Journal of Medical Ethics 22 (1):33-40 (1996)

OBJECTIVES: To study and report the attitudes and practices of physicians in a former Soviet republic regarding issues pertaining to patients' rights, physician negligence and the acceptance of gratuities from patients. DESIGN: Survey questionnaire administered to physicians in 1991 at the time of the Soviet breakup. SETTING: Estonia, formerly a Soviet republic, now an independent state. SURVEY SAMPLE: A stratified, random sample of 1,000 physicians, representing approximately 20 per cent of practicing physicians under the age of 65. RESULTS: Most physicians shared information with patients about treatment risks and alternatives, with the exception of cancer patients: only a third of physicians tell the patient when cancer is suspected. Current practice at the time of the survey left patients few options when physician negligence occurred; most physicians feel that under a reformed system physician negligence should be handled within the local facility rather than by the government. It was common practice for physicians to receive gifts, tips, or preferential access to scarce consumer goods from their patients. Responses varied somewhat by facility and physician nationality. CONCLUSION: The ethics of Soviet medical practice were different in a number of ways from generally accepted norms in Western countries. Physicians' attitudes about the need for ethical reform suggest that there will be movement in Estonia towards a system of medical ethics that more closely approximates those in the West
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/jme.22.1.33
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,316
Through your library

References found in this work BETA

Medical Ethics in the Soviet Union.Robert M. Veatch - 1989 - Hastings Center Report 19 (2):11-14.
Gratuity for Doctors and Medical Ethics.Gyorgy Adam - 1989 - Journal of Medicine and Philosophy 14 (3):315-322.
Medical Ethics: Problems of Theory and Practice.Raisa Vasil'evna Korotkikh - 1989 - Journal of Medicine and Philosophy 14 (3):269-282.

View all 8 references / Add more references

Citations of this work BETA

Wantoks and Kastom: Solomon Islands and Melanesia.Gordon Nanau - 2018 - In Alena Ledeneva (ed.), The Global Encyclopaedia of Informality. London, U.K.: UCL Press. pp. 244-248.

Add more citations

Similar books and articles

Von Krahl Theatre Revisiting Estonian Cultural Heritage.Anneli Saro - 2005 - Sign Systems Studies 33 (2):405-422.
Morality, Ethics and East‐European Marxism.Richard T. De George - 1966 - Inquiry: An Interdisciplinary Journal of Philosophy 9 (1-4):11 – 29.
Soviet Ethics and Soviet Society.Richard T. George - 1964 - Studies in East European Thought 4 (3):206-217.
Social Psychology in the Soviet Union.Levy Rahmani - 1973 - Studies in East European Thought 13 (3-4):218-250.
Soviet Patriarchy: Past and Present.Olga Voronina - 1993 - Hypatia 8 (4):97 - 112.
Marxist Ideology and the Soviet Economy.Patrick McNally - 1972 - Studies in East European Thought 12 (3):255-269.


Added to PP index

Total views
96 ( #123,209 of 2,519,512 )

Recent downloads (6 months)
1 ( #407,153 of 2,519,512 )

How can I increase my downloads?


My notes