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Medicine, Health Care, and Philosophy

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https://www.readbyqxmd.com/read/28040881/books-received
#1
(no author information available yet)
No abstract text is available yet for this article.
December 31, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27913914/tragedy-in-moral-case-deliberation
#2
Benita Spronk, Margreet Stolper, Guy Widdershoven
In healthcare practice, care providers are confronted with tragic situations, in which they are expected to make choices and decisions that can have far-reaching consequences. This article investigates the role of moral case deliberation (MCD) in dealing with tragic situations. It focuses on experiences of care givers involved in the treatment of a pregnant woman with a brain tumour, and their evaluation of a series of MCD meetings in which the dilemmas around care were discussed. The study was qualitative, focusing on the views and experiences of the participants...
December 2, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27900645/zika-public-health-and-the-distraction-of-abortion
#3
Thana Cristina de Campos
This paper suggests that the focus on abortion legalization in the aftermath of the Zika outbreak is distracting for policy and lawmakers from what needs to be done to address the outbreak effectively. Meeting basic health needs (i.e. preventive measures), together with research and development conducive to a vaccine or treatment for the Zika virus should be priorities.
November 29, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27889854/do-we-have-a-moral-responsibility-to-compensate-for-vulnerable-groups-a-discussion-on-the-right-to-health-for-lgbt-people
#4
Perihan Elif Ekmekci
Vulnerability is a broad concept widely addressed in recent scholarly literature. Lesbian, gay, bisexual, and transgender (LGBT) people are among the vulnerable populations with significant disadvantages related to health and the social determinants of health. Medical ethics discourse tackles vulnerability from philosophical and political perspectives. LGBT people experience several disadvantages from both perspectives. This article aims to justify the right to health for LGBT people and their particular claims regarding healthcare because they belong to a vulnerable group...
November 26, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27848107/defining-disease-in-the-context-of-overdiagnosis
#5
Mary Jean Walker, Wendy Rogers
Recently, concerns have been raised about the phenomenon of 'overdiagnosis', the diagnosis of a condition that is not causing harm, and will not come to cause harm. Along with practical, ethical, and scientific questions, overdiagnosis raises questions about our concept of disease. In this paper, we analyse overdiagnosis as an epistemic problem and show how it challenges many existing accounts of disease. In particular, it raises questions about conceptual links drawn between disease and dysfunction, harm, and risk...
November 15, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27830432/the-usual-suspects-why-techno-fixing-dementia-is-flawed
#6
Karin Rolanda Jongsma, Martin Sand
Dementia is highly prevalent and up until now, still incurable. If we may believe the narrative that is currently dominant in dementia research, in the future we will not have to suffer from dementia anymore, as there will be a simple techno-fix solution. It is just a matter of time before we can solve the growing public health problem of dementia. In this paper we take a critical stance towards overly positive narratives of techno-fixes by placing our empirical analysis of dementia research protocols and political statements in a framework of technology assessment...
November 9, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27826684/victims-of-disaster-can-ethical-debriefings-be-of-help-to-care-for-their-suffering
#7
Ignaas Devisch, Stijn Vanheule, Myriam Deveugele, Iskra Nola, Murat Civaner, Peter Pype
Victims of disaster suffer, not only at the very moment of the disaster, but also years after the disaster has taken place, they are still in an emotional journey. While many moral perspectives focus on the moment of the disaster itself, a lot of work is to be done years after the disaster. How do people go through their suffering and how can we take care of them? Research on human suffering after a major catastrophe, using an ethics of care perspective, is scarce. People suffering from disasters are often called to be in distress and their emotional difficulties 'medicalised'...
November 8, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27796726/empathizing-with-patients-the-role-of-interaction-and-narratives-in-providing-better-patient-care
#8
EDITORIAL
Carter Hardy
Recent studies have revealed a drop in the ability of physicians to empathize with their patients. It is argued that empathy training needs to be provided to both medical students and physicians in order to improve patient care. While it may be true that empathy would lead to better patient care, it is important that the right theory of empathy is being encouraged. This paper examines and critiques the prominent explanation of empathy being used in medicine. Focusing on the component of empathy that allows us to understand others, it is argued that this understanding is accomplished through a simulation...
October 28, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27796725/restoring-a-reputation-invoking-the-unesco-universal-declaration-on-bioethics-and-human-rights-to-bear-on-pharmaceutical-pricing
#9
Daniel J Hurst
In public health, the issue of pharmaceutical pricing is a perennial problem. Recent high-profile examples, such as the September 2015 debacle involving Martin Shkreli and Turing Pharmaceuticals, are indicative of larger, systemic difficulties that plague the pharmaceutical industry in regards to drug pricing and the impact it yields on their reputation in the eyes of the public. For public health ethics, the issue of pharmaceutical pricing is rather crucial. Simply, individuals within a population require pharmaceuticals for disease prevention and management...
October 28, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27785588/-we-need-to-talk-barriers-to-gps-communication-about-the-option-of-physician-assisted-suicide-and-their-ethical-implications-results-from-a-qualitative-study
#10
Ina C Otte, Corinna Jung, Bernice Elger, Klaus Bally
GPs usually care for their patients for an extended period of time, therefore, requests to not only discontinue a patient's treatment but to assist a patient in a suicide are likely to create intensely stressful situations for physicians. However, in order to ensure the best patient care possible, the competent communication about the option of physician assisted suicide (PAS) as well as the assessment of the origin and sincerity of the request are very important. This is especially true, since patients' requests for PAS can also be an indicator for unmet needs or concerns...
October 26, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27785587/autism-intellectual-disability-and-a-challenge-to-our-understanding-of-proxy-consent
#11
Abraham Graber
This paper focuses on a hypothetical case that represents an intervention request familiar to those who work with individuals with intellectual disability. Stacy has autism and moderate intellectual disability. Her parents have requested treatment for her hand flapping. Stacy is not competent to make her own treatment decisions; proxy consent is required. There are three primary justifications for proxy consent: the right to an open future, substituted judgment, and the best interest standard. The right to an open future justifies proxy consent on the assumption of future autonomy whereas substituted judgment justifies proxy consent via reference to past autonomy...
October 26, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27601244/empathy-and-violence
#12
EDITORIAL
Henk Ten Have, Bert Gordijn
No abstract text is available yet for this article.
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27576519/narrative-medicine-in-a-hectic-schedule
#13
John W Murphy, Berkeley A Franz
The move to patient-centered medical practice is important for providing relevant and sustainable health care. Narrative medicine, for example, suggests that patients should be involved significantly in diagnosis and treatment. In order to understand the meaning of symptoms and interventions, therefore, physicians must enter the life worlds of patients. But physicians face high patient loads and limited time for extended consultations. In current medical practice, then, is narrative medicine possible? We argue that engaging patient perspectives in the medical visit does not necessarily require a lengthy interview...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27324151/rethinking-the-ethical-approach-to-health-information-management-through-narration-pertinence-of-ric%C3%A5-ur-s-little-ethics
#14
Corine Mouton Dorey
The increased complexity of health information management sows the seeds of inequalities between health care stakeholders involved in the production and use of health information. Patients may thus be more vulnerable to use of their data without their consent and breaches in confidentiality. Health care providers can also be the victims of a health information system that they do not fully master. Yet, despite its possible drawbacks, the management of health information is indispensable for advancing science, medical care and public health...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27263089/organ-donation-after-assisted-death-is-it-more-or-less-ethically-problematic-than-donation-after-circulatory-death
#15
REVIEW
Jeffrey Kirby
A provocative question has emerged since the Supreme Court of Canada's decision on assisted dying: Should Canadians who request, and are granted, an assisted death be considered a legitimate source of transplantable organs? A related question is addressed in this paper: is controlled organ donation after assisted death (cDAD) more or less ethically-problematic than standard, controlled organ donation after circulatory determination of death (cDCDD)? Controversial, ethics-related dimensions of cDCD that are of relevance to this research question are explored, and morally-relevant distinctions between cDAD and cDCD are identified...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27263088/hospitalized-hunger-striking-prisoners-the-role-of-ethics-consultations
#16
Luciana Caenazzo, Pamela Tozzo, Daniele Rodriguez
We refer to hospitalized convicted hunger strikers in Padua Hospital who decided to fast for specific reasons, often demanding, to be heard by the judge, to complain about the existing custodial situation or to claim unjust treatment. The medical ethics of hunger strikers are debated because the use of force feeding by physicians is widely condemned as unethical, but courts, in Italy, sometimes order to transfer the convicted person to hospital and oblige healthcare practitioners to perform forcible feeding...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27260370/uncertainty-and-objectivity-in-clinical-decision-making-a-clinical-case-in-emergency-medicine
#17
Eivind Engebretsen, Kristin Heggen, Sietse Wieringa, Trisha Greenhalgh
The evidence-based practice and evidence-based medicine (EBM) movements have promoted standardization through guideline development methodologies based on systematic reviews and meta-analyses of best available research. EBM has challenged clinicians to question their reliance on practical reasoning and clinical judgement. In this paper, we argue that the protagonists of EBM position their mission as reducing uncertainty through the use of standardized methods for knowledge evaluation and use. With this drive towards uniformity, standardization and control comes a suspicion towards intuition, creativity and uncertainty as integral parts of medical practice...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27251048/differences-that-matter-developing-critical-insights-into-discourses-of-patient-centeredness
#18
Bettine Pluut
Patient-centeredness can be considered a popular, and at the same time "fuzzy", concept. Scientists have proposed different definitions and models. The present article studies scientific publications that discuss the meaning of patient-centeredness to identify different "discourses" of patient-centeredness. Three discourses are presented; the first is labelled as "caring for patients", the second as "empowering patients" and the third as "being responsive". Each of these discourses has different things to say about (a) the why of patient-centeredness; (b) the patient's identity; (c) the role of the healthcare professional; (d) responsibilities for medical decision-making, and (e) the role of health information...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27222043/understanding-the-body-mind-in-primary-care
#19
Annette Sofie Davidsen, Ann Dorrit Guassora, Susanne Reventlow
Patients' experience of symptoms does not follow the body-mind divide that characterizes the classification of disease in the health care system. Therefore, understanding patients in their entirety rather than in parts demands a different theoretical approach. Attempts have been made to formulate such approaches but many of these, such as the biopsychosocial model, are still basically dualistic or methodologically reductionist. In primary care, patients often present with diffuse symptoms, making primary care the ideal environment for understanding patients' undifferentiated symptoms and disease patterns which could readily fit both bodily and mental categories...
December 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27198458/psychoanalysis-and-bioethics-a-lacanian-approach-to-bioethical-discourse
#20
Hub Zwart
This article aims to develop a Lacanian approach to bioethics. Point of departure is the fact that both psychoanalysis and bioethics are practices of language, combining diagnostics with therapy. Subsequently, I will point out how Lacanian linguistics may help us to elucidate the dynamics of both psychoanalytical and bioethical discourse, using the movie One flew over the Cuckoo's Nest and Sophocles' tragedy Antigone as key examples. Next, I will explain the 'topology' of the bioethical landscape with the help of Lacan's three dimensions: the imaginary, the symbolical and the real...
December 2016: Medicine, Health Care, and Philosophy
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