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Clinical Bioethics and Its Interface with Legal Medicine

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Legal and Forensic Medicine

Abstract

This chapter summarizes the relevant dilemmas and approaches in clinical bioethics with an emphasis on the interface with law. Following centuries of an ethical model based on the physician’s obligations and responsibilities, contemporary medical ethics has seemed to emphasize patients’ rights. This reflects new choices created by technology, capital-intensive structures and procedures, and limited resources and in the context of social diversity and increased patients’ demands. The chapter discusses physicians and patients rights and responsibilities, reviews the factors associated with the new model, and aims to identify and locate an ethical balance. Topics include clinical bioethics, procedures for conflict resolution, and structure and function of bioethics committees. It includes a brief review of methods for doing bioethics including case consultations, policy drafts and revision, and education. Primary issues in research and organizational ethics are also identified.

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References

  1. Englehardt HT. The foundations of bioethics. 2nd ed. New York: Oxford University Press; 1996.

    Google Scholar 

  2. Fletcher JC, Siegler M. What are the goals of ethics consultation? A consensus statement. J Clin Ethics. 1996;7(2):122–6.

    PubMed  CAS  Google Scholar 

  3. Gilmore T, et al. The costs of nonbeneficial treatment in the intensive care setting. Health Aff. 2005;24(4):961–71.

    Article  Google Scholar 

  4. Jonsen AR. Casuistry and clinical ethics. In: Jecker NS, Jonsen AR, Pearlman RA, editors. Bioethics: an introduction to the history, methods, and practice. Sudbury: Jones and Bartlett; 1997. p. 158–61.

    Google Scholar 

  5. Jonsen A, Seigler M, Winslade WJ. Clinical ethics: a practical approach to ethical decisions in clinical medicine. 7th ed. New York: McGraw-Hill; 2010.

    Google Scholar 

  6. Khushf G, editor. Handbook of bioethics: taking stock of the field from a philosophical perspective. Boston: Kluwer; 2004.

    Google Scholar 

  7. Kopelman LM. Bioethics as public discourse and second-order discipline. J Med Philos. 2009;34:261–73.

    Article  PubMed  Google Scholar 

  8. Lo B. Behind closed doors: promises and pitfalls of ethics committees. N Eng J Med. 1987;317(1):46–50.

    Article  CAS  Google Scholar 

Further Reading

  • Baker R. Bioethics and human rights: a historical perspective. Camb Q Healthc Ethics. 2001;10(3):241–52.

    Article  PubMed  CAS  Google Scholar 

  • Bankert E, Amadur RJ. Institutional review board; management and function. Boston: Jones and Bartlett; 2006.

    Google Scholar 

  • Beauchamp T, Childress J. Principles of biomedical ethics. 6th ed. New York: Oxford University Press; 2009.

    Google Scholar 

  • Childress JF, Meslin E, Shapiro H. Belmont revisited: ethical principles for research with human subjects. Washington, DC: Georgetown University Press; 2005 (B).

    Google Scholar 

  • Emanuel EJ, Grady C, Miller F, Wendler D, Lie R. The oxford textbook of clinical research ethics. 1st ed. Oxford: Oxford University Press; 2008.

    Google Scholar 

  • Englehardt HT, Callahan D. Science, ethics and medicine, vol. I. Hastings-on-Hudson: The Hastings Center; 1976.

    Google Scholar 

  • Jecker NS. Introduction to the methods of bioethics. In: Jecker NS, Jonsen AR, Pearlman RA, editors. Bioethics: an introduction to the history, methods, and practice. Sudbury: Jones and Bartlett; 1997. p. 113–25.

    Google Scholar 

  • Katz J. The silent world of doctor and patients. New York: The Free Press; 1984.

    Google Scholar 

  • Kuhse H Singer P. What is bioethics? A historical introduction. In: A companion to bioethics. Malden: Blackwell; 1998. p. 3–11.

    Google Scholar 

  • Kuhse H, Singer P, editors. A companion to bioethics. Malden: Blackwell; 1998.

    Google Scholar 

  • Levine R. Ethics and the regulation of clinical research. Baltimore: Urban; 1986.

    Google Scholar 

  • Munson R. Intervention and reflection: basic issues in medical ethics. 7th ed. Belmont: Wadsworth; 2004.

    Google Scholar 

  • Steinbock B, editor. The oxford handbook of bioethics. New York: Oxford University Press; 2007.

    Google Scholar 

  • Summing up; the ethical and legal problems in medicine and behavioral research. Washington, D.C.: President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, March, 1983.

    Google Scholar 

  • Thomasma DC. Proposing a new agenda: bioethics and international human rights. Camb Q Healthc Ethics. 2001;10:299–310.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Miriam Piven Cotler MSPH, Ph.D. .

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© 2013 Springer-Verlag Berlin Heidelberg

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Cotler, M.P. (2013). Clinical Bioethics and Its Interface with Legal Medicine. In: Beran, R. (eds) Legal and Forensic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32338-6_40

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