Why don't physicians use ethics consultation?

Journal of Clinical Ethics

Volumn 10, Issue 2, 1999, Pages 116-125

  Davies, Louise ^a   Hudson, Leonard D ^b  

^a UNIVERSITY OF VERMONT   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; BIOETHICS AND PROFESSIONAL ETHICS; DECISION MAKING; EDUCATION; EMPIRICAL APPROACH; EPIDEMIOLOGY; ETHICIST; ETHICS; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MEDICAL ETHICS; MIDDLE AGED; MOTIVATION; PATIENT REFERRAL; PHYSICIAN; PHYSICIAN ATTITUDE; PROFESSIONAL STANDARD; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; QUESTIONNAIRE; RESEARCH; SELF CONCEPT; UNITED STATES; UTILIZATION REVIEW;

BIOETHICS AND PROFESSIONAL ETHICS; EMPIRICAL APPROACH;

ADULT; ATTITUDE OF HEALTH PERSONNEL; DECISION MAKING; EDUCATIONAL MEASUREMENT; ETHICISTS; ETHICS COMMITTEES; ETHICS COMMITTEES, CLINICAL; ETHICS CONSULTATION; ETHICS, MEDICAL; HEALTH CARE SURVEYS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; MOTIVATION; NORTHWESTERN UNITED STATES; PHYSICIAN'S ROLE; PHYSICIANS; QUALITATIVE RESEARCH; QUESTIONNAIRES; REFERRAL AND CONSULTATION; RESEARCH; SELF CONCEPT;

EID: 0033138426     PISSN: 10467890     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (29)

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2. M. Siegler, E.D. Pellegrino, and P.A. Singer, "Clinical Medical Ethics," The Journal of Clinical Ethics 1, no. 1 (Spring 1992): 5-9; L.S. Libow et al., "Ethics Rounds at a Nursing Home: An Alternative to an Ethics Committee," Journal of the American Geriatric Society 40, no. 1 (1992): 95-7.
3. M. Siegler, E.D. Pellegrino, and P.A. Singer, "Clinical Medical Ethics," The Journal of Clinical Ethics 1, no. 1 (Spring 1992): 5-9; L.S. Libow et al., "Ethics Rounds at a Nursing Home: An Alternative to an Ethics Committee," Journal of the American Geriatric Society 40, no. 1 (1992): 95-7.
4. D.C. Thomasma, "Why Philosophers Should Offer Ethics Consultations," Theoretical Medicine 12, no. 2 (1991): 129-40.
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6. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
7. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
8. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
9. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
10. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
11. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
12. J.C. Fletcher, N. Quist, and A.R. Jonsen, ed., Ethics Consultation in Health Care (Ann Arbor, Mich.: Health Administration Press, 1989), 109-16; J.D. Skeel and D.J. Self, "An Analysis of Ethics Consultation in the Clinical Setting," Theoretical Medicine 10, no. 4 (1989): 289-99; H.S. Perkills and B.S. Saathoff, "Impact of Medical Ethics Consultations on Physicians: An Exploratory Study," American Journal of Medicine 85, no. 6 (1988): 761-5; R.D. Orr and E. Moon, "Effectiveness of an Ethics Consultation Service," Journal of Family Practice 36, no. 1 (1993): 49-53; J. La Puma et al., "Community Hospital Ethics Consultation: Evaluation and Comparison with a University Hospital Service," American Journal of Medicine 92, no. 4 (1992): 346-51; E.D. Pellegrino, "Relevance and Utility of Courses in Medical Ethics Survey of Physician Perceptions," Journal of the American Medical Association 253, no. 1 (1985): 49-53; D.J. Self and C.L. Koenig, "A Model for Faculty Development and Continuing Education in Medical Ethics: Medicine and Humanities Consultation," Texas Medicine 87, no. 2 (1991): 91-5.
13. J. LaPuma and D.L. Schiedermayer, "The Clinical Ethicist at the Bedside," Theoretical Medicine 12, no. 2 (1991): 141-9.
14. J. Glover, D.T. Ozar, and D.C. Thomasma, "Teaching Ethics on Rounds: The Ethicist as Teacher, Consultant and Decision Maker," Theoretical Medicine 7, no. 1 (1986): 13-32.
15. M.B. West and J.M. Gibson, "Facilitating Medical Ethics Case Review: What Ethics Committees can Learn from Mediation and Facilitation Techniques," Cambridge Quarterly of Health Care Ethics 1, no. 1 (1992): 63-72.
16. SHHV-SBC Task Force on Standards for Bioetics Consultation, Core Competencies for Healthcare Ethics Consultation (Glenview Ill.: American Society for Bioethics and the Humanities, 1998).
17. G.P. Gramelspacher, "Institutional Ethics Committees and Case Consultation: Is there a Role?" Issues in Law and Medicine 7, no. 1 (1991): 73-82.
18. F.H. Marsh, "Why Physicians Should Not Do Ethics Consults," Theoretical Medicine 13, no. 3 (1992): 285-92.
19. See note 3 above.
20. L. McCullough, "Laying Clinical Ethics Open," Journal of Medicine and Philosophy 18, no. 1 (1993): 1-8.
21. J.E. Frader, "Political and Interpersonal Aspects of Ethics Consultation," Theoretical Medicine 13, no. 1 (1992): 31-44.
22. R. Shalit, "When We Were Philosopher Kings," New Republic 28 April 1997, 24-8.
23. Y.S. Lincoln and E.G. Guba, Naturalistic Inquiry (Newbury, Calif.: Sage, 1985).
24. Ibid.
25. R.M. Zaner, "Voices and Time: The Venture of Clinical Ethics," Journal of Medicine and Philosophy 18, no. l (1993): 9-31.
26. Ibid.
27. M.D. Swenson and R.B. Miller, "Ethics Case Review in Health Care Institutions: Committees, Consultants or Teams?" Archives of Internal Medicine 152, no. 4 (1992): 694-7.
28. See note 10 above.
29. E. Loewy, "Suffering as a Consideration in Ethical Decision Making," Cambridge Quarterly of Health Care Ethics 1, no. 2 (1992): 135-42.