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Full-Text Articles in Medicine and Health Sciences
Regulating The Placebo Effect In Clinical Practice, Tracey Chan
Regulating The Placebo Effect In Clinical Practice, Tracey Chan
Tracey E Chan
Recent research and ethical analysis have forced a clinical and ethical reappraisal of the utility of placebos in medical practice. The main concern of ethics and law is that using placebos in health care involves deception, which is antithetical to patient autonomy and trust in the physician-patient relationship. This paper reviews the various, more nuanced scientific conceptions of the placebo effect, and evaluates the ethical and legal objections to deploying placebos in clinical practice. It argues that the placebo effect may be legitimately accommodated on the basis that it does not engage the requirement for material or quasi-fiduciary disclosures of …
Evolving Legal Responses To Dependence On Families In New Zealand And Singapore Healthcare, Tracey E. Chan, Nicola Peart, Jacqueline Chin
Evolving Legal Responses To Dependence On Families In New Zealand And Singapore Healthcare, Tracey E. Chan, Nicola Peart, Jacqueline Chin
Tracey E Chan
Healthcare decision-making has traditionally focused on individual autonomy, but there is now a change occurring in which the involvement of families is gaining prominence. This appears to stem from an increasing emphasis on relational aspects of autonomy which recognises the individual’s connectedness to their family, and also state reliance upon families to share the burdens and costs of caring for elderly and disabled dependents. Such a reorientation calls for similar legal emphasis on patient autonomy as understood in relational terms, and one that offers more adequate conceptions of independence, confidentiality, and decision-making authority in the light of this change. This …