Curtis L. Meinert and Susan Tonascia
- Published in print:
- 1986
- Published Online:
- September 2009
- ISBN:
- 9780195035681
- eISBN:
- 9780199864478
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195035681.003.0014
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter focuses on recruitment. Topics discussed include recruitment goals, methods of patient recruitment, troubleshooting, the patient shake-down process, the ethics of recruitment, patient ...
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This chapter focuses on recruitment. Topics discussed include recruitment goals, methods of patient recruitment, troubleshooting, the patient shake-down process, the ethics of recruitment, patient consent, randomization and initiation of treatment, and the Zelen consent procedure.Less
This chapter focuses on recruitment. Topics discussed include recruitment goals, methods of patient recruitment, troubleshooting, the patient shake-down process, the ethics of recruitment, patient consent, randomization and initiation of treatment, and the Zelen consent procedure.
Fiona Randall and R. S. Downie
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199547333
- eISBN:
- 9780191730405
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199547333.003.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter examines patient choice and consent and its current status in clinical decision-making in end of life care. The findings indicate that the idea of patient choice can exist comfortably in ...
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This chapter examines patient choice and consent and its current status in clinical decision-making in end of life care. The findings indicate that the idea of patient choice can exist comfortably in the consensus view of health care and a stress on choice is simply a stress on the patient's right to choose between treatment options offered in the process of joint decision-making. This chapter also suggests the possibility of providing an end of life care service run on consumerist lines.Less
This chapter examines patient choice and consent and its current status in clinical decision-making in end of life care. The findings indicate that the idea of patient choice can exist comfortably in the consensus view of health care and a stress on choice is simply a stress on the patient's right to choose between treatment options offered in the process of joint decision-making. This chapter also suggests the possibility of providing an end of life care service run on consumerist lines.
Kathleen Liddell and Martin Richards
- Published in print:
- 2009
- Published Online:
- September 2009
- ISBN:
- 9780199231461
- eISBN:
- 9780191723858
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199231461.003.0013
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter presents a summary of discussions in the preceding chapters. It considers the over-valuation of consent, improving consent practices, recognizing situations where consent is unnecessary ...
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This chapter presents a summary of discussions in the preceding chapters. It considers the over-valuation of consent, improving consent practices, recognizing situations where consent is unnecessary or unfair. The chapters have shown that consent is usually (but not always) necessary and usually insufficient to justify medical research. Having failed to emphasize this, society is headed towards a highly problematic system of research governance — one that unduly stifles the activities of researchers and inadequately protects participants. The contributors to this book have suggested several ways forward, the common link between them being a suggestion for more and better normative and empirical efforts to understand consent within the wider research regulatory context.Less
This chapter presents a summary of discussions in the preceding chapters. It considers the over-valuation of consent, improving consent practices, recognizing situations where consent is unnecessary or unfair. The chapters have shown that consent is usually (but not always) necessary and usually insufficient to justify medical research. Having failed to emphasize this, society is headed towards a highly problematic system of research governance — one that unduly stifles the activities of researchers and inadequately protects participants. The contributors to this book have suggested several ways forward, the common link between them being a suggestion for more and better normative and empirical efforts to understand consent within the wider research regulatory context.
Fiona Randall and R.S. Downie
- Published in print:
- 1999
- Published Online:
- November 2011
- ISBN:
- 9780192630681
- eISBN:
- 9780191730078
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192630681.003.0007
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This chapter discusses the moral basis for rules of confidentiality in palliative care, the constitution of confidential information, sharing confidential information, disclosure of information to ...
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This chapter discusses the moral basis for rules of confidentiality in palliative care, the constitution of confidential information, sharing confidential information, disclosure of information to third parties, confidentiality and the non-autonomous patient, and justifications for infringements of confidentiality. Everything that health-care staff learn in the context of their professional relationship with the patient should be regarded as confidential. Rules of confidentiality apply to non-autonomous and deceased patients as well as to autonomous ones. Confidential information should be used only for the purpose for which it was given, and should not be passed on to others without the patient's consent, unless necessary to avoid likely and moderate or serious harm to the patient or third parties.Less
This chapter discusses the moral basis for rules of confidentiality in palliative care, the constitution of confidential information, sharing confidential information, disclosure of information to third parties, confidentiality and the non-autonomous patient, and justifications for infringements of confidentiality. Everything that health-care staff learn in the context of their professional relationship with the patient should be regarded as confidential. Rules of confidentiality apply to non-autonomous and deceased patients as well as to autonomous ones. Confidential information should be used only for the purpose for which it was given, and should not be passed on to others without the patient's consent, unless necessary to avoid likely and moderate or serious harm to the patient or third parties.
F. M. Kamm
- Published in print:
- 2013
- Published Online:
- June 2014
- ISBN:
- 9780199971985
- eISBN:
- 9780199346141
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199971985.003.0004
- Subject:
- Philosophy, Moral Philosophy
This chapter presents an alternative Four-Step Argument for the moral permissibility of physician-assisted suicide and objections to the argument. It also raises the issue of whether doctors might ...
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This chapter presents an alternative Four-Step Argument for the moral permissibility of physician-assisted suicide and objections to the argument. It also raises the issue of whether doctors might have a duty, not merely a permission, to assist suicide. It argues that if we may treat patients when they consent though we foresee that this treatment will rapidly kill them, then we may kill or assist in killing patients when they consent, though we intend their death.Less
This chapter presents an alternative Four-Step Argument for the moral permissibility of physician-assisted suicide and objections to the argument. It also raises the issue of whether doctors might have a duty, not merely a permission, to assist suicide. It argues that if we may treat patients when they consent though we foresee that this treatment will rapidly kill them, then we may kill or assist in killing patients when they consent, though we intend their death.
henri colt
- Published in print:
- 2011
- Published Online:
- May 2015
- ISBN:
- 9780199735365
- eISBN:
- 9780190267520
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:osobl/9780199735365.003.0006
- Subject:
- Philosophy, Moral Philosophy
This chapter discusses the issue of informed consent as seen in the film Extreme Measures (1996). The film tells the story of Dr. Guy Luthan (Hugh Grant), an emergency room physician, who faces ...
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This chapter discusses the issue of informed consent as seen in the film Extreme Measures (1996). The film tells the story of Dr. Guy Luthan (Hugh Grant), an emergency room physician, who faces issues of conscience and professionalism after one of his patients, a homeless man dies and his body disappears. As the young doctor begins inquiries into the incident, he meets world-renowned neurosurgeon Dr. Lawrence Myrick (Gene Hackman), who performs experimental spinal surgeries on the homeless, without their consent, in an attempt to cure paralyzing spinal disorders. The chapter argues that regardless of place or type of medical practice, respect for individual autonomy mandates the informed consent process. Informed consent helps ensure the satisfaction of legal and ethical obligations, and enhances the quality and safety of patient treatments and procedures.Less
This chapter discusses the issue of informed consent as seen in the film Extreme Measures (1996). The film tells the story of Dr. Guy Luthan (Hugh Grant), an emergency room physician, who faces issues of conscience and professionalism after one of his patients, a homeless man dies and his body disappears. As the young doctor begins inquiries into the incident, he meets world-renowned neurosurgeon Dr. Lawrence Myrick (Gene Hackman), who performs experimental spinal surgeries on the homeless, without their consent, in an attempt to cure paralyzing spinal disorders. The chapter argues that regardless of place or type of medical practice, respect for individual autonomy mandates the informed consent process. Informed consent helps ensure the satisfaction of legal and ethical obligations, and enhances the quality and safety of patient treatments and procedures.
Elaine Pierce
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861347558
- eISBN:
- 9781447302216
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347558.003.0004
- Subject:
- Social Work, Health and Mental Health
In the UK, research and development (R&D) carried out by organiszations and individuals is subject to the research governance framework for health and social care. This framework, which is overseen ...
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In the UK, research and development (R&D) carried out by organiszations and individuals is subject to the research governance framework for health and social care. This framework, which is overseen by the relevant government department, aims to enhance the promotion and quality of R&D, and to ensure a sustainable research culture. Research governance compliance criteria include the need for independent scientific review of the research proposal; ethical approval; and sponsorship and supervision by responsible health and social care professionals. This chapter examines the ethical implications of the patient's autonomy and consent within the framework, alongside those of monitoring, accountability, leadership, and management. It also considers shortcomings in the conduct of R&D and subsequent evidence-based practice.Less
In the UK, research and development (R&D) carried out by organiszations and individuals is subject to the research governance framework for health and social care. This framework, which is overseen by the relevant government department, aims to enhance the promotion and quality of R&D, and to ensure a sustainable research culture. Research governance compliance criteria include the need for independent scientific review of the research proposal; ethical approval; and sponsorship and supervision by responsible health and social care professionals. This chapter examines the ethical implications of the patient's autonomy and consent within the framework, alongside those of monitoring, accountability, leadership, and management. It also considers shortcomings in the conduct of R&D and subsequent evidence-based practice.
joseph turow
- Published in print:
- 2011
- Published Online:
- May 2015
- ISBN:
- 9780199735365
- eISBN:
- 9780190267520
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:osobl/9780199735365.003.0015
- Subject:
- Philosophy, Moral Philosophy
This chapter discusses the issue of physicians' authority as seen in the film Dr. Kildare's Strange Case (1940). The film centers on intern Jimmy Kildare (Lew Ayres), who learns the medical ropes in ...
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This chapter discusses the issue of physicians' authority as seen in the film Dr. Kildare's Strange Case (1940). The film centers on intern Jimmy Kildare (Lew Ayres), who learns the medical ropes in Blair Memorial Hospital, guided by Dr. Leonard Gillespie (Lionel Barrymore). The “strange case” of this film's title begins when Gillespie assigns Kildare to work with Dr. Gregory Lane, a surgeon whose professional self-confidence has been crushed by a string of failed surgeries and resulting patient deaths. The chapter focuses on a scene where Lane confronts a patient with a skull fracture who refuses surgery; he ignores the patient's wishes and goes on to perform the operation. The scene opens a space to discuss what a doctor's authority is and how it has changed over the decades. Comparing past and present can generate a useful discussion about the contemporary nature of a doctor's power in relation to his or her patients and the ethical boundaries of that power.Less
This chapter discusses the issue of physicians' authority as seen in the film Dr. Kildare's Strange Case (1940). The film centers on intern Jimmy Kildare (Lew Ayres), who learns the medical ropes in Blair Memorial Hospital, guided by Dr. Leonard Gillespie (Lionel Barrymore). The “strange case” of this film's title begins when Gillespie assigns Kildare to work with Dr. Gregory Lane, a surgeon whose professional self-confidence has been crushed by a string of failed surgeries and resulting patient deaths. The chapter focuses on a scene where Lane confronts a patient with a skull fracture who refuses surgery; he ignores the patient's wishes and goes on to perform the operation. The scene opens a space to discuss what a doctor's authority is and how it has changed over the decades. Comparing past and present can generate a useful discussion about the contemporary nature of a doctor's power in relation to his or her patients and the ethical boundaries of that power.
