S. Wear – författare
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4 produkter
4 produkter
Del 4 - Clinical Medical Ethics
Informed Consent
Patient Autonomy and Physician Beneficence within Clinical Medicine
Inbunden, Engelska, 1992
1 075 kr
Skickas inom 10-15 vardagar
Substantial efforts have been made to reform the physician-patient relationship, particularly towards replacing the "silent world of doctor and patient" with informed patient participation in medical decision-making. This "new ethos of patient autonomy" has especially insisted on the routine provision of informed consent for all medical interventions. Strongly supported by most bioethicists and the law, as well as more popular writings, it seems clear that informed consent has, at best, been received in a lukewarm fashion by most clinicians, many simply rejecting what they commonly refer to as the "myth of informed consent". The purpose of this text is to defuse this seemingly intractable controversy by offering an effective operational model of informed consent. This goal is pursued first by reviewing and evaluating, in detail, the agendas, arguments and supporting materials of its proponents and detractors. A comprehensive review of empirical studies of informed consent is provided, as well as detailed reflection on the common clinician experience with attempts at informed consent and the exercise of autonomy by patients.Ultimately, informed consent is recast as a management tool for pursuing clinically and ethically important values. The model incorporates a flexible, anticipatory approach that recognizes that no static, generic ritual can legitimately pursue the quite variable values that may be at stake with different patients in different situations. Finally, efficiency of provision is addressed by not pursuing the unattainable and ancillary. Throughout, the traditional principle of beneficence is appealed to towards articulating an operational model of informed consent as an intervention that is likely to change outcomes at the bedside for the better.
1 657 kr
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This volume focuses on issues that will have a fundamentally pivotal character as we move into the third millennium, and its individual contributions all have a futuristic approach, in that they identify the nature of the choices or dilemmas these issues will present to us in the future, and the various resolutions that might be made regarding them. The three main topic areas in this volume are: the dilemma of funding health care; the Human Genome Project; and the physician/patient relationship. By examining these three topics, this edition thus focuses on: the societal options for financing and distributing health care; what may well be the area of medical science and research that most radically affects the nature of that care in the foreseeable future: and the most fundamental unit of care.
1 657 kr
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of UB’s medical school, that UB developed its School of Arts and Sciences, and thus, assumed its place among the other institutions of higher education. Had Fillmore lived throughout UB’s first seventy years, he would probably have been elated by the success of his university, and he should have been satisfied and pleased that UB remained intrinsically bonded to its community while at the same time engrafting the values and standards important to higher education’s mission in the region. UB and its medical school have undergone many challenging transitions since 1846. Included among them were: (1) the completion of an academic campus in the far northeast comer of the City of Buffalo while leaving its medical, dental and law schools firmly situated in the core of downtown Buffalo; (2) the eventual relocation, after the second world war, of the law school to the newer campus in Amherst, and the medical and dental school to the original academic campus: and (3) the merger with the State University of New York System in 1962. Despite these significant transitions, any one of which could have changed the intrinsic integrity of UB and disrupted the bonding between community and university, that did not happen. To this day, the ties between community and academe persist. Fillmore and White should celebrate their success and important contribution to Buffalo and Western New York.
Del 4 - Clinical Medical Ethics
Informed Consent
Patient Autonomy and Physician Beneficence within Clinical Medicine
Häftad, Engelska, 2010
1 075 kr
Skickas inom 10-15 vardagar
Substantial efforts have recently been made to reform the physician-patient relationship, particularly toward replacing the 'silent world of doctor and patient' with informed patient participation in medical decision-making. This 'new ethos of patient autonomy' has especially insisted on the routine provision of informed consent for all medical interventions. Stronly supported by most bioethicists and the law, as well as more popular writings and expectations, it still seems clear that informed consent has, at best, been received in a lukewarm fashion by most clinicians, many simply rejecting what they commonly refer to as the 'myth of informed consent'. The purpose of this book is to defuse this seemingly intractable controversy by offering an efficient and effective operational model of informed consent. This goal is pursued first by reviewing and evaluating, in detail, the agendas, arguments, and supporting materials of its proponents and detractors.A comprehensive review of empirical studies of informed consent is provided, as well as a detailed reflection on the common clinician experience with attempts at informed consent and the exercise of autonomy by patients. In the end, informed consent is recast as a management tool for pursuing clinically and ethically important goods and values that any clinician should see as meriting pursuit. Concurrently, the model incorporates a flexible, anticipatory approach that recognizes that no static, generic ritual can legitimately pursue the quite variable goods and values that may be at stake with different patients in different situations. Finally, efficiency of provision is addressed by not pursuing the unattainable and ancillary. Throughout, the traditional principle of beneficence is appealed to toward articulating an operational model of informed consent as an intervention that is likely to change outcomes at the bedside for the better.