in the context of cadaveric transplantation and other areas of health care, the issue of gender imbalance in living organ donation has (...)
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  18. Who Shall Be Allowed to Give? Living Organ Donors and the Concept of Autonomy.Nikola Biller-Andorno, George J. Agich, Karen Doepkens & Henning Schauenburg - 2001 - Theoretical Medicine and Bioethics 22 (4):351-368.
    Free and informed consent is generally acknowledged as the legal andethical basis for living organ donation, but assessments of livingdonors are not always an easy matter. Sometimes it is necessary toinvolve psychosomatics or ethics consultation to evaluate a prospectivedonor to make certain that the requirements for a voluntary andautonomous decision are met. The paper focuses on the conceptualquestions underlying this evaluation process. In order to illustrate howdifferent views of autonomy influence the decision if a donor's offer isethically acceptable, three cases (...)
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  19.  3
    Decision-Making Capacity: From Testing to Evaluation.Helena Hermann, Martin Feuz, Manuel Trachsel & Nikola Biller-Andorno - forthcoming - Medicine, Health Care and Philosophy.
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  20.  11
    Accounting for Intuition in Decision-Making Capacity: Rethinking the Reasoning Standard?Helena Hermann, Manuel Trachsel & Nikola Biller-Andorno - 2017 - Philosophy, Psychiatry, and Psychology 24 (4):313-324.
    A patient’s decision-making capacity or competence is among the prerequisites for valid consent to medical treatment, and is regarded as the gatekeeping element in ensuring respect for patients’ self-determination. The issue is especially relevant in the case of vulnerable persons, such as patients who are cognitively or mentally impaired, and where medical decisions carry far-reaching consequences. As a grounding principle, DMC is a priori assumed, and challenged only when substantial doubts arise owing to observed or assumed deficiencies of the capacities (...)
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  21.  4
    The Affordable Care Act and Recent Reforms: Policy Implications for Equitable Mental Health Care Delivery.Joelle Robertson-Preidler, Manuel Trachsel, Tricia Johnson & Nikola Biller-Andorno - forthcoming - Health Care Analysis:1-21.
    Controversy exists over how to ethically distribute health care resources and which factors should determine access to health care services. Although the US has traditionally used a market-based private insurance model that does not ensure universal coverage, the Patient Protection and Affordable Care Act in the United States aims to increase equitable access to health care by increasing the accessibility, affordability, and quality of health care services. This article evaluates the impact of the ACA on equitable mental health care delivery (...)
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  22.  38
    Evidence-Based Medicine as an Instrument for Rational Health Policy.Nikola Biller-Andorno, Reidar K. Lie & Ruud Ter Meulen - 2002 - Health Care Analysis 10 (3):261-275.
    This article tries to present a broad view on the values and ethicalissues that are at stake in efforts to rationalize health policy on thebasis of economic evaluations (like cost-effectiveness analysis) andrandomly controlled clinical trials. Though such a rationalization isgenerally seen as an objective and `value free' process, moral valuesoften play a hidden role, not only in the production of `evidence', butalso in the way this evidence is used in policy making. For example, thedefinition of effectiveness of medical treatment or (...)
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  23.  52
    Vulnerability and Exploitation in a Globalized World.Agomoni Ganguli Mitra & Nikola Biller-Andorno - 2013 - International Journal of Feminist Approaches to Bioethics 6 (1):91-102.
    Concerns arising from global sociopolitical differences, and increasing economic and health disparities, have brought new considerations to the field of bioethics, both in terms of applications and to foundational concepts such as exploitation and vulnerability.In this paper, we aim to contribute to the discourse on exploitation and vulnerability in a way that reflects such global changes. We will explore the link between vulnerability and exploitation, and argue that exploitation can be understood as taking advantage of vulnerabilities, provided we recognize that (...)
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  24.  27
    Iab Presidential Address: Bioethics in a Globalized World – Creating Space for Flourishing Human Relationships.Nikola Biller-Andorno - 2011 - Bioethics 25 (8):430-436.
    Bioethics in a globalized world is meeting a number of challenges – fundamentalism in its different forms, and a focus on economic growth neglecting issues such as equity and sustainability, being prominent among them. How well are we as bioethicists equipped to make meaningful contributions in these times? The paper identifies a number of restraints and proceeds to probe potential resources such as the capability approach, care ethics, cosmopolitanism, and pragmatism. These elements serve to outline a perspective that focuses on (...)
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  25.  18
    Vulnerability and Exploitation in a Globalized World.Agomoni Ganguli Mitra & Nikola Biller-Andorno - 2013 - International Journal of Feminist Approaches to Bioethics 6 (1):91-102.
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  26.  26
    Das ELSI-Programm des U.S.-Amerikanischen Humangenomprojekts – Neue Perspektiven Für Die Medizinethik?The ELSI Program of the US-American Human Genome Project – New Perspectives for Medical Ethics?Nikola Biller-Andorno - 2001 - Ethik in der Medizin 13 (4):243-252.
    Definition of the problem: The ELSI (Ethical, Legal, and Social Issues) program of the Human Genome Project is the biggest bioethical research project to date. However, it has met with fairly critical reception. Arguments: ELSI is nevertheless an important element in current bioethics. We can learn not just from the results and methodology of the numerous studies that received ELSI funding, but also by looking at the pros and cons of its close institutional integration into the Human Genome Project. Finally, (...)
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  27. The Use of the Placebo Effect in Clinical Medicine — Ethical Blunder or Ethical Imperative?Nikola Biller-Andorno - 2004 - Science and Engineering Ethics 10 (1):43-50.
    The current debate in medical ethics on placebos focuses mainly on their use in health research. Whereas this is certainly an important topic the discussion tends to overlook another longstanding but nevertheless highly relevant question, namely if and how the placebo effect should be employed in clinical practice. This paper describes the way the placebo effect is perceived in modern medicine and offers some historical reflections on how these perceptions have developed; discusses elements of a definition of the placebo effect; (...)
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  28.  75
    The Ethics of Evidence.Nikola Biller-Andorno & Verina Wild - 2012 - Hastings Center Report 42 (6):29-30.
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  29.  30
    Gender in Medical Ethics: Re-Examining the Conceptual Basis of Empirical Research.Elisabeth Conradi, Nikola Biller-Andorno, Margarete Boos, Christina Sommer & Claudia Wiesemann - 2003 - Medicine, Health Care and Philosophy 6 (1):51-58.
    Conducting empirical research on gender in medical ethics is a challenge from a theoretical as well as a practical point of view. It still has to be clarified how gender aspects can be integrated without sustaining gender stereotypes. The developmental psychologist Carol Gilligan was among the first to question ethics from a gendered point of view. The notion of care introduced by her challenged conventional developmental psychology as well as moral philosophy. Gilligan was criticised, however, because her concept of ‘two (...)
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  30.  54
    Between Solidarity and Self-Interest: How Fair is the "Club Model" for Organ Donation?Nikola Biller-Andorno - 2004 - American Journal of Bioethics 4 (4):19 – 20.
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  31.  38
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems—CORRIGENDUM.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (1):180.
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  32. Zwischen Protektion und Protektionismus–medizinethische Überlegungen zur Teilnahme schwangerer Frauen an klinischen Studien.Nikola Biller-Andorno & Verina Wild - 2003 - In C. Wiesemann, A. Dörries, G. Wolfslast & A. Simon (eds.), Das Kind Als Patient. Campus. pp. 302--320.
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  33.  6
    Case-Based Payment System in the Chinese Healthcare Sector and Its Ethical Tensions.Jin Pingyue, Nikola Biller-Andorno & Verina Wild - 2013 - Asian Bioethics Review 5 (2):131-146.
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  34. Editorial: The Bioethics Biz.Nikola Biller-Andorno - forthcoming - Journal of Medical Ethics.
     
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  35.  6
    Pharmacogenetic Testing, Informed Consent and the Problem of Secondary Information.Christian Netzer & Nikola Biller-Andorno - 2004 - Bioethics 18 (4):344–360.
  36.  19
    Does Organ Selling Violate Human Dignity?Zümrüt Alpinar-Şencan, Holger Baumann & Nikola Biller-Andorno - 2017 - Monash Bioethics Review 34 (3-4):189-205.
    Shortages in the number of donated organs after death and the growing number of end-stage organ failure patients on waiting lists call for looking at alternatives to increase the number of organs that could be used for transplantation purposes. One option that has led to a legal and ethical debate is to have regulated markets in human organs. Opponents of a market in human organs offer different arguments that are mostly founded on contingent factors that can be adjusted. However, some (...)
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  37.  24
    Ethical Issues Faced by Muslim Patients: An Empirical Study of Muslim and Non-Muslim Students’ Perceptions.Driton Gjukaj, Daniel Drewniak & Nikola Biller-Andorno - 2017 - Clinical Ethics 13 (2):67-74.
    BackgroundPatients who follow a specific religion may experience specific moral conflicts when interacting with the health care system. Health care providers’ awareness of and sensitivity to such issues can be beneficial to patients and increase the quality of care they receive. The aims of this study were to investigate which potential ethical issues were considered to be relevant to Muslim patients and to examine if these assessments varied between Muslim non-medical, Muslim medical, and non-Muslim medical students.MethodsAn online questionnaire with n (...)
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  38.  19
    Line, Please.Alan Meisel, Antal E. Solyom, Nikola Biller-Andorno, Eliane Pfister, Jean F. Martin & James S. Boal - 2009 - Hastings Center Report 39 (2):4-8.
  39.  42
    Applying Evidence to Support Ethical Decisions: Is the Placebo Really Powerless?Franz Porzsolt, Nicole Scholtz-Gorton, Nikola Biller-Andorno, Anke Thim, Karin Meissner, Irmgard Roeckl-Wiedmann, Barbara Herzberger, Renatus Ziegler, Wilhelm Gaus & Ernst Pöppel - 2004 - Science and Engineering Ethics 10 (1):119-132.
    Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and “knowledge framing”. While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing — which is only conceptually different from placebo — is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the (...)
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  40.  16
    Einwilligungsfähigkeit: inhärente Fähigkeit oder ethisches Urteil?Decision-making capacity: inherent ability or ethical judgment?Helena Hermann, Manuel Trachsel & Nikola Biller-Andorno - 2016 - Ethik in der Medizin 28 (2):107-120.
    ZusammenfassungDie Bestimmung der Einwilligungsfähigkeit von Patienten beinhaltet weitreichende ethische und rechtliche Implikationen. Ausreichende Klärung des Begriffs ist daher unerlässlich. Solche Bemühungen gelten vorwiegend der Definition von Kriterien hinsichtlich relevanter mentaler Fähigkeiten. Grundlegendere Aspekte werden kaum explizit besprochen, so die Frage, ob Einwilligungsfähigkeit eher eine inhärente Fähigkeit oder ein ethisches Urteil bezeichnet. Zentral bei dieser Unterscheidung ist der Stellenwert ethischer Überlegungen die Zulässigkeit fürsorglicher Bevormundung betreffend. Geht man von einer inhärenten Fähigkeit aus, schließen solche Überlegungen an die Beurteilung von Einwilligungsfähigkeit an. (...)
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  41. Mujeres embarazadas como participantes en ensayos clínicos: dilemas, debates y la discusión ética.Verina Wild & Nikola Biller-Andorno - 2006 - In López de la Vieja & Ma Teresa (eds.), Bioética y Feminismo: Estudios Multidisciplinares de Género. Ediciones Universidad de Salamanca. pp. 131--144.
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  42.  3
    Género en la ética médica: revisión de la base conceptual de la investigación empírica.Margarete Boos, Christina Sommer, Nikola Biller-Andorno, Claudia Wiesemann & Elisabeth Conradi - 2006 - In López de la Vieja & Ma Teresa (eds.), Bioética y Feminismo: Estudios Multidisciplinares de Género. Ediciones Universidad de Salamanca.
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  43.  55
    Physician-Assisted Suicide: Views of Swiss Health Care Professionals. [REVIEW]Eliane Pfister & Nikola Biller-Andorno - 2010 - Journal of Bioethical Inquiry 7 (3):283-285.
    Physician-Assisted Suicide: Views of Swiss Health Care Professionals Content Type Journal Article DOI 10.1007/s11673-010-9246-2 Authors Eliane Pfister, Institute of Biomedical Ethics, University of Zurich, CH-8032 Zurich, Switzerland Nikola Biller-Andorno, Institute of Biomedical Ethics, University of Zurich, CH-8032 Zurich, Switzerland Journal Journal of Bioethical Inquiry Online ISSN 1872-4353 Print ISSN 1176-7529 Journal Volume Volume 7 Journal Issue Volume 7, Number 3.
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  44.  28
    Vulnerable Spender: Eine medizinethische Studie zur Praxis der Lebendorganspende.Henning Schauenburg & Nikola Biller-Andorno - 2003 - Ethik in der Medizin 15 (1):25-35.
    Die Lebendorganspende entwickelt sich zunehmend zu einer wichtigen therapeutischen Option in der Transplantationsmedizin. Trotz der Existenz eines normativ-rechtlichen Rahmens bleiben medizinethische Fragen offen. Zu diesen zählen insbesondere 1) wer als Spender in Betracht gezogen werden kann, 2) wie bezüglich der Möglichkeit der Lebendspende informiert werden sollte und 3) wie sich eine angemessene medizinethisch-psychosoziale Spenderevaluation gestaltet. Der Artikel stellt die Ergebnisse einer mittels Fragebogen durchgeführten Erhebung vor, die die gegenwärtige Praxis in deutschen Transplantationszentren sowie die Ansichten von Klinikern im Hinblick auf (...)
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  45.  23
    Sino-German International Workshop ”Ethics in Medical Education in China” (In Affiliation with the 15th Annual Joint Conference of the German-Chinese and the Chinese-German Medical Societies).Nikola Biller-Andorno - 2001 - Ethik in der Medizin 13 (1-2):140-141.
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  46.  11
    Shedding Light on Implicit Processes and the Inherent Vagueness of Decision-Making Capacity.Helena Hermann, Manuel Trachsel & Nikola Biller-Andorno - 2017 - Philosophy, Psychiatry, and Psychology 24 (4):333-335.
    We are grateful to Paul S. Appelbaum and Wayne Martin for their thoughtful remarks on our paper. Among the various aspects that we might address and refute in return, we have decided to focus on just two issues that we believe have potential to advance the debate. According to Appelbaum, the “assessment of an intuitive process is being predicated on a patient having the ability to reflect on determinants of which he may be completely unaware.” In this passage, he points (...)
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  47.  22
    Interprofessionelle Kommunikationsprozesse–schwierige Gesprächssituationen mit Patientinnen und Patienten.Sohaila Bastami, Tanja Krones, Gabriele Schroeder, Christian Schirlo, Monika Schäfer, Ruth Aeberhard & Nikola Biller-Andorno - 2012 - Ethik in der Medizin 24 (3):241-244.
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  48.  26
    Michael Slote (2007) The Ethics of Care and Empathy: Routledge, London/New York, 133 Seiten, £ 18.99, ISBN 987-0-415-77200-6.Nikola Biller-Andorno - 2010 - Ethik in der Medizin 22 (1):77-78.
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  49.  26
    Ethical Implications of Case‐Based Payment in China: A Systematic Analysis.Pingyue Jin, Nikola Biller-Andorno & Verina Wild - 2015 - Developing World Bioethics 15 (3):134-142.
    How health care providers are paid affects how medicine is practiced. It is thus important to assess provider payment models not only from the economic perspective but also from the ethical perspective. China recently started to reform the provider payment model in the health care system from fee-for-service to case-based payment. This paper aims to examine this transition from an ethical perspective. We collected empirical studies on the impact of case-based payment in the Chinese health care system and applied a (...)
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  50.  18
    The Global, the Local, and the Parochial: A Commentary on Vilhjálmur Árnason.Nikola Biller-Andorno - 2006 - Ethik in der Medizin 18 (4):390-392.
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