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Ethics case consultation in primary care : contextual challenges for clinical ethicists
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Slowther, Anne. (2009) Ethics case consultation in primary care : contextual challenges for clinical ethicists. Cambridge Quarterly of Healthcare Ethics, Vol.18 (No.4). pp. 397-405. ISSN 0963-1801
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Official URL: http://dx.doi.org/10.1017/S0963180109090598
Abstract
The development of ethics case consultation over the past 30 years, initially in North America and recently in Western Europe, has primarily taken place in the secondary or tertiary healthcare settings. The predominant model for ethics consultation, in some countries overwhelmingly so, is a hospital-based clinical ethics committee. In the United States, accreditation boards suggest the ethics committee model as a way of meeting the ethics component of the accreditation requirement for payment by Health Maintenance Organizations (HMOs), and in some European countries, there are legislatory requirements or government recommendations for hospitals to have clinical ethics committees. There is no corresponding pressure for primary care services to have ethics committees or ethics consultants to advise clinicians, patients, and families on the difficult ethical decisions that arise in clinical practice.
| Item Type: | Journal Article |
|---|---|
| Subjects: | B Philosophy. Psychology. Religion > BJ Ethics R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Institute of Clinical Education (ICE) Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Medical ethics, Medical ethics consultation, Primary care (Medicine) |
| Journal or Publication Title: | Cambridge Quarterly of Healthcare Ethics |
| Publisher: | Cambridge University Press |
| ISSN: | 0963-1801 |
| Date: | 2009 |
| Volume: | Vol.18 |
| Number: | No.4 |
| Page Range: | pp. 397-405 |
| Identification Number: | 10.1017/S0963180109090598 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Description: | Special Section: Coming of Age in Clinical Ethics. Consultation: Time for Assessment and Evaluation. |
| URI: | http://wrap.warwick.ac.uk/id/eprint/37317 |
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