31 found
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  1.  50
    Doctors, Patients, and Nudging in the Clinical Context—Four Views on Nudging and Informed Consent.Thomas Ploug & Søren Holm - 2015 - American Journal of Bioethics 15 (10):28-38.
    In an analysis of recent work on nudging we distinguish three positions on the relationship between nudging founded in libertarian paternalism and the protection of personal autonomy through informed consent. We argue that all three positions fail to provide adequate protection of personal autonomy in the clinical context. Acknowledging that nudging may be beneficial, we suggest a fourth position according to which nudging and informed consent are valuable in different domains of interaction.
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  2.  40
    Meta Consent – A Flexible Solution to the Problem of Secondary Use of Health Data.Thomas Ploug & Søren Holm - 2016 - Bioethics 30 (9):721-732.
    In this article we provide an in-depth description of a new model of informed consent called ‘meta consent’ and consider its practical implementation. We explore justifications for preferring meta consent over alternative models of consent as a solution to the problem of secondary use of health data for research. We finally argue that meta consent strikes an appropriate balance between enabling valuable research and protecting the individual.
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  3.  63
    Branching Time, Indeterminism and Tense Logic: Unveiling the Prior–Kripke Letters.Thomas Ploug & Peter Øhrstrøm - 2012 - Synthese 188 (3):367-379.
    This paper deals with the historical and philosophical background of the introduction of the notion of branching time in philosophical logic as it is revealed in the hitherto unpublished mail-correspondence between Saul Kripke and A.N. Prior in the late 1950s. The paper reveals that the idea was first suggested by Saul Kripke in a letter to A.N. Prior, dated September 3, 1958, and it is shown how the elaboration of the idea in the course of the correspondence was intimately intervowen (...)
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  4.  11
    The Biobank Consent Debate: Why ‘Meta-Consent’ is Still the Solution!Thomas Ploug & Soren Holm - 2019 - Journal of Medical Ethics 45 (5):295-297.
    In a recent article in the Journal of Medical Ethics, Neil Manson sets out to show that the meta-consent model of informed consent is not the solution to perennial debate on the ethics of biobank participation. In this response, we shall argue that Manson’s considerations on the costs of a meta-consent model are incomplete and therefore misleading; his view that a model of broad consent passes a threshold of moral acceptability rests on an analogy that misconstrues how biobank research is (...)
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  5.  19
    The Right to Refuse Diagnostics and Treatment Planning by Artificial Intelligence.Thomas Ploug & Søren Holm - 2020 - Medicine, Health Care and Philosophy 23 (1):107-114.
    In an analysis of artificially intelligent systems for medical diagnostics and treatment planning we argue that patients should be able to exercise a right to withdraw from AI diagnostics and treatment planning for reasons related to the physician’s role in the patients’ formation of and acting on personal preferences and values, the bias and opacity problem of AI systems, and rational concerns about the future societal effects of introducing AI systems in the health care sector.
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  6.  28
    “Nudging” and Informed Consent Revisited: Why “Nudging” Fails in the Clinical Context.Søren Holm & Thomas Ploug - 2013 - American Journal of Bioethics 13 (6):29 - 31.
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  7.  49
    Informed Consent and Routinisation.Thomas Ploug & Soren Holm - 2013 - Journal of Medical Ethics 39 (4):214-218.
    This article introduces the notion of ‘routinisation’ into discussions of informed consent. It is argued that the routinisation of informed consent poses a threat to the protection of the personal autonomy of a patient through the negotiation of informed consent. On the basis of a large survey, we provide evidence of the routinisation of informed consent in various types of interaction on the internet; among these, the routinisation of consent to the exchange of health related information. We also provide evidence (...)
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  8.  14
    Eliciting Meta Consent for Future Secondary Research Use of Health Data Using a Smartphone Application - a Proof of Concept Study in the Danish Population.Thomas Ploug & Søren Holm - 2017 - BMC Medical Ethics 18 (1):51.
    The increased use of information technology in every day health care creates vast amounts of stored health data that can be used for research. The secondary research use of routinely collected data raises questions about appropriate consent mechanisms for such use. One option is meta consent where individuals state their own consent preferences in relation to future use of their data, e.g. whether they want the data to be accessible to researchers under conditions of specific consent, broad consent, blanket consent (...)
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  9.  9
    Going Beyond the False Dichotomy of Broad or Specific Consent: A Meta-Perspective on Participant Choice in Research Using Human Tissue.Thomas Ploug & Søren Holm - 2015 - American Journal of Bioethics 15 (9):44-46.
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  10.  19
    Conflict of Interest Disclosure and the Polarisation of Scientific Communities.Thomas Ploug & Søren Holm - 2015 - Journal of Medical Ethics 41 (4):356-358.
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  11.  54
    Informed Consent and Registry-Based Research - the Case of the Danish Circumcision Registry.Thomas Ploug & Søren Holm - 2017 - BMC Medical Ethics 18 (1):53.
    Research into personal health data holds great potential not only for improved treatment but also for economic growth. In these years many countries are developing policies aimed at facilitating such research often under the banner of ‘big data’. A central point of debate is whether the secondary use of health data requires informed consent if the data is anonymised. In 2013 the Danish Minister of Health established a new register collecting data about all ritual male childhood circumcisions in Denmark. The (...)
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  12.  7
    The ‘Expiry Problem’ of Broad Consent for Biobank Research - And Why a Meta Consent Model Solves It.Thomas Ploug & Søren Holm - 2020 - Journal of Medical Ethics 46 (9):629-631.
    In this response to Neil Manson’s latest intervention in our debate about the best consent model for biobank research we show, contra Manson that the ‘expiry problem’ that affects broad consent models because of changes over time in methods, purposes, types of data used and governance structures is a real and significant problem. We further show that our preferred implementation of meta consent as a national consent platform solves this problem and is not subject to the cost and burden objections (...)
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  13.  10
    Should All Medical Research Be Published? The Moral Responsibility of Medical Journal Editors.Thomas Ploug - 2018 - Journal of Medical Ethics 44 (10):703.2-709.
    This article reinvigorates a key question in publication ethics: Is there research that it is permissible to conduct but that ought not to be published? The article raises the question in relation to two recent medical studies. It is argued that the publication of these studies may cause significant harm to individuals, that editors of medical journals have a moral responsibility for such harm, that denial of publication is inadequate as an instrument to fulfil this moral responsibility and that internationally (...)
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  14.  29
    Big Data and Health Research—The Governance Challenges in a Mixed Data Economy.Søren Holm & Thomas Ploug - 2017 - Journal of Bioethical Inquiry 14 (4):515-525.
    Denmark is a society that has already moved towards Big Data and a Learning Health Care System. Data from routine healthcare has been registered centrally for years, there is a nationwide tissue bank, and there are numerous other available registries about education, employment, housing, pollution, etcetera. This has allowed Danish researchers to study the link between exposures, genetics and diseases in a large population. This use of public registries for scientific research has been relatively uncontroversial and has been supported by (...)
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  15.  64
    Pharmaceutical Information Systems and Possible Implementations of Informed Consent - Developing an Heuristic.Thomas Ploug & Søren Holm - 2012 - BMC Medical Ethics 13 (1):30-.
    Background Denmark has implemented a comprehensive, nationwide pharmaceutical information system, and this system has been evaluated by the Danish Council of Ethics. The system can be seen as an exemplar of a comprehensive health information system for clinical use. Analysis The paper analyses 1) how informed consent can be implemented in the system and how different implementations create different impacts on autonomy and control of information, and 2) arguments directed towards justifying not seeking informed consent in this context. Results and (...)
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  16.  6
    Physicians’ Framing and Recommendations. Are They Nudging? And Do They Violate the Requirements of Informed Consent?Thomas Ploug - 2018 - Journal of Medical Ethics 44 (8):543-544.
    In his recent article ‘Nudging, Informed Consent and Bullshit’, William Simkulet1 convincingly argues that certain types of nudging satisfy Frankfurt’s criteria of bullshit. As a prelude to this argument, Simkulet considers whether recommendations and framing are types of nudging and whether they satisfy the requirement of adequate disclosure essential for a valid informed consent. He defines nudging as the systematic attempt at altering behaviour by non-rational means, and describes adequate disclosure as providing the patient with true information that enables an (...)
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  17.  9
    Easy Resistible, Means-Paternalist Nudging in the Clinical Context is an Untenable Proposal.Thomas Ploug - 2019 - American Journal of Bioethics 19 (5):64-66.
    Volume 19, Issue 5, May 2019, Page 64-66.
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  18.  11
    Patient Choice and Preventive Genomic Sequencing—More Trouble Upstream.Søren Holm & Thomas Ploug - 2015 - American Journal of Bioethics 15 (7):24-26.
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  19.  6
    Scientific Second-Order ’Nudging’ or Lobbying by Interest Groups: The Battle Over Abdominal Aortic Aneurysm Screening Programmes.Thomas Ploug, Søren Holm & John Brodersen - 2014 - Medicine, Health Care and Philosophy 17 (4):641-650.
    The idea that it is acceptable to ‘nudge’ people to opt for the ‘healthy choice’ is gaining currency in health care policy circles. This article investigates whether researchers evaluating Abdominal Aortic Aneurysm Screening Programmes attempt to influence decision makers in ways that are similar to popular ‘nudging’ techniques. Comparing two papers on the health economics of AAASP both published in the BMJ within the last 3 years, it is shown that the values chosen for the health economics modelling are not (...)
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  20.  6
    Agreeing in Ignorance: Mapping the Routinisation of Consent in ICT-Services.Thomas Ploug & Søren Holm - 2014 - Science and Engineering Ethics 20 (4):1097-1110.
    Many ICT services require that users explicitly consent to conditions of use and policies for the protection of personal information. This consent may become ‘routinised’. We define the concept of routinisation and investigate to what extent routinisation occurs as well as the factors influencing routinisation in a survey study of internet use. We show that routinisation is common and that it is influenced by factors including gender, age, educational level and average daily internet use. We further explore the reasons users (...)
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  21.  13
    The Ethical Significance of Expectations and the Case of Microsoft Office Accounting.Thomas Ploug - 2010 - Law and Ethics of Human Rights 4 (2).
    Late 2009, the Microsoft Corporation terminated its sales, distribution and upgrading of Microsoft Office Accounting. This article presents an ethical analysis of the way in which Microsoft Corporation effected its decision to withdraw the product with special emphasis on how consumer expectations were formed, maintained and handled throughout the lifecycle of the accounting software in question. The analysis proceeds from initial reflections on and arguments for the ethical significance of consumer expectations – an area which has until recently only received (...)
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  22.  5
    Pharmaceutical “Nudging”—Reinterpreting the Ethics of Evaluative Conditioning.Thomas Ploug & Søren Holm - 2013 - American Journal of Bioethics 13 (5):25-27.
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  23.  3
    Control, Trust and the Sharing of Health Information: The Limits of Trust.Soren Holm, Thomas Birk Kristiansen & Thomas Ploug - forthcoming - Journal of Medical Ethics:medethics-2019-105887.
    Clinical information about patients is increasingly being stored in electronic form and has therefore become more easily shareable. Data are collected as part of clinical care but have multiple other potential uses in relation to health system planning, audit and research. The use of clinical information for these secondary uses is controversial, and the ability to safeguard personal and sensitive data under current practices is contested.In this study, we investigate the attitudes of a representative sample of the Danish population towards (...)
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  24.  17
    Do Not Forget the Right to Withdraw!Søren Holm & Thomas Ploug - 2017 - American Journal of Bioethics 17 (12):14-15.
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  25.  3
    The Use of Empirical Evidene in Formulating Reproductive Policy Advice and Policy.Søren Holm & Thomas Ploug - 2015 - Monash Bioethics Review 33 (1):7-17.
    The focus of this paper is an analysis and discussion of what kind of empirical evidence bodies that advise on or set public policy in the area of reproduction and reproductive technologies are looking for when developing new advice or policy, but the analysis has implications for other areas of ‘bioethics policy making’ as well. The paper outlines some important differences between policy making and philosophical analysis, provides an account of ‘policy relevance’ and discusses ways in which evidence may be (...)
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  26. Classical Syllogisms in Logic Teaching.Peter Øhrstrøm, Ulrik Sandborg-Petersen, Steinar Thorvaldsen & Thomas Ploug - unknown
     
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  27. Informed Consent and ICT-Experiments Involving Young People with Autism Spectrum Disorder–Redescribing the Problem of Dual Roles.Thomas Ploug & Søren Holm - 2012 - Studies in Ethics, Law, and Technology 6 (2).
     
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  28.  15
    Informed Consent, Libertarian Paternalism, and Nudging: A Response.Thomas Ploug & Søren Holm - 2015 - American Journal of Bioethics 15 (12):10-13.
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  29.  10
    In Defence of Informed Consent for Health Record Research - Why Arguments From ‘Easy Rescue’, ‘No Harm’ and ‘Consent Bias’ Fail.Thomas Ploug - 2020 - BMC Medical Ethics 21 (1):1-13.
    BackgroundHealth data holds great potential for improved treatments. Big data research and machine learning models have been shown to hold great promise for improved diagnostics and treatment planning. The potential is tied, however, to the availability of personal health data. In recent years, it has been argued that data from health records should be available for health research, and that individuals have a duty to make the data available for such research. A central point of debate is whether such secondary (...)
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  30. Letter to the Editor.Thomas Ploug, Søren Holm & John Brodersen - 2020 - Medicine, Health Care and Philosophy 23 (3):541-542.
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  31. The Right to Contest AI Profiling Based on Social Media Data.Thomas Ploug & Søren Holm - 2021 - American Journal of Bioethics 21 (7):21-23.
    Artificial Intelligence systems—and in particular various types of machine learning models—have significant potential for improving the performance and effectiveness of diagnostics and treatme...
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