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  1. Concussion management in pediatric patients – ethical concerns.Taryn Knox, Alexander Gilbert & Lynley Anderson - 2024 - Sport, Ethics and Philosophy 18 (3):267-281.
    Collision sports pose a high risk of concussion. How to respond to this risk is more ethically complex when considering children and adolescents due to a) incomplete evidence regarding the impact of concussion on developing brains, b) physiological and social vulnerability, and c) the young person’s reliance on proxy decision-makers, usually parents. There is also a lack of clear definitions of (a) collision sport (vs. contact sport) and (b) what constitutes a child or adolescent. We consider whether parents should be (...)
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  • Symposium on the Rationing of Health Care: 2 Rationing Medical Care — A Philosopher's Perspective on Outcomes and Process.Norman Daniels - 1998 - Economics and Philosophy 14 (1):27-50.
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  • Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life.Donna Dickenson - 2000 - Journal of Medical Ethics 26 (4):254-260.
    Objectives—To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effectDesign, subjects and setting–A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on “Death and Dying” was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on “Decisions near the End of Life”.Results–Practitioners accept the relevance of concepts widely (...)
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  • Restricted treatments, inducements, and research participation.Sarah J. L. Edwards - 2006 - Bioethics 20 (2):77–91.
    ABSTRACT In this paper, I support the claim that placing certain restrictions on public access to possible new treatments is morally problematic under some exceptional circumstances. Very ill patients may find that all available standard treatments are unacceptable, either because they are ineffective or have serious adverse effects, and these patients may understandably be desperate to try something new even if this means stepping into the unknown. Faced with certain death, it is rational to want to try something new and (...)
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  • Intertwining Biomedical Research and Public Health in HIV Microbicide Research.R. Macklin - 2010 - Public Health Ethics 3 (3):199-209.
    Finding an effective microbicide that could substantially lower women’s risk of acquiring HIV infection is an ethical imperative. Women and girls continue to be disproportionally affected by HIV in sub-Saharan Africa. Ethics guidelines for conducting preventive HIV microbicide trials call for steps that intertwine biomedical research and public health. Ethical considerations include adequate studies of the safety of microbicides, the use of placebo controls in future trials once a microbicide is shown to be effective, whether leftover microbicide from a trial (...)
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  • Rationing conscience.Dominic Wilkinson - 2017 - Journal of Medical Ethics 43 (4):226-229.
    Decisions about allocation of limited healthcare resources are frequently controversial. These decisions are usually based on careful analysis of medical, scientific and health economic evidence. Yet, decisions are also necessarily based on value judgements. There may be differing views among health professionals about how to allocate resources or how to evaluate existing evidence. In specific cases, professionals may have strong personal views (contrary to professional or societal norms) that treatment should or should not be provided. Could these disagreements rise to (...)
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  • Ethical issues in autologous stem cell transplantation (ASCT) in advanced breast cancer: A systematic literature review.Sigrid Droste, Annegret Herrmann-Frank, Fueloep Scheibler & Tanja Krones - 2011 - BMC Medical Ethics 12 (1):1-16.
    An effectiveness assessment on ASCT in locally advanced and metastatic breast cancer identified serious ethical issues associated with this intervention. Our objective was to systematically review these aspects by means of a literature analysis. We chose the reflexive Socratic approach as the review method using Hofmann's question list, conducted a comprehensive literature search in biomedical, psychological and ethics bibliographic databases and screened the resulting hits in a 2-step selection process. Relevant arguments were assembled from the included articles, and were assessed (...)
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  • A Response to Commentators on “Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement”.Matthew K. Wynia, Deborah Cummins, David Fleming, Kari Karsjens, Amber Orr, James Sabin, Inger Saphire-Bernstein & Renee Witlen - 2004 - American Journal of Bioethics 4 (3):W40-W42.
    Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by (...)
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  • Justice and Procedure: How does “accountability for reasonableness” result in fair limit-setting decisions?Annette Rid - 2009 - Journal of Medical Ethics 35 (1):12-16.
    Norman Daniels’ theory of justice and health faces a serious practical problem: his theory can ground the special moral importance of health and allows distinguishing just from unjust health inequalities, but it provides little practical guidance for allocating resources when they are especially scarce. Daniels’ solution to this problem is a fair process that he specifies as "accountability for reasonableness". Daniels claims that accountability for reasonableness makes limit-setting decisions in healthcare not only legitimate, but also fair. This paper assesses the (...)
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  • Accountability for Reasonableness: Opening the Black Box of Process.Andreas Hasman & Søren Holm - 2005 - Health Care Analysis 13 (4):261-273.
    Norman Daniels' and James Sabin's theory of “accountability for reasonableness” (A4R) is a much discussed account of due process for decision-making on health care priority setting. Central to the theory is the acceptance that people may justifiably disagree on what reasons it is relevant to consider when priorities are made, but that there is a core set of reasons, that all centre on fairness, on which there will be no disagreement. A4R is designed as an institutional decision process which will (...)
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  • Why Jecker's Capabilities Approach to Age-Based Rationing Is Incapable of Containing Health Care Costs.Laura Capitaine, Guido Pennings & Sigrid Sterckx - 2013 - American Journal of Bioethics 13 (8):22-23.
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  • Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement.Matthew K. Wynia, Deborah Cummins, David Fleming, Kari Karsjens, Amber Orr, James Sabin, Inger Saphire-Bernstein & Renee Witlen - 2004 - American Journal of Bioethics 4 (3):87-100.
    Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by (...)
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  • A Deliberative Model of Corporate Medical Management.Mark E. Meaney - 2000 - Journal of Law, Medicine and Ethics 28 (2):125-136.
    Managed care is evolving in ways that pose unique ethical challenges to those interested in the intersection of clinical and organizational ethics. For example, Disease Management is a form of managed care that has emerged in response to chronic illness. DM is a healthcare management tool that coordinates resources across an entire health care delivery system and throughout the life cycle of chronic disease. Health Maintenance Organizations have reduced some costs in the delivery of acute care, but real cost savings (...)
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  • A Review of Current Health Care Funding Models. [REVIEW]Nancy J. Crigger - 2004 - Jona's Healthcare Law, Ethics, and Regulation 6 (4):105-113.
    is a review of 5 ethically based healthcare funding models discussed in the literature that are currently used to justify funding choices. If healthcare professionals and managers are better informed about the ethical reasoning behind funding choices, they could better determine which resource allocation alternatives to support. But where should we spend our resources? Although healthcare professionals have a duty to advocate for all healthcare recipients to receive a fair share of resources, the author concludes that our greater duty as (...)
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  • Publish or be damned: Individual Funding Requests and the publicity condition.Monique Jonas, Anne Kolbe & Briar Warin - 2014 - Journal of Medical Ethics 40 (12):827-831.
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