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Volumn 19, Issue 1-2, 1991, Pages 105-119

Does Legislating Hospital Ethics Committees Make a Difference? A Study of Hospital Ethics Committees in Maryland, the District of Columbia, and Virginia

Author keywords

[No Author keywords available]

Indexed keywords

PUBLIC PARTICIPATION; SURVEY;

EID: 84985262160     PISSN: 10731105     EISSN: 1748720X     Source Type: Journal    
DOI: 10.1111/j.1748-720X.1991.tb01804.x     Document Type: Article
Times cited : (26)

References (15)
  • 1
    • 84985232871 scopus 로고    scopus 로고
    • Md. Health Gen. Code Ann. 19–370 to 19–374.
  • 2
    • 84985264016 scopus 로고    scopus 로고
    • The Act was amended and as of July 1,1990 all nursing homes in the state must establish such committees or participate in a multi‐institutional committee with a hospital or other nursing homes. Md. Health Gen. Code AM. Sec. 19–374(F).
  • 3
    • 84985299121 scopus 로고    scopus 로고
    • Copies of the survey instruments are available from the author.
  • 4
    • 84985282149 scopus 로고    scopus 로고
    • The percentage becomes even higher if federal hospitals, which are arguably exempt from the Maryland statute, are excluded from the sample. In that case, 91 % of the hospitals in Maryland have established an ethics committee.
  • 5
    • 84985252545 scopus 로고    scopus 로고
    • Given the response rates, it is possible that the results portray a somewhat skewed picture of ethics committees in these jurisdictions. For example, it is possible that those committees that responded are more active than those that did not. Thus, responses to such questions as “How many cases did you review in the past year?” and “How many times did you meet in the past year?” may actually be higher than the figures for the entire population.
  • 6
    • 84985181430 scopus 로고    scopus 로고
    • Responses total more than 100% as respondents may have selected more than one response.
  • 7
    • 84985224553 scopus 로고    scopus 로고
    • Responses total more than 100% as respondents may have given more than one answer.
  • 8
    • 84985264023 scopus 로고    scopus 로고
    • In Maryland, under the Patient Care Advisory Committee Act, a committee member may not be held liable in court for the advice given by the committee in “good faith.”.
  • 9
    • 84985251581 scopus 로고    scopus 로고
    • The five hospitals were all private, not‐for‐profit, general hospitals. Four of the five were teaching hospitals. Of those four, three (hospitals A, B, and D) had between 250 beds and one (hospital E) had over 500 beds. One of the four (hospital B) was a religiously affiliated hospital. The fifth hospital (hospital C) was a non‐teaching hospital with between 100 and 250 beds. Letters refer to the designation in Table 17.
  • 10
    • 84985252552 scopus 로고    scopus 로고
    • The sample of attending physicians was taken from all medical staff.
  • 11
    • 84985208928 scopus 로고    scopus 로고
    • The sample of nurses was taken from all RNs, full time and part time.
  • 12
    • 84985181422 scopus 로고    scopus 로고
    • This was higher than expected but may be due to a bias in responses—i.e., users of the committee may have been more likely to respond than non‐users.
  • 13
    • 84985282148 scopus 로고    scopus 로고
    • The experience of some of the non‐respondents was not directly related to case consultation. For example, several respondents were committee members. The direct experience of some others included attending an “in service” explaining the committee or serving on an advisory committee that established the policies and guidelines for the hospital ethics committee.
  • 14
    • 84985220615 scopus 로고    scopus 로고
    • This figure is based on a 1985 survey conducted by the American Hospital Association.
  • 15
    • 84985263995 scopus 로고
    • Deciding to Forego Life‐Sustaining Treatment
    • (1983) , pp. 446


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.