Hospital based bioethics: a European perspective
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
[Padova]
Piccin
2007
|
| Schlagworte: | |
| Online-Zugang: | Klappentext Inhaltsverzeichnis |
| Beschreibung: | XIX, 178 S. graph. Darst. |
| ISBN: | 9788829918416 |
Internformat
MARC
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Datensatz im Suchindex
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|---|---|
| adam_text |
The European Hospital (-based) Bioethics Program (EHBP) brought together bioethics
expertise from ten European countries (France, Germany, Italy, Lithuania, the
Netherlands, Poland, Portugal, the Slovak Republic, Slovenia and the United
Kingdom), with the following objectives:
•
western and Central-Eastern European countries, with particular reference to the
contents and methodology of existing courses;
•
to test the course model in the participating countries;
•
clinical bioethics, so as to improve the interdisciplinary approach among all
health care workers;
•
European Union countries and candidate countries of Central-Eastern Europe;
•
among programs and experiences, providing a forum to encourage information
and collaboration exchange as well as supporting the development of clinical
bioethics in
Likewise, the purpose of mis book is to stimulate debate, increase knowledge and
promote inter-disciplinary dialogue about ethical issues associated with the provi¬
sion of medical care in Europe, particularly hospital based care. By providing a
common background, language and approach, it is hoped that a wider audience
will be empowered to participate in discussions about these important issues.
Increased mobility of health care professionals within Europe requires professionals
and other hospital staff to discuss and debate health care and bioethical issues with¬
in a common framework. In fact, there are already some successful attempts at
'European
they are beginning to occur in clinical care as well.
The book is an important adjunct to the bioethics course model and provides a basic
monograph of the bioethics educational program with bibliographic references. The
aim of the EHBP is to increase knowledge about clinical bioethics activities in hospi¬
tals and the purpose of this book is to act as a tool to aid clinical bioethics teaching
in European hospitals.
The EHBP Project was supported by the European Commission within the Fifth
Framework Programme
Contents
Preface V
Introduction XVII
Chapter 1
Bioethics, professional codes and law 1
Eugenijus Gefenas
Learning objectives 1
Key concepts 1
Case studies 2
Introduction: different normative approaches to medicine 3
Professional codes, medical deontology and bioethics 4
Traditional deontology 4
Secularisation and the tendency to defend the integrity of the professional
group 5
Internationalisation, value shift and specialisation 6
The functions and limitations of medical deontology 7
The transformation of medical deontology 8
Bioethics and health law 8
The impact of the human rights movement 9
European international legal instruments in the field of biomedicine 10
Ethics and law: important differences 1 1
Illegal but moral/legal but immoral 12
When should legislation stop? 1 3
Finding a balance between law and ethics 14
Conclusion 15
Discussion questions 15
REFERENCES AND FURTHER READING 1 6
WEB BASED REFERENCES 1 6
WEBSITES OF SOME INTERNATIONAL AND NATIONAL BIOETHICS BODIES 1 7
Chapter 2
Concepts and principles in hospital bioethics 19
Marc Cuerrier
Learning objectives 19
Key concepts 19
Case studies 20
Introduction 21
XII Contents
Alternative ethical approaches 22
The relationship between ethical principles and written regulations 23
Primum non nocere 24
Confidentiality 25
Autonomy, beneficence, non-maleficence and justice 25
Autonomy, dignity, integrity, vulnerability 27
Example of application: The Convention of Oviedo 31
Applying principles at the bedside 32
Conclusion 34
Discussion questions 34
REFERENCES AND FURTHER READING 34
Chapter 3
Resource allocation in health care 37
Giovanni Putoto, Renzo Pegoraro, Andrea Semplicini
Learning objectives 37
Key concepts 37
Case studies 38
Introduction 38
From implicit to explicit rationing 39
The levels of rationing: macro, meso and micro 40
The decision makers and problems in reaching consensus: who decides? 41
Methods of rationing 42
Technical and distributive approaches to rationing 43
Technical criteria 43
Distributive criteria 46
Theories of justice in health care 47
The conflicts and limits of philosophical approaches 49
The importance of the ethico-procedural approach 50
International experiences 51
Conclusion 54
Discussion questions 55
REFERENCES AND FURTHER READING 55
Chapter 4
The relationship between health professionals and patients 57
Franz Josef Illhardt
Learning objectives 57
Key concepts 57
Case studies 58
Contents XIII
Introduction 58
What is meant by the term 'relationship'? 60
Traditional models of relationships 61
Current conceptions 63
Ethical justification concerning relationship-structures 68
Can we learn relations in partnership? 70
Case study 70
Conclusion 75
Discussion questions 75
REFERENCES AND FURTHER READING 75
Chapter 5
Clinical ethics at the beginning of life 77
S0ren Holm
Learning objectives 77
Key concepts 77
Case studies 78
Introduction 79
Proxy decision making for young children 80
The decision maker 80
The basis for decision making 82
Pregnancy and childbirth 85
Withholding and withdrawing treatment in neonatology 88
Abortion and prenatal diagnosis 90
Discussion questions 92
REFERENCES AND FURTHER READING 92
Chapter 6
Clinical ethics at the end of life 95
Tomasz Brzostek and Zbigniew Zalewski
Learning objectives 95
Key concepts 95
Case studies 96
Introduction 97
Care of the dying in the age of modern technology 98
The meaning of "end of life" and "terminal illness" 99
Treatment and care - what can be done for patients at end of life? 99
Types of patients who are potentially affected by end of life decisions 101
Problems in decision making - who is entitled to decide? 101
Euthanasia 105
XIV Contents
Ethical values/principles 108
Ethical argumentation 1 10
Conclusion 112
Discussion questions 11 3
REFERENCES AND FURTHER READING 1 1 3
Chapter 7
The clinical ethics of psychiatry 115
Seren Holm
Learning objectives 115
Key concepts 1 15
Case studies 116
Introduction 1 16
Are mental illnesses real illnesses? 1 17
Competence, incompetence and compulsory treatment 117
Is incompetence irrationality? 1 19
Danger to others 124
Advance directives and treatment contracts 124
Informal compulsion 125
The role of the family in psychiatric ethics 126
Some controversies concerning psychiatric patients 127
Discussion questions 129
REFERENCES AND FURTHER READING 1 29
Chapter 8
Hospital committees and bioethics consultation in hospital 131
Norbert Steinkamp
Learning objectives 131
Key concepts 131
Case studies 132
Introduction 133
The health care ethics committee: its purpose, goals and tasks 134
Written advice and ethical guidelines 138
Education 139
Moral problems in patient care: ethical case deliberation and ethics
consultation 140
Implementation 148
Conclusion 149
Discussion questions 149
REFERENCES AND FURTHER READING 149
Contents XV
Chapter 9
Biomedical research ethics 153
Josef Glasa
Learning objectives 153
Key concepts 153
Case studies 154
Introduction: the necessity and importance of biomedical research 155
Research in medicine and biology - basic methodological issues 156
Randomised clinical trials 157
Biomedical research in health care settings 159
Ethical principles of research on human subjects 160
Risk/benefit evaluation 162
Selection of research subjects 163
Informed consent 163
Persons unable to give informed consent 167
Good Clinical Practice 168
Research Ethics Committees 170
Psychological research 173
Conclusion 174
Discussion questions 174
REFERENCES AND FURTHER READING 175
Index 177 |
| adam_txt |
The European Hospital (-based) Bioethics Program (EHBP) brought together bioethics
expertise from ten European countries (France, Germany, Italy, Lithuania, the
Netherlands, Poland, Portugal, the Slovak Republic, Slovenia and the United
Kingdom), with the following objectives:
•
western and Central-Eastern European countries, with particular reference to the
contents and methodology of existing courses;
•
to test the course model in the participating countries;
•
clinical bioethics, so as to improve the interdisciplinary approach among all
health care workers;
•
European Union countries and candidate countries of Central-Eastern Europe;
•
among programs and experiences, providing a forum to encourage information
and collaboration exchange as well as supporting the development of clinical
bioethics in
Likewise, the purpose of mis book is to stimulate debate, increase knowledge and
promote inter-disciplinary dialogue about ethical issues associated with the provi¬
sion of medical care in Europe, particularly hospital based care. By providing a
common background, language and approach, it is hoped that a wider audience
will be empowered to participate in discussions about these important issues.
Increased mobility of health care professionals within Europe requires professionals
and other hospital staff to discuss and debate health care and bioethical issues with¬
in a common framework. In fact, there are already some successful attempts at
'European
they are beginning to occur in clinical care as well.
The book is an important adjunct to the bioethics course model and provides a basic
monograph of the bioethics educational program with bibliographic references. The
aim of the EHBP is to increase knowledge about clinical bioethics activities in hospi¬
tals and the purpose of this book is to act as a tool to aid clinical bioethics teaching
in European hospitals.
The EHBP Project was supported by the European Commission within the Fifth
Framework Programme
Contents
Preface V
Introduction XVII
Chapter 1
Bioethics, professional codes and law 1
Eugenijus Gefenas
Learning objectives 1
Key concepts 1
Case studies 2
Introduction: different normative approaches to medicine 3
Professional codes, medical deontology and bioethics 4
Traditional deontology 4
Secularisation and the tendency to defend the integrity of the professional
group 5
Internationalisation, value shift and specialisation 6
The functions and limitations of medical deontology 7
The transformation of medical deontology 8
Bioethics and health law 8
The impact of the human rights movement 9
European international legal instruments in the field of biomedicine 10
Ethics and law: important differences 1 1
Illegal but moral/legal but immoral 12
When should legislation stop? 1 3
Finding a balance between law and ethics 14
Conclusion 15
Discussion questions 15
REFERENCES AND FURTHER READING 1 6
WEB BASED REFERENCES 1 6
WEBSITES OF SOME INTERNATIONAL AND NATIONAL BIOETHICS BODIES 1 7
Chapter 2
Concepts and principles in hospital bioethics 19
Marc Cuerrier
Learning objectives 19
Key concepts 19
Case studies 20
Introduction 21
XII Contents
Alternative ethical approaches 22
The relationship between ethical principles and written regulations 23
Primum non nocere 24
Confidentiality 25
Autonomy, beneficence, non-maleficence and justice 25
Autonomy, dignity, integrity, vulnerability 27
Example of application: The Convention of Oviedo 31
Applying principles at the bedside 32
Conclusion 34
Discussion questions 34
REFERENCES AND FURTHER READING 34
Chapter 3
Resource allocation in health care 37
Giovanni Putoto, Renzo Pegoraro, Andrea Semplicini
Learning objectives 37
Key concepts 37
Case studies 38
Introduction 38
From implicit to explicit rationing 39
The levels of rationing: macro, meso and micro 40
The decision makers and problems in reaching consensus: who decides? 41
Methods of rationing 42
Technical and distributive approaches to rationing 43
Technical criteria 43
Distributive criteria 46
Theories of justice in health care 47
The conflicts and limits of philosophical approaches 49
The importance of the ethico-procedural approach 50
International experiences 51
Conclusion 54
Discussion questions 55
REFERENCES AND FURTHER READING 55
Chapter 4
The relationship between health professionals and patients 57
Franz Josef Illhardt
Learning objectives 57
Key concepts 57
Case studies 58
Contents XIII
Introduction 58
What is meant by the term 'relationship'? 60
Traditional models of relationships 61
Current conceptions 63
Ethical justification concerning relationship-structures 68
Can we learn relations in partnership? 70
Case study 70
Conclusion 75
Discussion questions 75
REFERENCES AND FURTHER READING 75
Chapter 5
Clinical ethics at the beginning of life 77
S0ren Holm
Learning objectives 77
Key concepts 77
Case studies 78
Introduction 79
Proxy decision making for young children 80
The decision maker 80
The basis for decision making 82
Pregnancy and childbirth 85
Withholding and withdrawing treatment in neonatology 88
Abortion and prenatal diagnosis 90
Discussion questions 92
REFERENCES AND FURTHER READING 92
Chapter 6
Clinical ethics at the end of life 95
Tomasz Brzostek and Zbigniew Zalewski
Learning objectives 95
Key concepts 95
Case studies 96
Introduction 97
Care of the dying in the age of modern technology 98
The meaning of "end of life" and "terminal illness" 99
Treatment and care - what can be done for patients at end of life? 99
Types of patients who are potentially affected by end of life decisions 101
Problems in decision making - who is entitled to decide? 101
Euthanasia 105
XIV Contents
Ethical values/principles 108
Ethical argumentation 1 10
Conclusion 112
Discussion questions 11 3
REFERENCES AND FURTHER READING 1 1 3
Chapter 7
The clinical ethics of psychiatry 115
Seren Holm
Learning objectives 115
Key concepts 1 15
Case studies 116
Introduction 1 16
Are mental illnesses real illnesses? 1 17
Competence, incompetence and compulsory treatment 117
Is incompetence irrationality? 1 19
Danger to others 124
Advance directives and treatment contracts 124
Informal compulsion 125
The role of the family in psychiatric ethics 126
Some controversies concerning psychiatric patients 127
Discussion questions 129
REFERENCES AND FURTHER READING 1 29
Chapter 8
Hospital committees and bioethics consultation in hospital 131
Norbert Steinkamp
Learning objectives 131
Key concepts 131
Case studies 132
Introduction 133
The health care ethics committee: its purpose, goals and tasks 134
Written advice and ethical guidelines 138
Education 139
Moral problems in patient care: ethical case deliberation and ethics
consultation 140
Implementation 148
Conclusion 149
Discussion questions 149
REFERENCES AND FURTHER READING 149
Contents XV
Chapter 9
Biomedical research ethics 153
Josef Glasa
Learning objectives 153
Key concepts 153
Case studies 154
Introduction: the necessity and importance of biomedical research 155
Research in medicine and biology - basic methodological issues 156
Randomised clinical trials 157
Biomedical research in health care settings 159
Ethical principles of research on human subjects 160
Risk/benefit evaluation 162
Selection of research subjects 163
Informed consent 163
Persons unable to give informed consent 167
Good Clinical Practice 168
Research Ethics Committees 170
Psychological research 173
Conclusion 174
Discussion questions 174
REFERENCES AND FURTHER READING 175
Index 177 |
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| oclc_num | 150304265 |
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| owner | DE-19 DE-BY-UBM DE-706 DE-355 DE-BY-UBR DE-739 DE-M49 DE-BY-TUM DE-29 DE-473 DE-BY-UBG DE-521 DE-634 DE-83 DE-188 DE-578 |
| owner_facet | DE-19 DE-BY-UBM DE-706 DE-355 DE-BY-UBR DE-739 DE-M49 DE-BY-TUM DE-29 DE-473 DE-BY-UBG DE-521 DE-634 DE-83 DE-188 DE-578 |
| physical | XIX, 178 S. graph. Darst. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | Piccin |
| record_format | marc |
| spelling | Hospital based bioethics a European perspective ed. by Renzo Pegoraro ... [Padova] Piccin 2007 XIX, 178 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Medische ethiek gtt Krankenhaus (DE-588)4032786-3 gnd rswk-swf Bioethik (DE-588)4006791-9 gnd rswk-swf Europa (geografie) gtt Europa Europa (DE-588)4015701-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Europa (DE-588)4015701-5 g Krankenhaus (DE-588)4032786-3 s Bioethik (DE-588)4006791-9 s DE-604 Pegoraro, Renzo 1959- Sonstige (DE-588)1225501881 oth Digitalisierung UB Passau application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015659425&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Klappentext HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015659425&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Hospital based bioethics a European perspective Medische ethiek gtt Krankenhaus (DE-588)4032786-3 gnd Bioethik (DE-588)4006791-9 gnd |
| subject_GND | (DE-588)4032786-3 (DE-588)4006791-9 (DE-588)4015701-5 (DE-588)4143413-4 |
| title | Hospital based bioethics a European perspective |
| title_auth | Hospital based bioethics a European perspective |
| title_exact_search | Hospital based bioethics a European perspective |
| title_exact_search_txtP | Hospital based bioethics a European perspective |
| title_full | Hospital based bioethics a European perspective ed. by Renzo Pegoraro ... |
| title_fullStr | Hospital based bioethics a European perspective ed. by Renzo Pegoraro ... |
| title_full_unstemmed | Hospital based bioethics a European perspective ed. by Renzo Pegoraro ... |
| title_short | Hospital based bioethics |
| title_sort | hospital based bioethics a european perspective |
| title_sub | a European perspective |
| topic | Medische ethiek gtt Krankenhaus (DE-588)4032786-3 gnd Bioethik (DE-588)4006791-9 gnd |
| topic_facet | Medische ethiek Krankenhaus Bioethik Europa (geografie) Europa Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015659425&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015659425&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT pegorarorenzo hospitalbasedbioethicsaeuropeanperspective |