Defending the four principles approach as a good basis for good …
This paper argues that the four prima facie principles—beneficence, non-maleficence, respect for autonomy and justice—afford a good and widely acceptable basis for ‘doing good medical ethics’. It confronts objections that the approach is simplistic, incompatible with a virtue-based approach to medicine, that it requires respect for autonomy always to have priority when the principles ...
May 21, 2021 · A4R is a practical decision- making framework for priority setting that has been used in various areas of healthcare to support fair resource allocation. It is a process- based rather than an outcomes- based framework, focusing on how decisions ought to be made rather than on the outcomes of those deci-sions.
Why is informed consent important? | Journal of Medical Ethics
Decision-making is a prominent theme in this edition of the Journal of Medical Ethics . Our feature article examines the relationship between trust and informed consent. Informed consent is, of course, central to the decision-making process in medicine. In addition, several articles consider decision-making in medicine from a variety of angles. …
Good reasons to vaccinate: mandatory or payment for risk?
Mandatory vaccination, including for COVID-19, can be ethically justified if the threat to public health is grave, the confidence in safety and effectiveness is high, the expected utility of mandatory vaccination is greater than the alternatives, and the penalties or costs for non-compliance are proportionate. I describe an algorithm for justified mandatory vaccination.
Principles of Biomedical Ethics, 5th edn.
Beauchamp T L, Childress J F. Oxford University Press, 2001, £19.95, pp 454. ISBN 0-19-514332-9. The Principles of Biomedical Ethics by Beauchamp and Childress is a classic in the field of medical ethics. The first edition was published in 1979 and “unleashed” the four principles of respect for autonomy, non-maleficence, beneficence, and justice on the newly emerging field.
An autonomy-based approach to assisted suicide: a way to avoid …
In several jurisdictions, irremediable suffering from a medical condition is a legal requirement for access to assisted dying. According to the expressivist objection, allowing assisted dying for a specific group of persons, such as those with irremediable medical conditions, expresses the judgment that their lives are not worth living. While the …
Confidentiality and the duties of care | Journal of Medical Ethics
Doctors have an ethical and legal duty to respect patient confidentiality. We consider the basis for this duty, looking particularly at the meaning and value of autonomy in health care. Enabling patients to decide how information about them is disclosed is an important element in autonomy and helps patients engage as active partners in their care. Good quality data is, …
Clinical ethics and the duty of care - Journal of Medical Ethics
Scholarly inquiry into medical ethics should inform and guide those involved in making challenging ethical decisions.1 It should strive to be integral to the work of health care professionals and health care institutions2 and clinical relevance seems essential for this to happen. To acknowledge the importance of clinical relevance for medical ethics, …
Homepage | JME
Journal of Medical Ethics is an official journal of the Institute of Medical Ethics and a Plan S compliant Transformative Journal. JME features articles on ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and ...
After-birth abortion: why should the baby live? - Journal of …
Abortion is largely accepted even for reasons that do not have anything to do with the fetus' health. By showing that (1) both fetuses and newborns do not have the same moral status as actual persons, (2) the fact that both are potential persons is morally irrelevant and (3) adoption is not always in the best interest of actual people, the authors argue that what we call ‘after-birth ...