20 found
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  1.  22
    When Is It Ethical for Physician-Investigators to Seek Consent From Their Own Patients?Stephanie R. Morain, Steven Joffe & Emily A. Largent - 2019 - American Journal of Bioethics 19 (4):11-18.
    Classic statements of research ethics advise against permitting physician-investigators to obtain consent for research participation from patients with whom they have preexisting treatment relationships. Reluctance about “dual-role” consent reflects the view that distinct normative commitments govern physician–patient and investigator–participant relationships, and that blurring the research–care boundary could lead to ethical transgressions. However, several features of contemporary research demand reconsideration of the ethics of dual-role consent. Here, we examine three arguments advanced against dual-role consent: that it creates role conflict for the (...)
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  2.  6
    Ethics and Collateral Findings in Pragmatic Clinical Trials.Stephanie R. Morain, Kevin Weinfurt, Juli Bollinger, Gail Geller, Debra J. H. Mathews & Jeremy Sugarman - 2020 - American Journal of Bioethics 20 (1):6-18.
    Pragmatic clinical trials offer important benefits, such as generating evidence that is suited to inform real-world health care decisions and increasing research efficiency. However, PCTs also present ethical challenges. One such challenge involves the management of information that emerges in a PCT that is unrelated to the primary research question, yet may have implications for the individual patients, clinicians, or health care systems from whom or within which research data were collected. We term these findings as?pragmatic clinical trial collateral findings,? (...)
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  3.  22
    Ethical Allocation of Future COVID-19 Vaccines.Rohit Gupta & Stephanie R. Morain - 2021 - Journal of Medical Ethics 47 (3):137-141.
    The COVID-19 pandemic will likely recede only through development and distribution of an effective vaccine. Although there are many unknowns surrounding COVID-19 vaccine development, vaccine demand will likely outstrip early supply, making prospective planning for vaccine allocation critical for ensuring the ethical distribution of COVID-19 vaccines. Here, we propose three central goals for COVID-19 vaccination campaigns: to reduce morbidity and mortality, to minimise additional economic and societal burdens related to the pandemic and to narrow unjust health inequalities. We evaluate five (...)
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  4.  29
    Learning Is Not Enough: Earning Institutional Trustworthiness Through Knowledge Translation.Stephanie R. Morain, Nancy E. Kass & Ruth R. Faden - 2018 - American Journal of Bioethics 18 (4):31-34.
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  5.  7
    From Preferences to Policies? Considerations When Incorporating Empirical Ethics Findings Into Research Policymaking.Emily A. Largent & Stephanie R. Morain - 2020 - Journal of Medical Ethics 46 (6):378-379.
    Interest in the use of medical data for health research is increasing. Yet, as Elizabeth Ford and colleagues rightly note, there are open questions about the suitability of existing ethical and regulatory oversight frameworks for these research approaches. In their feature article, ‘Should free text data in electronic medical records be shared for research? A citizen’s jury study in the United Kingdom’, Ford et al report the results of a deliberative engagement study in which 18 members of the public were (...)
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  6.  5
    Public Attitudes Toward Consent When Research Is Integrated Into Care—Any “Ought” From All the “Is”?Stephanie R. Morain & Emily A. Largent - 2021 - Hastings Center Report 51 (2):22-32.
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  7.  11
    Response to Open Peer Commentaries: When Is It Ethical for Physician-Investigators to Seek Consent From Their Own Patients?Stephanie R. Morain, Steven Joffe & Emily A. Largent - 2019 - American Journal of Bioethics 19 (5):W3-W4.
    Volume 19, Issue 5, May 2019, Page W3-W4.
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  8.  11
    State Experiences Implementing Youth Sports Concussion Laws: Challenges, Successes, and Lessons for Evaluating Impact.Kerri McGowan Lowrey & Stephanie R. Morain - 2014 - Journal of Law, Medicine and Ethics 42 (3):290-296.
    Over the past decade, a flurry of media stories devoted to sports-related concussions have drawn attention to the previously “silent epidemic” of traumatic brain injury in athletes. From 2001 to 2009, the annual number of sports-related TBI emergency department visits in individuals age 19 and under climbed from 153,375 to 248,414, an increase of increase of 62 percent. Multiple head injuries place youth athletes at risk for serious health conditions, including cerebral swelling, brain herniation, and even death — postconcussive conditions (...)
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  9.  11
    State Experiences Implementing Youth Sports Concussion Laws: Challenges, Successes, and Lessons for Evaluating Impact.Kerri McGowan Lowrey & Stephanie R. Morain - 2014 - Journal of Law, Medicine and Ethics 42 (3):290-296.
    While provisions of youth sports concussion laws are very similar, little is known as to how they are being implemented, factors that promote or impede implementation, or the level of compliance in each jurisdiction. We aimed to describe state experiences with implementation in order to inform ongoing efforts to reduce the harm of sports-related traumatic brain injury and to guide future evaluations of the laws’ impacts and the development of future public health laws. We conducted key-informant interviews in 35 states (...)
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  10.  1
    Emergency-Only Hemodialysis Policies: Ethical Critique and Avenues for Reform.Richa Lavingia, Rajeev Raghavan & Stephanie R. Morain - 2020 - Journal of Law, Medicine and Ethics 48 (3):527-534.
    An estimated 6,500 undocumented immigrants in the United States have been diagnosed with end-stage renal disease. These individuals are ineligible for the federal insurance program that covers dialysis and/or transplantation for citizens, and consequently are subject to local or state policies regarding the provision of healthcare. In 76% of states, undocumented immigrants are ineligible to receive scheduled outpatient dialysis treatments, and typically receive dialysis only when presenting to the emergency center with severe life-threatening symptoms. ‘Emergency-only hemodialysis’ is associated with higher (...)
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  11.  19
    Who Calls the Shots? The Ethics of Adolescentself-Consent for HPV Vaccination.Suchi Agrawal & Stephanie R. Morain - 2018 - Journal of Medical Ethics 44 (8):531-535.
    While the human papillomavirus vaccine is medically indicated to reduce the risk of genital warts and certain types of cancer, rates of HPV vaccination repeatedly fall short of public health goals. Individual-level factors contributing to low vaccination rates are well documented. However, system-level barriers, particularly the need for parental consent, have been less explored. To date, there is no legal or ethical consensus in the USA regarding whether adolescents might permissibly self-consent to the HPV vaccine. Consequently, there is considerable variability (...)
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  12.  3
    Ostriches and Obligations: Ethical Challenges Facing Research on Usual Care.Stephanie R. Morain - 2019 - Hastings Center Report 49 (4):28-30.
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  13.  6
    Whom to Engage in Patient‐Engaged Research? Reflection on Selection.Stephanie R. Morain - 2018 - Hastings Center Report 48 (5):35-36.
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  14.  24
    Latch On or Back Off? Public Health, Choice, and the Ethics of Breast-Feeding Promotion Campaigns.Anne Barnhill & Stephanie R. Morain - 2015 - International Journal of Feminist Approaches to Bioethics 8 (2):139-171.
    Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Given the documented short- and long-term medical and neurodevelopment advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice.In a letter sent out to 2600 hospitals across the country they [Public Citizen] demand that healthcare facilities “immediately discontinue the distribution of commercial infant formula manufacturer discharge bags,” claiming it undermines women’s success at breastfeeding. What they failed to explain is (...)
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  15.  13
    Grounding Medical Education in Health Equity: The Time is Now.Folasade C. Lapite, Stephanie R. Morain & Faith E. Fletcher - 2021 - American Journal of Bioethics 21 (9):23-25.
    Berger and Miller raise important considerations regarding the ongoing relevance and use of cultural competency in medical education. In particular, the authors critique the United States’ L...
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  16.  10
    Tobacco 21 Laws: Withdrawing Short-Term Freedom to Enable Long-Term Autonomy.Stephanie R. Morain - 2016 - American Journal of Bioethics 16 (7):26-28.
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  17.  6
    Getting Into Their Heads: When the Investigator is Also the Treating Physician.Stephanie R. Morain, Emily A. Largent & Anna Wexler - 2021 - American Journal of Bioethics Neuroscience 12 (1):68-70.
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  18.  12
    When Are Primary Care Physicians Untruthful with Patients? A Qualitative Study.Stephanie R. Morain, Lisa I. Iezzoni, Michelle M. Mello, Elyse R. Park, Joshua P. Metlay, Gabrielle Horner & Eric G. Campbell - 2017 - Ajob Empirical Bioethics 8 (1):32-39.
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  19.  4
    Learning Health System — Moving From Ethical Frameworks to Practical Implementation.Stephanie R. Morain, Mary A. Majumder & Amy L. McGuire - 2019 - Journal of Law, Medicine and Ethics 47 (3):454-458.
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  20. Institutional Oversight of Faculty‐Industry Consulting Relationships in U.S. Medical Schools: A Delphi Study.Stephanie R. Morain, Steven Joffe, Eric G. Campbell & Michelle M. Mello - 2015 - Journal of Law, Medicine and Ethics 43 (2):383-396.
    The conflicts of interest that may arise in relationships between academic researchers and industry continue to prompt controversy. The bulk of attention has focused on financial aspects of these relationships, but conflicts may also arise in the legal obligations that faculty acquire through consulting contracts. However, oversight of faculty members' consulting agreements is far less vigorous than for financial conflicts, creating the potential for faculty to knowingly or unwittingly contract away important rights and freedoms. Increased regulation could prevent this, but (...)
     
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