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Seven legal barriers to end-of-life care: myths, realities, and grains of truth.
OBJECTIVE The American College of Physicians-American Society of Internal Medicine (ACP-ASIM) End-of-Life Care Consensus Panel was convened in 1997 to identify clinical, ethical, and policy problems… Expand
Ethics manual: fifth edition.
Medicine, law, and social values are not static. Reexamining the ethical tenets of medical practice and their application in new circumstances is a necessary exercise. The fifth edition of the… Expand
Ethics in Practice: Managed Care and the Changing Health Care Environment
Health care resources are finite; their allocation requires hard choices. Hard choices are at the heart of ethics. The ethical challenges posed by limits are not created by managed care but often… Expand
American College of Physicians Ethics Manual
- L. Snyder
- Annals of Internal Medicine
- 3 January 2012
Medicine, law, and social values are not static. Reexamining the ethical tenets of medicine and their application in new circumstances is a necessary exercise. The sixth edition of the American… Expand
Pay-for-performance principles that promote patient-centered care: an ethics manifesto.
Pay-for-performance programs are growing, but little evidence exists on their effectiveness or on their potential unintended consequences and effects on the patient-physician relationship.… Expand
Beyond Symptom Management : Physician Roles and Responsibility in Palliative Care
Chronic illnesses are now the most common causes of death in the United States (1). For many patients, medical care can slow the course of the illness and improve quality of life, but as illness… Expand
Is physician-assisted suicide the answer? This may depend on the question. Is it an issue of patient rights? Of medicine's limitations? Of trust? Of fear and control for patients? Is it a legal… Expand
Substituted interests and best judgments: an integrated model of surrogate decision making.
AKING DECISIONS ON BEHALF OF PATIENTS WITHoutdecision-makingcapacityremainschallenging, especially at the end of life. Under the currentUSmodel,formalwrittenororaldirectives expressing patient wishes… Expand
The doctor will see you shortly. The ethical significance of time for the patient-physician relationship.
Many physicians and health care leaders express concern about the amount of time available for clinical practice. While debates rage on about how much time is truly available, the perception that… Expand