Ethical analysis of clinical medicine: a guide to self-evaluation
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| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Baltimore ; Munich
Urban & Schwarzenberg
1985
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XVII, 302 S. |
| ISBN: | 0806707119 3541707119 0806707011 3541707011 |
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MARC
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| 245 | 1 | 0 | |a Ethical analysis of clinical medicine |b a guide to self-evaluation |c Glenn C. Graber ; Alfred D. Beasley ; John A. Eaddy |
| 264 | 1 | |a Baltimore ; Munich |b Urban & Schwarzenberg |c 1985 | |
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| 650 | 4 | |a Relations médecin-patient | |
| 650 | 4 | |a Éthique médicale | |
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| 700 | 1 | |a Eaddy, John A. |e Verfasser |4 aut | |
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Record in the Search Index
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| adam_text | Ethical Analysis of
Clinical Medicine
A Guide to Self-Evaluation
Glenn C Graber, Ph D
Department of Philosophy
Alfred D Beasley, M D
Department of Medicine
John A Eaddy, M D
Department of Family Practice
The University of Tennessee
Urban amp; Schwarzenberg
Baltimore-Munich • 1985
Contents
Foreword xi
Preface xiii
Sources and Permissions xv
Chapter One:
Physician-Patient Relationships 1
1 General Features 1
1 1 Fantasies: A Thought Experiment 1
1 2 Expectations 4
1 3 Conclusion 19
2 Information Exchange 20
2 1 Relationships 20
2 2 Obligations 23
2 3: Fulfilling These Obligations 24
2 4 Placebos and the Placebo Effect 37
2 5 Conclusions 38
3 Informed Consent 40
3 1 The Legal and Moral Requirement of Informed Consent 40
3 2 Practical Applications 45
3 3 The Paradox of Autonomy 48
3 4 Mental Competence 49
3 5 Manipulation 52
4 Confidentiality 53
4 1 The Importance of Confidentiality 53
4 2 The Need for Confidentiality in Medicine 55
4 3 Confidentiality in Medicine 55
4 4 Confidentiality and the Law 57
4 5 Cases 58
4 6 President s Commission Recommendations 71
4 7 Review Exercises 72
5 Conclusion 72
References 72
Further Reading 74
Chapter Two:
Professional Codes and Ethical Theories 77
1 Professional Codes 77
1 1 The Hippocratic Oath 77
vii
viii / Contents
1 2 AMA Principles of Medical Ethics 85
1 3 American College of Physicians Ethics Manual 89
1 4 Limitations of Professional Codes 96
2 Fundamentals of Ethical Theory 98
2 1 Ethical Judgments 98
2 2 Some Points About Ethical Theory 102
2 3 Key Concepts 103
3 Review Exercise 109
3 1 Instructions 109
3 2 Case: To Make the Parents Happy 109
3 3 Questions 109
3 4 Options for Action 110
3 5 Additional Questions 110
References Ill
Further Reading Ill
Chapter Three:
The Scope of Professional Responsibility 113
1 The Scope of Medical Service 113
1 1 Case: Joyce and Brent Blackspott 114
1 2 Analysis: Physician Responsibility for Health and Disease 115
2 The Moral Center of Medicine 118
2 1 Content of the Moral Center 118
2 2 Importance of the Moral Center 119
2 3 The Blackspotts and the Moral Center 120
2 4 Additional Cases 120
3 Beyond the Moral Center 123
3 1 Research 123
3 2 Other Potential Conflicts of Loyalties 126
3 3 Conflicts of Loyalties: Toward a Policy Solution 128
3 4 Family Medicine 131
3 5 Team Care 131
3 6 Institutional Delivery of Health Care 145
4 Expansions of the Scope of Responsibility 155
4 1 Beyond Treatment 155
4 2 Beyond the Clinic 155
4 3 Beyond Illness or Injury ( 155
4 4 Palliation, Comforting, and Strengthening Coping Skills 156
4 5 Conclusion 156
References 157
Further Reading 157
Contents / ix
Chapter Four:
Life and Death 159
1 Determination of Death 160
1 1 Irreversible 161
1 2 Vital Functions 162
1 3 Statutory Definitions of Death 163
1 4 Pronouncing Death 165
2 Other Limits to Treatment 165
2 1 AMA Policy Statements 166
2 2 Limits Set by Patients 167
2 3 Dealing with Families Decisions 178
2 4 Other Dimensions of Limits to Treatment 183
3 Seriously 111 Newborns 193
3 1 Issues 193
3 2 Conclusions 195
4 Abortion 196
5 Reproductive Technologies 198
References 200
Further Reading 200
Chapter Five:
Who Gets What? 207
1 Allocation of Resources 207
1 1 Life and Death Resources 207
1 2 Principles of Allocation 208
1 3 Case: Who Gets the Protection? 211
1 4 Triage 216
1 5 Patient Loyalties and Demands of Justice 217
1 6 Office Scheduling as an Allocation Problem 218
2 Allocation on the Social Scale 219
2 1 Access to Health Care Services 220
2 2 The Monetarization of Medicine 230
2 3 Cost Control 238
3 Reviewing Your Expectations 249
Sources of Items in Exercise, Section 223 250
References 251
Further Reading 252
x / Contents
Appendix I:
More About Ethical Theories 255
1 Utilitarianism and Other Goal-Based Theories 255
1 1 Teleologism, the Goal-Based Approach 255
1 2 The Moral Reference Group 256
1 3 Theories of Value 258
1 4 Act vs Rule Approach 267
1 5 Applying Goal-Based Theories 268
1 6 Review Exercise: Goal-Based Theories 270
2 Deontological Theories 271
2 1 Duty-Based Theories 271
2 2 Kant s Deontological Theory 275
2 3 Ross List of Prima Facie Duties 276
2 4 Review Exercise: Deontological Theories 277
2 5 Conclusion 277
References 278
Further Reading 278
Appendix II:
Summaries of Reports of the President s Commission for the Study of Ethical
Problems in Medicine and Biomedical and Behavioral Research
1 Making Health Care Decisions 279
2 Deciding to Forego Life-Sustaining Treatment 283
3 Securing Access to Health Care 290
Appendix III:
American College of Physicians Ethics Manual: Excerpts 293
Table of Cases 298
Index 299
|
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| indexdate | 2024-07-09T15:14:05Z |
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| isbn | 0806707119 3541707119 0806707011 3541707011 |
| language | English |
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| physical | XVII, 302 S. |
| publishDate | 1985 |
| publishDateSearch | 1985 |
| publishDateSort | 1985 |
| publisher | Urban & Schwarzenberg |
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| spelling | Graber, Glenn C. Verfasser aut Ethical analysis of clinical medicine a guide to self-evaluation Glenn C. Graber ; Alfred D. Beasley ; John A. Eaddy Baltimore ; Munich Urban & Schwarzenberg 1985 XVII, 302 S. txt rdacontent n rdamedia nc rdacarrier Relations médecin-patient Éthique médicale Ethics, Medical Medical ethics Physician and patient Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Medizinische Ethik (DE-588)4074672-0 s DE-604 Beasley, Alfred D. Verfasser aut Eaddy, John A. Verfasser aut HEBIS Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=000273726&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Graber, Glenn C. Beasley, Alfred D. Eaddy, John A. Ethical analysis of clinical medicine a guide to self-evaluation Relations médecin-patient Éthique médicale Ethics, Medical Medical ethics Physician and patient Medizinische Ethik (DE-588)4074672-0 gnd |
| subject_GND | (DE-588)4074672-0 |
| title | Ethical analysis of clinical medicine a guide to self-evaluation |
| title_auth | Ethical analysis of clinical medicine a guide to self-evaluation |
| title_exact_search | Ethical analysis of clinical medicine a guide to self-evaluation |
| title_full | Ethical analysis of clinical medicine a guide to self-evaluation Glenn C. Graber ; Alfred D. Beasley ; John A. Eaddy |
| title_fullStr | Ethical analysis of clinical medicine a guide to self-evaluation Glenn C. Graber ; Alfred D. Beasley ; John A. Eaddy |
| title_full_unstemmed | Ethical analysis of clinical medicine a guide to self-evaluation Glenn C. Graber ; Alfred D. Beasley ; John A. Eaddy |
| title_short | Ethical analysis of clinical medicine |
| title_sort | ethical analysis of clinical medicine a guide to self evaluation |
| title_sub | a guide to self-evaluation |
| topic | Relations médecin-patient Éthique médicale Ethics, Medical Medical ethics Physician and patient Medizinische Ethik (DE-588)4074672-0 gnd |
| topic_facet | Relations médecin-patient Éthique médicale Ethics, Medical Medical ethics Physician and patient Medizinische Ethik |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=000273726&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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