Ethics Manual

@article{Snyder2005EthicsM,
  title={Ethics Manual},
  author={Lois Snyder and Cathy Leffler},
  journal={Annals of Internal Medicine},
  year={2005},
  volume={142},
  pages={560-582}
}
The secret of the care of the patient is in caring for the patient. Francis Weld Peabody (1) Some aspects of medicine are fundamental and timeless. Medical practice, however, does not stand still. Clinicians must be prepared to deal with changes and reaffirm what is fundamental. This fifth edition of the Ethics Manual examines emerging issues in medical ethics and revisits older issues that are still very pertinent. Changes to the Manual since the 1998 edition include new or expanded sections… Expand
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There is no current evidence for the claim that legalised PAS or euthanasia will have disproportionate impact on patients in vulnerable groups, and those who received physician-assisted dying in the jurisdictions studied appeared to enjoy comparative social, economic, educational, professional and other privileges. Expand
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Research in the Physician's Office: Navigating the Ethical Minefield
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Ethical issues in artificial nutrition and hydration: a review.
TLDR
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References

SHOWING 1-10 OF 54 REFERENCES
Ethics in Practice: Managed Care and the Changing Health Care Environment
TLDR
The purpose of this set of principles is not to propose solutions to underlying economic and sociopolitical problems but to help people who grapple with the ethical and moral health care dilemmas that result from those problems. Expand
Health Care Ethics Consultation: Nature, Goals, and Competencies: A Position Paper from the Society for Health and Human ValuesSociety for Bioethics Consultation Task Force on Standards for Bioethics Consultation
TLDR
An appropriate approach to ethics consultation must be sensitive to the pluralistic health care setting in which consultation is provided and consistent with the societal value of autonomy, as well as reflect the context that frames ethical issues in contemporary health care settings. Expand
Physician-Assisted Suicide
TLDR
Physician-assisted suicide should be distinguished from euthanasia, in which the physician performs an act that is specifically intended to take the patient's life, through, for example, lethal injection, which is a different type of act, and is far more controversial. Expand
Hippocrates and the health maintenance organization. A discussion of ethical issues.
TLDR
Characteristics of these organizations such as cost containment, incentives to reduce spending by practitioners, and barriers to access for clients raise significant ethical concerns and how these features of the HMO withstand ethical scrutiny is considered. Expand
The physician’s role in discussing organ donation with families*
TLDR
The number of organs procured for transplantation in the United States is insufficient to meet needs, and physicians have an important role in caring for patients and families in these circumstances, and the care they provide is enhanced through training, attention to the special issues involved, and collaboration with organ procurement organization personnel. Expand
Physicians, cost control, and ethics.
TLDR
A morally sound system would attempt to control costs by honestly informing patients and assigning responsibility justly, would encourage physicians to act in the interests of patients, would foster trust, and would recognize the great importance of equal treatment for all patients. Expand
Medical professionalism in the new millennium: a physician charter.
TLDR
The Charter on Medical Professionalism Project is the product of several years of work by leaders in the ABIM Foundation, the ACP‐ASIM Foundation, and the European Federation of Internal Medicine and consists of a brief introduction and rationale, three principles, and 10 commitments. Expand
Physicians and joint negotiations.
TLDR
It is proposed that physicians in nonintegrated private practices should be able to meet and communicate among themselves for the purpose of negotiating primarily with health care plans about specific issues that affect quality and access. Expand
The rule of double effect: clearing up the double talk.
TLDR
This article presents a systematic rejoinder to what it takes to be serious misunderstandings of the nature and use of the rule of double effect. Expand
PhysicianIndustry Relations. Part 1: Individual Physicians
  • S. Coyle
  • Medicine
  • Annals of Internal Medicine
  • 2002
TLDR
This paper offers two positions to help guide individual physicians in making ethical decisions about interacting with industry and concerns persist and evidence accumulates that commercial rewards can unduly affect clinical judgment. Expand
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