Articles tagged with Medical Ethics
Researchers found a 5% improvement in peer review report quality when articles underwent open peer review compared to single-blind models. Author-suggested reviewers also tended to recommend acceptance more often than non-author suggested reviewers.
Researchers from Regenstrief Institute and Indiana University developed an innovative ethics-based model to ensure academic-industry partnerships are conducted with the highest ethical standards. The nine-principle framework includes academic freedom, conflict of interest policy, governance, protection of human subjects, and transparency.
The Hastings Center has received a $1.1 million NIH grant to conduct an ethical analysis of next-generation prenatal genetic tests, informing clinical guidelines and policy recommendations. The project aims to identify principles and values guiding the use of these tests, as well as policies needed to support their ethical use.
The Assisted Dying Bill aims to provide protection for terminally ill and mentally competent adults through judicial consent, but experts disagree on its safeguards. Jacky Davis argues that the bill will result in fewer suffering deaths, while Baroness Ilora Finlay warns of potential vulnerabilities among certain groups.
A systematic review found modafinil enhances cognition in non-sleep-deprived individuals, particularly on complex tasks. The drug improves decision-making, planning, and mood, while having minimal side effects.
Ethicists warn that patient-funded trials threaten scientific rigor, relevance, efficiency, and fairness. The model lacks mechanisms to ensure research is grounded in good science, potentially delaying innovation and harming patients.
Genome researchers should disclose misattributed parentage to parents to respect their autonomy and sense of self. The issue also explores punishing health care providers for treating terrorists, highlighting the need for moral and legal clarity in such situations.
Partnerships between multinational companies and child health programs can improve treatment rates and access to life-saving treatments, but also pose an ethical minefield. Critics argue that these connections can legitimize the sale of unhealthy products while diverting resources from public health measures.
Stritch School of Medicine's reflection-based curriculum aims to promote student self-awareness, emotional intelligence, and social justice. Students engage in regular reflections on their experiences through the Patient Centered Medicine Course and co-curricular programs.
Dr. Ferdinand Kiemeneij and Dr. Shigeru Saito received the Ethica Award for their roles in developing and teaching the radial approach to coronary catheterization. They are internationally renowned for their contributions to interventional medicine, patient comfort, and quality of life.
The new guidelines emphasize the importance of early and intensive communication between healthcare teams and families to prevent conflicts. In cases where disputes remain unresolvable, a fair process of dispute resolution involving expert consultants and mediation is recommended.
The Hastings Center Report delves into the impact of patient-satisfaction surveys on healthcare quality, arguing they may compromise care and raise costs. The issue also examines the role of courage in healthcare, highlighting its limitations in certain contexts.
Medical ethicists propose a solution to the US organ shortage crisis by introducing an 'uncontrolled donation after circulatory determination of death' (UDCDD) approach. This method considers deceased individuals for donation even outside hospitals, allowing families to decide later if they want to preserve organs for potential donation.
Elective tubal sterilization is readily available to women with private payment, but Medicaid beneficiaries face a 30-day wait. Experts argue that this violates healthcare justice and access to permanent contraception for low-income women. The policy restricts nearly half of annual deliveries paid by Medicaid.
A special issue in Academic Medicine explores 'professional identity formation' and its implications for preventing burnout. The issue offers insights into guiding students through the process, which is not always intuitive, and highlights the importance of reflective writing in developing a strong professional identity.
Research reveals that Dutch doctors are withholding treatment from a substantial proportion of elderly patients, driven by considerations of comfort and respect rather than ageism. Treatment was withheld in 37% of cases, with the oldest patients being more likely to have artificial feeding and fluids or antibiotics withdrawn.
In a deadly, rapidly spreading infectious disease like Ebola, traditional randomized clinical trials may be inadequate. Alternative trial designs can provide useful information and are morally justifiable, says a new article in the American Journal of Bioethics.
A survey of 1,095 adults found that patients prefer simple explanations and doctor queries over burdensome consent regulations. The study's findings will inform US Office of Human Research Protections and FDA regulations on patient permissions for research conducted during clinical care.
New research reveals that increased health insurance access does not fully close the gap in health outcomes for minority and low-income populations. Expert Marshall Chin emphasizes the need for financial incentives, improved communication, and support for vulnerable populations to overcome existing disparities.
The Hastings Center Report explores how the term 'rationing' has been replaced by 'value' in discussions about controlling health care costs. The report also examines the structure of clinical translation and its impact on patient care.
The US transplant organ shortage continues to grow, with thousands on waiting lists for 5 years or more. Medical leaders propose removing financial disincentives and exploring incentives like health insurance post-donation to ensure donor safety. However, there is ongoing debate about the ethics of introducing financial payments.
Researchers at Johns Hopkins have developed a conceptual model defining three sources of patient dignity: shared humanity, personal narrative, and autonomy. The study identifies four consensus areas relevant to treatment with respect and dignity in the ICU, including treating patients as human beings, unique individuals, and entitled t...
India's Whistle Blowers Protection Act 2011 is criticized for lacking specific criminal penalties and civil protections for whistleblowers. Despite this, organizations like Medileaks offer a platform for doctors to share information about malpractices in medicine.
A study suggests that Republicans and Independents are more likely to disapprove of lenient neurolaw reforms, while Democrats support equally across framing conditions. This finding underscores the need for careful public presentation of neuroscience in law to maintain a non-polarizing stance.
A special issue of Biopreservation and Biobanking Journal explores China's biobanking strategy, highlighting its role in accelerating translational research. The articles discuss the country's biosample collection, analysis capabilities, and ethical management guidelines.
The use of big data to detect disease outbreaks has the potential to strengthen global public health surveillance, but raises ethical questions about privacy, consent, and legitimacy. The authors propose a framework to address these challenges, including adapting requirements for public health contexts and ensuring methodological robus...
A Penn State College of Medicine researcher proposes updating professional medical society guidelines to address when it is ethically justified to Google a patient. The proposed guidelines would help healthcare providers navigate the use of search engines in patient care.
The Hastings Center Report explores the controversy surrounding the Surfactant, Positive Pressure, and Oxygenation Randomized Trial (SUPPORT), a study that gauged risks and benefits of blood oxygen levels in premature infants. The debate highlights concerns over informed consent and the ethics of comparative effectiveness research.
Medical ethicists offer guidance on life-sustaining therapies for Ebola patients in developed countries, balancing risks and benefits. Former Surgeon General David Satcher discusses the importance of credibility and influence in the role, emphasizing scientific evidence-based reports.
Loyola Medicine argues that medical schools must accept applicants from undocumented immigrants, known as Dreamers, due to the country's commitment to equality and social justice. The school's policy change in 2012 paved the way for eligible students to enroll in medical programs.
A Penn study found that only 15% of patients with implantable cardioverter defibrillators have thought about device deactivation in terminal illness, while 53% have advanced directives. The study suggests a disconnect between patients' awareness and clinicians' perspectives on ICD deactivation.
A new report by The Hastings Center calls on bioethics to help redress injustices faced by lesbian, gay, bisexual, and transgender individuals. The report highlights the need for bioethics to examine its role in shaping laws and medical practices that impact LGBT populations.
The Hastings Center and the Presidential Commission for the Study of Bioethical Issues have published a series of essays on bioethics education, highlighting gaps in knowledge and best practices. The papers focus on clinical ethics training for nurses, doctors, and medical students, emphasizing the importance of moral agency, reproduct...
The American Academy of Neurology has released a new position paper emphasizing the importance of educating and protecting athletes from concussion. The statement calls for doctors to safeguard athletes' mental and physical health and recommends wider use of baseline cognitive testing and mandatory concussion reporting.
The US Food and Drug Administration (FDA) has found that failure to monitor progress according to the stated schedule was the most common concern among clinical trial sponsors, followed by failure to obtain the agreement of the principal investigator. Poor record keeping was also a significant issue, with 40% of warnings related to it.
The war on terror is incorporating medicine into warfare, undermining population health and exacerbating global health inequities. Humanitarian and health workers face profound moral distress due to being treated as tools in the war on terror.
A group of experts examines whether people with advanced dementia have the right to use advance directives to stop receiving food and water by mouth, despite lacking decision-making capacity. Key findings include the potential benefits and harms of such directives, as well as proposed guidelines for implementation.
The European Society of Anaesthesiology and Intensive Care invites speakers to challenge common assumptions about end-of-life care. Raanan Gillon presents a case for weighing individual patient circumstances over age when deciding on life-prolonging therapies.
A new report by IRCM ethics experts highlights the need for increased regulation and oversight of neurostimulation techniques like tDCS. The report found a mismatch between academic and print media articles on tDCS, with most media coverage focusing on potential enhancement uses rather than therapeutic limitations.
A survey of 2,109 medical students found they have a sophisticated understanding of social media's risks and benefits, but struggle with navigating professional ethics. Medical schools are advised to provide guidance on using social media in a professional context.
The Liverpool Care Pathway's correct use improves end of life care, despite widespread complaints. The pathway recommends morphine to relieve pain and involve relatives in decision-making, contrary to media reports.
A new study examines how community values influence healthcare disaster planning, finding that citizens' life experiences shape their perspectives on resource allocation. The research uses deliberative democratic methods to gather diverse feedback from Maryland residents, with plans for a state-wide expansion.
The National Academy of Sciences' Institute of Medicine has developed ethics principles and responsibilities to guide NASA in implementing health standards for spaceflights beyond low Earth orbit. The guidelines aim to mitigate risks faced by astronauts on extended stays on the International Space Station and Mars missions.
Health experts provide principles and decision-making guidelines to aid NASA in protecting astronauts on longer, higher-risk missions. The report emphasizes the importance of protecting astronaut health while fulfilling the agency's mission of exploration.
A study by IRCM neuroethics experts highlights shortcomings in transitional care, particularly among youth with complex health needs and disabilities. The research emphasizes the importance of respectful care, autonomy support, and personalized approaches to address transition challenges.
Decisions on homebirth vs hospital birth should consider long-term disability risk to child, leading ethicists say. Homebirth risks include increased chances of death, disability, and neonatal intensive care admission compared to hospital births.
Recent developments combining machines and organisms have great potential but also raise major ethical concerns. Cyborgs, technically modified organisms with extraordinary skills, are already reality in medical implants.
A study by Johns Hopkins Medicine found that patients overwhelmingly support stem cell research with induced pluripotent stem cells (iPSCs), despite ethical concerns. Patients prioritize full disclosure of anticipated uses and informed consent to alleviate concerns about privacy and commercialization.
A study found that educating the public about medical information access and bio tissue research improves attitudes, with participants supporting safeguards and anonymity. The study's results suggest that once the general public understands the risks and options, they are more willing to contribute to research.
A significant minority (21%) of the Dutch public supports assisted dying for elderly individuals who are not seriously ill but feel tired of living. Those with higher education and less trust in doctors tend to be more supportive of this option.
The emergence of fertility loans has raised ethical concerns as doctors market them to patients with potential financial ties to lenders. Experts argue that this practice may exacerbate the anguish of infertility by promoting unsuccessful interventions.
The article discusses the evolution of ethical debates surrounding face transplantation, with early concerns fading as experience shows benefits in helping patients return to normal life. The procedure is expected to become more common, raising new questions about patient selection, costs, and allocation of donor tissues.
The American Thyroid Association has developed new ethics guidelines specific to the field of thyroidology, addressing ethical dilemmas and questions that arise in patient care. The guidelines provide clear guidance on disclosure of conflicts of interest and professional integrity, offering timely recommendations for endocrine practice.
The American Journal of Public Health special issue examines the complexities of including minority populations in research, discussing topics such as recruitment, community engagement, and training. Guest editors aim to shift the approach towards a more inclusive and protective research enterprise.
The article proposes guidelines for physicians to disclose mistakes made by colleagues, reframing the concept of 'collegiality' as an opportunity to discuss quality problems. Barriers to these conversations include shame, stigma, and malpractice insurers, but institutions can foster a culture of transparency and trust.
A study by Loyola University Medical Center researchers found that nurses in a burn intensive care unit experience moral distress, which can lead to depression, anxiety, and job burnout. An educational intervention reduced moral distress scores, but not significantly enough to last six weeks after the program.
A survey of rheumatologists reveals that many face moral dilemmas when trying to provide the best care for their patients. The study found that physicians often compromise on ethical principles to obtain necessary treatments or medications for their patients.
The Johns Hopkins Berman Institute of Bioethics has launched a new two-year postdoctoral fellowship program in bioethics, funded by the Hecht-Levi Foundation. The program aims to support at least 10 promising young scholars in their research and career development.
The American Society for Bioethics and Humanities (ASBH) has proposed a method for assessing the knowledge, skills, and practice of clinical ethicists. A two-step process evaluates candidates based on their portfolio and oral examination.
COHRED and Pfizer support MARC Phase II, an interventional approach to address ethical review bottlenecks in the African research landscape. The project aims to connect networks, foster innovation, and drive high standards for clinical trials globally.