Asunto(s)
Diversidad Cultural , Análisis Ético , Ética , Internacionalidad , Principios Morales , Valores Sociales , Asia , Bioética , Conciencia , Consenso , Conducta Cooperativa , Empatía , Ética Médica , Humanos , Ética Basada en Principios , Relaciones Profesional-Paciente , Filosofías Religiosas , Virtudes , Mundo OccidentalAsunto(s)
Actitud del Personal de Salud , Actitud Frente a la Salud , Beneficencia , Internacionalidad , Paternalismo , Práctica Profesional , Opinión Pública , Accidentes de Tránsito , Predisposición Genética a la Enfermedad , Humanos , Hallazgos Incidentales , Melanoma/terapia , Aceptación de la Atención de Salud , Autonomía Personal , Relaciones Médico-Paciente , Negativa al Tratamiento , Medición de RiesgoRESUMEN
To determine how internists would respond to out-of-hospital emergency medical situations, we surveyed internal medicine residents and attending physicians at urban academic medical centers regarding their willingness to help in five such scenarios. For those scenarios in which they were reluctant to help, they were asked why. Knowledge of Good Samaritan statutes was also assessed. Respondents were most likely to give aid, including mouth-to-mouth resuscitation if necessary, in scenarios involving a man complaining of chest pain in a restaurant (69%) and a call for help on an airplane (54%), and least likely to help a disheveled man lying on the sidewalk (2%). The most common reasons for not helping were a reluctance to perform mouth-to-mouth resuscitation, feeling that it was not one's responsibility to help, and concern about infectious disease. Knowledge of New York's Good Samaritan law was not associated with willingness to help.
Asunto(s)
Reanimación Cardiopulmonar , Urgencias Médicas , Conocimientos, Actitudes y Práctica en Salud , Medicina Interna , Adulto , Femenino , Humanos , MasculinoRESUMEN
The early development of legal obligation in emergency medicine is traced through medieval English common law to the first stages of American law after Independence. An identifiable set of legal principles in the nineteenth and early twentieth centuries is described. The movement away from an absence of legal and ethical duties to answer any emergencies, or to offer any emergency services in hospitals, toward a growing demand for access to emergency services in the middle decades of the twentieth century is reviewed. The enactment of Good Samaritan Laws is described, along with other federal and state law reforms. In the modern era, there has been a substantial legal and ethical change to a requirement of extensive duties to operate open-admission emergency services in virtually all acute-care hospitals. The AIDS epidemic is utilized as a case example of expanded legal and ethical duties to offer emergency care in a nondiscriminatory manner to all patients presenting at hospital emergency departments.
Asunto(s)
Medicina de Emergencia/historia , Medicina de Emergencia/legislación & jurisprudencia , Responsabilidad Legal/historia , Síndrome de Inmunodeficiencia Adquirida/epidemiología , Brotes de Enfermedades/historia , Brotes de Enfermedades/legislación & jurisprudencia , Servicio de Urgencia en Hospital/historia , Servicio de Urgencia en Hospital/legislación & jurisprudencia , Inglaterra , Ética Médica/historia , Gobierno Federal , Regulación Gubernamental , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia Medieval , Humanos , Rol Judicial , Transferencia de Pacientes/historia , Transferencia de Pacientes/legislación & jurisprudencia , Estados UnidosAsunto(s)
Cristianismo , Códigos de Ética , Servicios Médicos de Urgencia , Ética Médica , Ética Profesional , Cooperación Internacional , Internacionalidad , Obligaciones Morales , Atención al Paciente , Médicos , Prejuicio , Responsabilidad Social , Altruismo , Bélgica , Beneficencia , Francia , Libertad , Juramento Hipocrático , Humanos , Irlanda , Italia , Judaísmo , Enfermeras y Enfermeros , Autonomía Personal , Personas , Relaciones Médico-Paciente , Portugal , Pobreza , Mala Conducta Profesional , Sexualidad , Valores Sociales , España , Reino Unido , Estados Unidos , Valor de la Vida , Poblaciones Vulnerables , GuerraRESUMEN
The story of the good Samaritan is familiar to Christians as a model of caring compassion. Yet the story seems merely quaint and out of place in the context of modern health care, especially when we consider the problem of scarcity and the allocation of limited resources. Allen D. Verhey suggests specific ways in which the story of the good Samaritan can and must continue to shape Christian response when we consider the issue of limited access to health care, limited economic resources, and limited medical commodities.
Asunto(s)
Cristianismo , Asignación de Recursos para la Atención de Salud/ética , Atención a la Salud/normas , Empatía , Accesibilidad a los Servicios de Salud , Humanos , Pacientes no Asegurados , Obligaciones Morales , Selección de Paciente/ética , Médicos , Política Pública , Asignación de Recursos/ética , Justicia Social , Estados UnidosRESUMEN
Religion's fundamental involvement with questions of disease, health, and medicine has given rise to concepts making substantial contributions to the field of bioethics. The purpose of this article is to examine such ongoing contributions in a general way, and then to review how the issue of whether medical technology should be used to prolong life might be approached from the standpoint of several different religious traditions.
Asunto(s)
Beneficencia , Bioética , Diversidad Cultural , Principios Morales , Autonomía Personal , Religión y Medicina , Valores Sociales , Teología , Discusiones Bioéticas , Principio del Doble Efecto , Teoría Ética , Ética , Eutanasia Activa , Política de Salud , Humanos , Intención , Cuidados para Prolongación de la Vida , Protestantismo , Justicia Social , Obtención de Tejidos y Órganos , Valor de la VidaRESUMEN
KIE: Moseley contends that, as members of an accepted and sanctioned moral community with specific commitments, physicians have strict obligations of beneficence which extend to the rendering of emergency treatment and the offering, under certain circumstances, of unsolicited medical opinions to strangers. The physician must be relatively certain of the identification of a serious health problem that will very likely go unattended. The problem must be one about which a reasonable person would want information and which is treatable or requires comfort. The author warns that, should society come to view physicians as merely scientists or technicians, then physician-bystanders' strict obligations to strangers may be weakened.^ieng