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Douglas S. Diekema [22]Douglas Diekema [10]Douglas S. Ds Diekema [1]
  1. Parental Refusals of Medical Treatment: The Harm Principle as Threshold for State Intervention.Douglas Diekema - 2004 - Theoretical Medicine and Bioethics 25 (4):243-264.
    Minors are generally considered incompetent to provide legally binding decisions regarding their health care, and parents or guardians are empowered to make those decisions on their behalf. Parental authority is not absolute, however, and when a parent acts contrary to the best interests of a child, the state may intervene. The best interests standard is the threshold most frequently employed in challenging a parent''s refusal to provide consent for a child''s medical care. In this paper, I will argue that the (...)
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  2.  62
    Vaccine Ethics: An Ethical Framework for Global Distribution of COVID-19 Vaccines.Nancy S. Jecker, Aaron G. Wightman & Douglas S. Diekema - 2021 - Journal of Medical Ethics 47 (5):308-317.
    This paper addresses the just distribution of vaccines against the SARS-CoV-2 virus and sets forth an ethical framework that prioritises frontline and essential workers, people at high risk of severe disease or death, and people at high risk of infection. Section I makes the case that vaccine distribution should occur at a global level in order to accelerate development and fair, efficient vaccine allocation. Section II puts forth ethical values to guide vaccine distribution including helping people with the greatest need, (...)
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  3.  21
    Prioritizing Frontline Workers During the COVID-19 Pandemic.Nancy S. Jecker, Aaron G. Wightman & Douglas S. Diekema - 2020 - American Journal of Bioethics 20 (7):128-132.
    Volume 20, Issue 7, July 2020, Page 128-132.
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  4.  47
    Revisiting the Best Interest Standard: Uses and Misuses.Douglas S. Diekema - 2011 - Journal of Clinical Ethics 22 (2):128.
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  5.  11
    Ethical Guidance for Selecting Clinical Trials to Receive Limited Space in an Immunotherapy Production Facility.Nancy S. Jecker, Aaron G. Wightman, Abby R. Rosenberg & Douglas S. Diekema - 2018 - American Journal of Bioethics 18 (4):58-67.
    Our aims are to set forth a multiprinciple system for selecting among clinical trials competing for limited space in an immunotherapy production facility that supplies products under investigation by scientific investigators; defend this system by appealing to justice principles; and illustrate our proposal by showing how it might be implemented. Our overarching aim is to assist manufacturers of immunotherapeutic products and other potentially breakthrough experimental therapies with the ethical task of prioritizing requests from scientific investigators when production capacity is limited.
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  6.  44
    Ashley Revisited: A Response to the Critics.Douglas S. Diekema & Norman Fost - 2010 - American Journal of Bioethics 10 (1):30-44.
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  7.  11
    From Protection to Entitlement: Selecting Research Subjects for Early Phase Clinical Trials Involving Breakthrough Therapies.Nancy S. Jecker, Aaron G. Wightman, Abby R. Rosenberg & Douglas S. Diekema - 2017 - Journal of Medical Ethics 43 (6):391-400.
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  8.  6
    Relationships Help Make Life Worth Living.Aaron Wightman, Benjamin S. Wilfond, Douglas Diekema, Erin Paquette & Seema Shah - 2020 - Journal of Medical Ethics 46 (1):22-23.
    Decisions regarding life-sustaining medical treatments for young children with profound disabilities can be extremely challenging for families and clinicians. In this study, Brick and colleagues1 surveyed adult residents of the UK about their attitudes regarding withdrawal of treatment using a series of vignettes of infants with varying levels of intellectual and physical disability, based on real and hypothetical cases.1 This is an interesting study on an important topic. We first highlight the limitations of using these survey data to inform public (...)
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  9.  33
    Physician Dismissal of Families Who Refuse Vaccination: An Ethical Assessment.Douglas S. Diekema - 2015 - Journal of Law, Medicine and Ethics 43 (3):654-660.
    Thousands of U.S. parents choose to refuse or delay the administration of selected vaccines to their children each year, and some choose not to vaccinate their children at all. While most physicians continue to provide care to these families over time, using each visit as an opportunity to educate and encourage vaccination, an increasing number of physicians are choosing to dismiss these families from their practice unless they agree to vaccinate their children. This paper will examine this emerging trend along (...)
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  10.  10
    Parental Decision Making and the Limitations of the Equivalence Thesis.Aaron Wightman & Douglas Diekema - 2019 - American Journal of Bioethics 19 (3):43-45.
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  11.  22
    Taking Children Seriously: What's so Important About Assent?Douglas S. Diekema - 2003 - American Journal of Bioethics 3 (4):25 – 26.
  12.  25
    Adrift in the Gray Zone: IRB Perspectives on Research in the Learning Health System.Sandra Soo-Jin Lee, Maureen Kelley, Mildred K. Cho, Stephanie Alessi Kraft, Cyan James, Melissa Constantine, Adrienne N. Meyer, Douglas Diekema, Alexander M. Capron, Benjamin S. Wilfond & David Magnus - 2016 - Ajob Empirical Bioethics 7 (2):125-134.
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  13.  14
    Agreed: The Harm Principle Cannot Replace the Best Interest Standard … but the Best Interest Standard Cannot Replace The Harm Principle Either.D. Micah Hester, Kellie R. Lang, Nanibaa' A. Garrison & Douglas S. Diekema - 2018 - American Journal of Bioethics 18 (8):38-40.
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  14.  28
    The AAP Task Force on Neonatal Circumcision: A Call for Respectful Dialogue.Susan Blank, Michael Brady, Ellen Buerk, Waldemar Carlo, Douglas Diekema, Andrew Freedman, Lynne Maxwell, Steven Wegner, Charles LeBaron, Lesley Atwood & Sabrina Craigo - 2013 - Journal of Medical Ethics 39 (7):442-443.
    The American Academy of Pediatrics Task Force on Circumcision published its policy statement and technical report on newborn circumcision in September 2012.1 ,2 Since that time, some individuals and groups have voiced objections to the work of the Task Force, while others have conveyed their support. The AAP task force is pleased that the policy statement and technical reports on circumcision have stimulated debate on this topic and welcomes respectful discussion and dialogue about the scientific and ethical issues that surround (...)
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  15.  33
    Navigating Growth Attenuation in Children with Profound Disabilities.Benjamin S. Wilfond, Paul Steven Miller, Carolyn Korfiatis, Douglas S. Diekema, Denise M. Dudzinski, Sara Goering & The Seattle Growth Attenuation and Ethics Working Group - 2010 - Hastings Center Report 40 (6):27-40.
  16.  15
    Navigating Growth Attenuation in Children with Profound Disabilities.Benjamin S. Wilfond, Paul Steven Miller, Carolyn Korfiatis, Douglas S. Diekema, Denise M. Dudzinski & Sara Goering - 2010 - Hastings Center Report 40 (6):27-40.
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  17.  13
    Integrating Ethics and Patient Safety: The Role of Clinical Ethics in Quality Improvment (Vol 20, Pg 220, 2009).Douglas J. Opel, Dena Brownstein, Douglas S. Diekema, Benjamin S. Wilfond & Robert A. Pearlman - 2009 - Journal of Clinical Ethics 20 (4):370-370.
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  18.  4
    Rhetoric, Persuasion, Compulsion, and the Stubborn Problem of Vaccine Hesitancy.Douglas S. Diekema - 2022 - Perspectives in Biology and Medicine 65 (1):106-123.
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  19.  27
    Ashley Revisited: A Response to the Peer Commentaries.Douglas Diekema & Norman Fost - 2010 - American Journal of Bioethics 10 (1):4-6.
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  20.  26
    The Role of Family Liaisons in Research Ethics Consultations.Halle Showalter Salas, Zuraya Aziz & Douglas S. Diekema - 2008 - American Journal of Bioethics 8 (3):27 – 28.
  21.  15
    The Case of AR: The Ethics of Sibling Donor Bone Marrow Transplantation Revisited.Douglas J. Opel & Douglas S. Diekema - 2006 - Journal of Clinical Ethics 17 (3):207.
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  22. Conflicts of Interest in Clinical Ethics Consults.Elliott Mark Weiss, Aaron Wightman, Laura Webster & Douglas Diekema - 2021 - Journal of Medical Ethics 47 (12):61-61.
    Although there is wide agreement that ethics consults are at risk for conflicts of interest, ethics consultants have limited guidance with regard to how to identify and approach COIs. We aim to address these concerns and provide practical guidance. We will define and consider four categories of COIs: consult type, team composition, dual clinical roles and other concerns. We will define and consider six actions available for ECs to take in response to COIs: no action, disclosure only, obtaining a second (...)
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  23.  7
    Hans Jonas and the Ethics of Human Subjects Research.Douglas S. Diekema - 2020 - Hastings Center Report 50 (1):8-9.
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  24.  20
    DNAR in the Schools: Watch Your Language!Douglas S. Diekema - 2005 - American Journal of Bioethics 5 (1):76-78.
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  25.  8
    Boldt V. Boldt: A Pediatric Ethics Perspective.Douglas S. Diekema - 2009 - Journal of Clinical Ethics 20 (3):251.
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  26.  9
    Allocation of Anesthesia Care Should Be Addressed Proactively.Katherine Ruth Gentry & Douglas Diekema - 2016 - American Journal of Bioethics 16 (7):70-72.
  27.  6
    Fairly Allocating Space in an Immunotherapy Production Facility: Reply to Critics.Nancy S. Jecker, Aaron G. Wightman, Abby R. Rosenberg & Douglas S. Diekema - 2018 - American Journal of Bioethics 18 (5):W9-W12.
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  28.  6
    Decision-Making for Children with Disabilities: Parental Discretion and Moral Ambiguity.Douglas S. Diekema & Benjamin S. Wilfond - 2015 - Perspectives in Biology and Medicine 58 (3):328-331.
    The case presented here is tragic, not just in the sense of being a sad story, but in the dramatic meaning of tragedy. It presents us with a situation where there is no clear path, where moral ambiguity exists, and where no possible solution could unequivocally be declared the right or good one. Ethical deliberation can help here, but only as a way of clarifying the issues and offering reasonable solutions. It cannot show us the one right way.Baby G has (...)
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  29.  7
    A Quality Improvement Approach to Improving Informed Consent Practices in Pediatric Research.Mary Beth Foglia, Halle Showalter Salas & Douglas S. Diekema - 2009 - Journal of Clinical Ethics 20 (4):343.
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  30.  5
    The Armchair Ethicist: It's All About Location.Douglas S. Ds Diekema - 2007 - Journal of Clinical Ethics 18 (3):227.
  31.  13
    Is Taller Really Better?: Growth Hormone Therapy in Short Children.Douglas S. Diekema - 1990 - Perspectives in Biology and Medicine 34 (1):109-123.
  32.  1
    A World Away and Here at Home: A Prioritisation Framework for US International Patient Programmes.Emily Berkman, Jonna Clark, Douglas Diekema & Nancy S. Jecker - forthcoming - Journal of Medical Ethics:medethics-2020-106772.
    Programmes serving international patients are increasingly common throughout the USA. These programmes aim to expand access to resources and clinical expertise not readily available in the requesting patients’ home country. However, they exist within the US healthcare system where domestic healthcare needs are unmet for many children. Focusing our analysis on US children’s hospitals that have a societal mandate to provide medical care to a defined geographic population while simultaneously offering highly specialised healthcare services for the general population, we assume (...)
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