Ethics And Medical Decision Making


Ethics And Medical Decision Making
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Ethics And Medical Decision Making


Ethics And Medical Decision Making
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Author : Michael Freeman
language : en
Publisher: Routledge
Release Date : 2017-10-05

Ethics And Medical Decision Making written by Michael Freeman and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-05 with Law categories.


This title was first published in 2001: Ethical thinking about medical decision-making has roots deep in history. This collection of contemporary essays by leading international scholars traces the development of modern bioethics and explores the theory and current issues surrounding this widely contested field.



Ethical Counselling And Medical Decision Making In The Era Of Personalised Medicine


Ethical Counselling And Medical Decision Making In The Era Of Personalised Medicine
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Author : Giovanni Boniolo
language : en
Publisher: Springer
Release Date : 2016-02-20

Ethical Counselling And Medical Decision Making In The Era Of Personalised Medicine written by Giovanni Boniolo and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-02-20 with Technology & Engineering categories.


This book offers an overview of the main questions arising when biomedical decision-making intersects ethical decision-making. It reports on two ethical decision-making methodologies, one addressing the patients, the other physicians. It shows how patients’ autonomous choices can be empowered by increasing awareness of ethical deliberation, and at the same time it supports healthcare professionals in developing an ethical sensitivity, which they can apply in their daily practice. The book highlights the importance and relevance of practicing bioethics in the age of personalized medicine. It presents concrete cases studies dealing with cancer and genetic diseases, where difficult decisions need to be made by all the parties involved: patients, physicians and families. Decisions concern not only diagnostic procedures and treatments, but also moral values, religious beliefs and ways of seeing life and death, thus adding further layers of complexity to biomedical decision-making. This book, which is strongly rooted in the philosophical tradition, features non-directive counseling and patient-centeredness. It provides a concise yet comprehensive and practice-oriented guide to decision-making in modern healthcare.



Making Health Care Decisions


Making Health Care Decisions
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Author : United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research
language : en
Publisher:
Release Date : 1982

Making Health Care Decisions written by United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1982 with Informed consent (Medical law) categories.




Strangers At The Bedside


Strangers At The Bedside
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Author : David J. Rothman
language : en
Publisher: Routledge
Release Date : 2017-07-12

Strangers At The Bedside written by David J. Rothman and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-12 with Medical categories.


David Rothman gives us a brilliant, finely etched study of medical practice today. Beginning in the mid-1960s, the practice of medicine in the United States underwent a most remarkable--and thoroughly controversial--transformation. The discretion that the profession once enjoyed has been increasingly circumscribed, and now an almost bewildering number of parties and procedures participate in medical decision making. Well into the post-World War II period, decisions at the bedside were the almost exclusive concern of the individual physician, even when they raised fundamental ethical and social issues. It was mainly doctors who wrote and read about the morality of withholding a course of antibiotics and letting pneumonia serve as the old man's best friend, of considering a newborn with grave birth defects a "stillbirth" thus sparing the parents the agony of choice and the burden of care, of experimenting on the institutionalized the retarded to learn more about hepatitis, or of giving one patient and not another access to the iron lung when the machine was in short supply. Moreover, it was usually the individual physician who decided these matters without formal discussions with patients, their families, or even with colleagues, and certainly without drawing the attention of journalists, judges, or professional philosophers. The impact of the invasion of outsiders into medical decision-making, most generally framed, was to make the invisible visible. Outsiders to medicine--that is, lawyers, judges, legislators, and academics--have penetrated its every nook and cranny, in the process giving medicine exceptional prominence on the public agenda and making it the subject of popular discourse. The glare of the spotlight transformed medical decision making, shaping not merely the external conditions under which medicine would be practiced (something that the state, through the regulation of licensure, had always done), but the very substance of medical pract



The Ethics Of Shared Decision Making


The Ethics Of Shared Decision Making
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Author : John D. Lantos
language : en
Publisher: Oxford University Press
Release Date : 2021-08-17

The Ethics Of Shared Decision Making written by John D. Lantos and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-08-17 with Medical categories.


Patients today are more empowered and knowledgeable than they have ever been. By law, they must be told about the risks and benefits of proposed treatments and give informed consent before treatment is initiated. Through the democratization of medical information, they have access to peer-reviewed medical journals. Social media allows patients to share stories with others and to learn about other people's experiences with various treatments. There are websites written by experts at leading medical schools to help patients understand diseases and treatments. They have the right to see their medical records. The net result of all changes is a shift in the power balance between doctors and patients. Ideally, as a result of these shifts, the patients' values and preferences should guide treatment decisions. However, this proliferation of information often leads to confusion rather than clarity. Publicly available information often includes seemingly contradictory conclusions and recommendations. Patients don't know which opinions to trust. So, although patients have more information than ever, and many want to make decisions for themselves, they need more guidance than ever to help them process an avalanche of information. This volume aims to help both medical professionals and their patients navigate the evolving healthcare landscape by analyzing the process of shared decision-making (SDM) in clinical medicine. The concept of SDM has emerged in the last two decades as a middle ground between, on the one hand, old-fashinioned physician paternalism of the "doctor-knows-best" variety and, on the other hand, unfettered patient autonomy by which patients are thought capable of individually and independently choosing their own medical interventions. Advocates of SDM imagine that decisions will be made best if they follow a complex discussion and negotiation between doctor and patient; such discussions should incorporate the doctor's medical and technical expertise as well as the patient's goals, values, and preferences. SDM takes different forms for different patients in different clinical circumstances. This volume gathers experts in SDM to share their insights about how it ought to be done. The authors include clinicians, social scientist, and philosophers, all of whom have thought about or cared for patients from a variety of backgrounds and in a variety of clinical circumstances. The papers explore the complexity of SDM and offer practical guidance, gained from years of experience, about how to employ SDM as effectively as possible.



Tough Decisions


Tough Decisions
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Author : John M. Freeman
language : en
Publisher: Oxford University Press
Release Date : 2001

Tough Decisions written by John M. Freeman and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Medical categories.


Tough Decisions places readers in realistic composites of cases the authors have actually seen or managed where they must make tough medical decisions. What happens in them often depends on the reader's decisions and thus gives a sense of pressures that bear on clinical-decision making.



Physician Patient Decision Making


Physician Patient Decision Making
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Author : Douglas N. Walton
language : en
Publisher: Praeger
Release Date : 1985-10-24

Physician Patient Decision Making written by Douglas N. Walton and has been published by Praeger this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985-10-24 with History categories.


Walton offers a comprehensive, flexible model for physician-patient decision making, the first such tool designed to be applied at the level of each particular case. Based on Aristotelian practical reasoning, it develops a method of reasonable dialogue, a question- and-answer process of interaction leading to informed consent on the part of the patient, and to a decision--mutually arrived at--reflecting both high medical standards and the patient's felt needs. After setting forth his model, he applies it to three vital ethical issues: acts of omission, the cessation of treatment, and possible side effects of treatments. In the final chapter, Walton shows how his method functions in light of the real-life complexities of the clinical encounter and how it bears on ethical questions concerning health-care policy, attitudes toward treatment and toward the medical profession, reasonableness of expectations, and the setting of realistic goals of treatment.



Changing Values In Medical And Healthcare Decision Making


Changing Values In Medical And Healthcare Decision Making
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Author : Uffe Juul Jensen
language : en
Publisher: John Wiley & Sons
Release Date : 1991-01-08

Changing Values In Medical And Healthcare Decision Making written by Uffe Juul Jensen and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991-01-08 with Medical categories.


This work charts the progress of changing values in medical and healthcare decision-making, particularly as a result of economic pressures, and the role of clinical ethics in determining what courses of action and treatment medical and healthcare professionals should pursue. It evaluates the concepts involved in ethical decision-making, such as risk and need, and whose values are relevant to which decisions and looks at the changing emphasis of medicine and the relevance of value judgments in clinical decisions. This stimulating work incorporates a number of different perspectives, disciplines, cultures and nationalities to provide a multi-disciplinary, international approach. In addition to medical and economic issues, the book also discusses philosophical and legal aspects.



Good Ethics And Bad Choices


Good Ethics And Bad Choices
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Author : Jennifer S. Blumenthal-Barby
language : en
Publisher: MIT Press
Release Date : 2021-08-03

Good Ethics And Bad Choices written by Jennifer S. Blumenthal-Barby and has been published by MIT Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-08-03 with Business & Economics categories.


An analysis of how findings in behavioral economics challenge fundamental assumptions of medical ethics, integrating the latest research in both fields. Bioethicists have long argued for rational persuasion to help patients with medical decisions. But the findings of behavioral economics—popularized in Thaler and Sunstein’s Nudge and other books—show that arguments depending on rational thinking are unlikely to be successful and even that the idea of purely rational persuasion may be a fiction. In Good Ethics and Bad Choices, Jennifer Blumenthal-Barby examines how behavioral economics challenges some of the most fundamental tenets of medical ethics. She not only integrates the latest research from both fields but also provides examples of how physicians apply concepts of behavioral economics in practice. Blumenthal-Barby analyzes ethical issues raised by “nudging” patient decision making and argues that the practice can improve patient decisions, prevent harm, and perhaps enhance autonomy. She then offers a more detailed ethical analysis of further questions that arise, including whether nudging amounts to manipulation, to what extent and at what point these techniques should be used, when and how their use would be wrong, and whether transparency about their use is required. She provides a snapshot of nudging “in the weeds,” reporting on practices she observed in clinical settings including psychiatry, pediatric critical care, and oncology. Warning that there is no “single, simple account of the ethics of nudging,” Blumenthal-Barby offers a qualified defense, arguing that a nudge can be justified in part by the extent to which it makes patients better off.



Encoding Bioethics


Encoding Bioethics
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Author : Charles Binkley
language : en
Publisher: Univ of California Press
Release Date : 2024-06-25

Encoding Bioethics written by Charles Binkley and has been published by Univ of California Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-25 with Medical categories.


Encoding Bioethics addresses important ethical concerns from the perspective of each of the stakeholders who will develop, deploy, and use artificial intelligence systems to support clinical decisions. Utilizing an applied ethical model of patient-centered care, this book considers the viewpoints of programmers, health system and health insurance leaders, clinicians, and patients when AI is used in clinical decision-making. The authors build on their respective experiences as a surgeon-bioethicist and a surgeon-AI developer to give the reader an accessible account of the relevant ethical considerations raised when AI systems are introduced into the physician-patient relationship.