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Development of clinical ethics services in the UK: a national survey
Background In 2001 a report on the provision of clinical ethics support in UK healthcare institutions identified 20 clinical ethics committees. Since then there has been no systematic evaluation orExpand
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A theoretical framework for patient-reported outcome measures
  • Leah McClimans
  • Psychology, Medicine
  • Theoretical medicine and bioethics
  • 5 June 2010
Patient-reported outcome measures (PROMs) are increasingly used to assess multiple facets of healthcare, including effectiveness, side effects of treatment, symptoms, health care needs, quality ofExpand
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Towards self-determination in quality of life research: a dialogic approach
  • Leah McClimans
  • Medicine
  • Medicine, health care, and philosophy
  • 1 February 2010
Health-related quality of life measures aim to assess patients’ subjective experience in order to gauge an increasingly wide variety of health care issues such as patient needs; satisfaction; sideExpand
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Health policy, patient-centred care and clinical ethics.
RATIONALE, AIMS AND OBJECTIVES Patient-centred care has been a central part of US and UK health policy for over a decade, but, despite its importance, the policy literature often fails to provide anExpand
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  • PDF
The role of measurement in establishing evidence.
  • Leah McClimans
  • Psychology, Medicine
  • The Journal of medicine and philosophy
  • 1 October 2013
Measurement outcomes are frequently used as evidence in favor of or against medical and surgical interventions, health policies, and system designs. Indeed, in the medical and health servicesExpand
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A Qualitative Study of US Clinical Ethics Services: Objectives and Outcomes
The quality of clinical ethics services in health care organizations is increasingly seen as an important aspect of the overall quality of care. But measuring this quality is difficult because thereExpand
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Elective Twin Reductions: Evidence and Ethics
Twelve years ago the British media got wind of a London gynecologist who performed an elective reduction on a twin pregnancy reducing it to a singleton. Perhaps not surprisingly, opinion on the moralExpand
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Quality of life is a process not an outcome
Quality improvement mechanisms increasingly use outcome measures to evaluate health care providers. This move toward outcome measures is a radical departure from the traditional focus on processExpand
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Philosophical perspectives on response shift
PurposeThis paper brings a philosophical perspective to response shift research with the aim of raising new critical questions, clarifying some of the concepts employed, and providing a philosophicalExpand
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Choosing a patient-reported outcome measure
There has been much philosophical interest regarding the ‘hierarchy of evidence’ used to determine which study designs are of most value for reporting on questions of effectiveness, prognosis, and soExpand
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