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Ethics, Economics And The Regulation And Adoption Of New Medical Devices: Case Studies In Pelvic Floor Surgery, Sue Ross, Charles Weijer, Amiram Gafni, Ariel Ducey, Carmen Thompson, Rene Lafreniere

Charles Weijer

BACKGROUND: Concern has been growing in the academic literature and popular media about the licensing, introduction and adoption of surgical devices before full effectiveness and safety evidence is available to inform clinical practice. Our research will seek empirical survey evidence about the roles, responsibilities, and information and policy needs of the key stakeholders in the introduction into clinical practice of new surgical devices for pelvic floor surgery, in terms of the underlying ethical principals involved in the economic decision-making process, using the example of pelvic floor procedures.

METHODS/DESIGN: Our study involves three linked case studies using, as examples, selected pelvic …

Obligations In Offering To Disclose Genetic Research Results, Conrad Fernandez, Charles Weijer

Charles Weijer

No abstract provided.

Self Interest Is Not The Sole Legitimate Basis For Making Decisions, Charles Weijer

Charles Weijer

No abstract provided.

Ethical Decision Making By Family Doctors In Canada, Britain And The United States, Barry Hoffmaster, Moira Stewart, Ronald Christie

C. Barry Hoffmaster

Family doctors in Canada and the U.S. and general practitioners in England and Wales were sent a questionnaire containing six cases that raised moral issues. The doctors were asked to select the most appropriate course of action for each case as well as reasons for that decision. The ethical problems concerned how much information to divulge to patients, how extensively a physician should become involved in the lifestyles of patients, and how to deal with a possible family problem. The respondents selected different courses of action for the cases. More U.S. than Canadian or British physicians chose to divulge information, …

Ethical Decision Making By British General Practitioners, Ronald Christie, Charles Freer, Barry Hoffmaster, Moira Stewart

C. Barry Hoffmaster

General practitioners in England and Wales were sent a questionnaire asking how they would handle the ethical problems posed by six case vignettes and their reasons for their decisions. The ethical problems included: how much information to divulge to patients, how extensively a physician should become involved in the lifestyles of patients and how to deal with a possible family problem. The varying patterns of response to the six cases suggested that ethical issues are resolved in a case-by-case, not a theoretical, basis.

Ethical Decision Making By Canadian Family Physicians, Ronald Christie, Barry Hoffmaster, Moira Stewart

C. Barry Hoffmaster

Canadian family physicians were sent questionnaires that asked how they would handle the ethical problems posed by six sample cases and what reasons were relevant to their decisions. The ethical problems concerned how much information to divulge to patients, how extensively a physician should become involved in the lifestyles of patients and how to deal with a possible family problem. The study identified characteristics of family physicians that affect their ethical decision making and tested a theoretical model that regards ethical problems as conflicts between respecting patient autonomy and promoting patient welfare. The varied responses suggested that ethical issues are …

Ethical Considerations In Caring For Retarded Patients, Ronald Christie, Barry Hoffmaster

C. Barry Hoffmaster

The treatment of the mentally retarded patient may raise dramatic ethical issues for the family physician. A case is used to illustrate an example of ethical decision-making and the moral issues explored.