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Author: S. Wear
Publisher: Springer Science & Business Media
ISBN: 9401581223
Category : Philosophy
Languages : en
Pages : 190
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Book Description
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.
Author: S. Wear
Publisher: Springer Science & Business Media
ISBN: 9401581223
Category : Philosophy
Languages : en
Pages : 190
Get Book Here
Book Description
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.
Author: Randy Bauman
Publisher:
ISBN: 9780997447200
Category : Medical
Languages : en
Pages : 102
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Book Description
This leading edge book is a guide for unwinding an unhappy hospital employment relationship and reestablishing a private medical practice. Designed for employed physicians (and their administrative staff and advisors) who are searching to regain independence or control over their practice of medicine.
Author: J. Bergsma
Publisher: Springer Science & Business Media
ISBN: 9401708215
Category : Medical
Languages : en
Pages : 230
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Book Description
This book arises from a two-fold conviction. The first is that autonomy, despite recent critiques about its importance in bioethics and philosophy of medicine, and the traditional resistance of medicine to its "intrusion" into the doctor-patient relation, is a fundamental building block of an individual's identity and mechanisms for dealing with illness, disease, and incapacity. As such it is an essential component in the health care professional's armamentarium employed to bring about healing. Furthennore, it functions in a similar way to assist the health professional in his or her relations to the sick and injured. The second conviction follows from the fITst. Autonomy is far more complex than appears from the philosophical use of the concept. In this conviction we join those who have criticized the over-reliance on autonomy in modem, secular bioethics originating in the United States, but gaining ascendancy in other cultures. This critique relies on appeals to the richer contexts of persons' lives. Elsewhere the contemporary critique of autonomy appears in a variety of alternative ethical models like narrative ethics, casuist ethics, and contextualism. Indeed, postmodern criticism of all bioethics argues that there is no defensible foundation for claims that one ought to respect autonomy or any other principle as a way of ensuring that one is ethical.
Author: Carl Schneider
Publisher: Oxford University Press, USA
ISBN: 9780195113976
Category : Autonomy (Psychology)
Languages : en
Pages : 346
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Book Description
"Exploring what patients do want gives direction to the author's inquiry into what they should want. What patients want, he believes, is properly more complex and ambiguous than being "empowered." In this book he charts that ambiguity to take the autonomy principle past current pieties into the uncertain realities of the sick room and the hospital ward." "The Practice of Autonomy is a sympathetic but trenchant study of the animating principle of modern bioethics. It speaks with freshness, insight, and even passion to bioethicists and moral philosophers (about their theories), to lawyers (about their methods), to medical sociologists (about their subject), to policy-makers (about their ambitions), to doctors (about their work), and to patients (about their lives)."--BOOK JACKET.
Author: Richard Allen Culbertson
Publisher:
ISBN:
Category : Health facilities
Languages : en
Pages : 856
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Book Description
Author: Alfred I. Tauber
Publisher: MIT Press (MA)
ISBN:
Category : Law
Languages : en
Pages : 354
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Book Description
The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy—which was inspired by other rights-based movements of the 1960s—was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fueled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Coordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine. Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyzes the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections, Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.
Author: Mark Daniel Sullivan
Publisher: Oxford University Press
ISBN: 0195386582
Category : Health & Fitness
Languages : en
Pages : 457
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Book Description
Proposals for patient-centered care for chronic illness have not understood or incorporated the capacity of patients to be active agents of health and health care. Patients can not only make treatment choices, but help define their clinical problem and its resolution. This book examines patient action as the principal path to health and an essential component of it.
Author: Grace Torres-Hodges
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 0
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Book Description
Is the constant battle with bureaucracies and the suffocating grip of third-party interference leaving you drained and unable to deliver the exceptional care your patients deserve? It's time to break those chains and reclaim your professional autonomy as a physician with unwavering determination. Say goodbye to bureaucratic headaches and create a patient-centric approach that places you firmly in the driver's seat. Private Practice Solution is not your average book; it's a powerful guide designed to empower physicians like you to seize control of your destiny. This book is your key to unlocking professional freedom and unparalleled success in the ever-changing landscape of healthcare. Dr. Grace Torres-Hodges not only shares her transformative experience, but she also offers priceless insights that go beyond mere instruction. With her expert guidance, you'll be empowered to carve your own unique path to success. By embracing a Direct Care mindset, you will be able to regain absolute control over your practice and provide unmatched patient care. Don't waste any more time in a broken system! Whether you're a seasoned physician or just starting out, this book will equip you with the knowledge, strategies, and tools you need to: Develop a direct care mindset that sets the foundation Create a patient-centered culture that fosters trust and loyalty Develop a pricing strategy that works for you and your patients Streamline your business operations to reduce stress and burnout Your patients - as well as your family - need you! Reclaim the joy of practicing medicine on your own terms and see your patients thrive in response to your patient-centered approach. Seize the power that is at hand! As Dr. Grace says, "Don't change how you practice medicine, change how you interact with the system!"
Author: Bernard Gert
Publisher: Oxford University Press
ISBN: 0198038720
Category : Philosophy
Languages : en
Pages : 203
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Book Description
Distinguished philosopher Bernard Gert presents a clear and concise introduction to what he calls "common morality"--the moral system that most thoughtful people implicitly use when making everyday, common sense moral decisions and judgments. Common Morality is useful in that--while not resolving every disagreement on controversial issues--it is able to distinguish between acceptable and unacceptable answers to moral problems.
Author: James M. Humber
Publisher: Springer Science & Business Media
ISBN: 1592594484
Category : Medical
Languages : en
Pages : 159
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Book Description
Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.
