Ethical dilemmas in cancer care

書誌事項

Ethical dilemmas in cancer care

edited by Basil A. Stoll

Macmillan, 1989

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Includes index

内容説明・目次

内容説明

The health care professionals are urged to review their goals in management and also their relationships with the patient and society. Are they giving people what they want, or what the professionals think they want? Why do people seek alternative medicine? The present failure of Western governments to fulfil all the public's expectations is seen to be due to the pressing need to limit the escalating costs of present day "high tech" medicine. The drain on health resources becomes even greater as the proportion of aged, cancer-prone people increases in the population. In the face of rising expectations, doctors are seen to be pressured by the state or other employing organizations to examine their management decisions an allocation of time, on a cost-effective basis. It discusses the spiralling costs of rapidly obsolescent diagnostic and treatment methods which have led to some sort of rationing even among the wealthiest Western nations. But while rationing and queuing are forcing doctors to choose between patients on both medical and social grounds, there are on the other hand pressures in the other direction. Doctors are increasinglu being subjected to malpractice suits from patients if their management is considered inadequate.

目次

  • Part 1 Rights of the individual patient: the right to bad news, Ivan Lichter
  • painful choices between patients, Basil A.Stoll
  • achieving informed consent in clinical trials, Arthur Schafer
  • compromising between quantity and quality of life, John H.Kearsley
  • defensive medicine or malpractice suits?, Gareth J.G.Rees and Alun A.D.Rees
  • the right to die, C.Spreewenberg
  • Part 2 The health professional and society: do doctors need a code of practice?, James Owen Drife
  • the nurse's viewpoint on ethics, Pat Webb
  • persuasion or paternalism in cancer prevention? Basil A.Stoll
  • who teaches medical ethics?, Graham H.Barker
  • the attraction of alternative therapies, Philip H.N.Wood and Gareth H.Williams.

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