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David Pendleton (1984)
The Consultation : an approach to learning and teaching
R. Christie, C. Hoffmaster, M. Stewart (1987)
Ethical decision making by Canadian family physicians.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 137 10
B. Lindberg (1995)
[Increasing number of physicians reported for malpractice. Support for reported physicians should be increased].Lakartidningen, 92 17
B. Hoffmaster, R. Christie (1985)
Ethical issues in family medicine.Newsletter on philosophy and medicine, 14
Lindberg Bs, A. Killander, K. Wedenberg (1996)
Mycket starka känslor bakom anmälan till HSANLäkartidningen, 46
C. Hoffmaster, M. Stewart, R. Christie (1992)
A survey method for investigating ethical decision making in family practice.Family medicine, 24 6
R. Christie, C. Freer, C. Hoffmaster, M. Stewart (1989)
Ethical decision making by British general practitioners.The Journal of the Royal College of General Practitioners, 39 328
W. May (1975)
Code, covenant, contract, or philanthropy.The Hastings Center report, 5 6
B. Lindberg (1995)
Stödet till anmälda måste bli bättre.Läkartidningen, 92
J. Davidson, Derek Layder (1994)
The survey method
J. Childress, Eric Mount (1982)
Who Should Decide? Paternalism in Health CareTheology Today, 40
D. Giesen (1988)
International Medical Malpractice Law: A Comparative Law Study of Civil Liability Arising from Medical Care
Linda Gask, Tim Usherwood (2002)
The consultationBMJ : British Medical Journal, 324
A. Samuels (1989)
International Medical Malpractice LawJournal of Medical Ethics, 15
C. Hoffmaster, Moira Stewart, Ronald Christie (1991)
Ethical decision making by family doctors in Canada, Britain and the United States.Social science & medicine, 33 6
Background. During the last decades, the traditional role of GPs as decision-makers for their patients has been questioned. Objectives. The aim of this study was to identify and discuss how GPs deal with and how they reason in situations where there is a possible tension between the obligation to respect the patients' right to self-determination and the obligation to promote their health. Methods. One hundred and twenty randomly selected Swedish GPs received a mailed questionnaire with two vignettes, one describing a patient reluctant to have a medically motivated intervention, the other describing a patient requesting a medically doubtful intervention. Forty seven of these GPs subsequently were interviewed by telephone. Results. With regard to the first vignette, approximately two-thirds of respondents to the questionnaire ( n = 82) answered that they would not accept the patient's reluctance. Older GPs were somewhat more inclined to try to persuade the patient to come to their surgery than were younger colleagues. In the interview, most respondents answered that the right to self-determination ought to be given priority, but the obligation to promote health had a greater influence on their behaviour. Regarding the second vignette, two-thirds of respondents to the questionnaire answered that they would not give way to the patient's request for intervention. Younger GPs said “No” more often than did their older colleagues. In the interviews, justifications for their response referred to medical benefit, uneasy patients, self-protection and justice. Conclusion. When facing such conflicts in everyday practice, the ethical codes of medicine are often too categorical to give any guidance. The situational ideal of covenant would be more helpful, and ought to be emphasized by medical teachers as well as tutoring older colleagues. Key words
Family Practice – Oxford University Press
Published: Apr 1, 2000
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