58 found
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  1.  22
    Ethics Consultation in U.S. Hospitals: A National Follow-Up Study.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):5-18.
    A 1999–2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how practices have changed since 2000, we administered a 105-item survey to “best informants” in a stratified random sample of 600 U.S. general hospitals. This primary article details the methods for the entire study, then focuses on the 16 items from the prior study. Compared with 2000, the estimated number of case consultations performed annually rose by 94% to 68,000. The (...)
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  2.  19
    Ethics Consultation in U.S. Hospitals: Opinions of Ethics Practitioners.Ellen Fox, Anita J. Tarzian, Marion Danis & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):19-30.
    To design effective strategies to improve ethics consultation (EC) practices, it is important to understand the views of ethics practitioners. Previous U.S. studies of ethics practitioners have overrepresented the views of academic bioethicists. To help inform EC improvement efforts, we surveyed a random stratified sample of U.S. hospitals, examining ethics practitioners’ opinions on EC in general, on their own EC service, on strategies to improve EC, and on ASBH practice standards. Respondents across all categories of hospitals had very positive perceptions (...)
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  3.  18
    Ethics Consultation in U.S. Hospitals: New Findings about Consultation Practices.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - AJOB Empirical Bioethics 13 (1):1-9.
    BackgroundWhile previous research has examined various aspects of ethics consultation (EC) in U.S. hospitals, certain EC practices have never been systematically studied.MethodsTo address this gap, we surveyed a random stratified sample of 600 hospitals about aspects of EC that had not been previously explored.ResultsNew findings include: in 26.0% of hospitals, the EC service performs EC for more than one hospital; 72.4% of hospitals performed at least one non-case consultation; in 56% of hospitals, ECs are never requested by patients or families; (...)
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  4.  44
    Bioethicists Can and Should Contribute to Addressing Racism.Marion Danis, Yolonda Wilson & Amina White - 2016 - American Journal of Bioethics 16 (4):3-12.
    The problems of racism and racially motivated violence in predominantly African American communities in the United States are complex, multifactorial, and historically rooted. While these problems are also deeply morally troubling, bioethicists have not contributed substantially to addressing them. Concern for justice has been one of the core commitments of bioethics. For this and other reasons, bioethicists should contribute to addressing these problems. We consider how bioethicists can offer meaningful contributions to the public discourse, research, teaching, training, policy development, and (...)
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  5.  51
    Intersectionality in Clinical Medicine: The Need for a Conceptual Framework.Yolonda Wilson, Amina White, Akilah Jefferson & Marion Danis - 2019 - American Journal of Bioethics 19 (2):8-19.
    Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. (...)
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  6.  58
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has (...)
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  7.  53
    A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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  8.  19
    Patient and Family Descriptions of Ethical Concerns.Hae Lin Cho, Christine Grady, Anita Tarzian, Gail Povar, Jed Mangal & Marion Danis - 2020 - American Journal of Bioethics 20 (6):52-64.
    Ethically challenging situations routinely arise in the course of illness and healthcare. However, very few studies have surveyed patients and family members about their experiences with ethically challenging situations. To address this gap in the literature, we surveyed patients and family members at three hospitals. We conducted a content analysis of their responses to open-ended questions about their most memorable experience with an ethical concern for them or their family member. Participants described 219 unique ethical experiences that spanned many of (...)
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  9.  6
    Ethics Consultation in U.S. Hospitals: Adherence to National Practice Standards.Anita Tarzian, Ellen Fox, Marion Danis & Christopher C. Duke - 2022 - AJOB Empirical Bioethics 13 (1):10-21.
    BackgroundAdherence to widely accepted practice standards is a frequently used measure of healthcare quality. In the U.S., the most widely recognized authoritative source of practice standards for ethics consultation (EC) is the second edition of the American Society for Bioethics and Humanities’ Core Competencies for Healthcare Ethics Consultation report.MethodsTo determine the extent to which EC practices in U.S. hospitals adhere to these practice standards, we developed and analyzed 12 evaluative measures from a national survey.ResultsOnly three of the 12 standards achieved (...)
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  10.  48
    The Emergence of Clinical Research Ethics Consultation: Insights From a National Collaborative.Kathryn M. Porter, Marion Danis, Holly A. Taylor, Mildred K. Cho & Benjamin S. Wilfond - 2018 - American Journal of Bioethics 18 (1):39-45.
    The increasing complexity of human subjects research and its oversight has prompted researchers, as well as institutional review boards, to have a forum in which to discuss challenging or novel ethical issues not fully addressed by regulations. Research ethics consultation services provide such a forum. In this article, we rely on the experiences of a national Research Ethics Consultation Collaborative that collected more than 350 research ethics consultations in a repository and published 18 challenging cases with accompanying ethical commentaries to (...)
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  11.  58
    Does ethics education influence the moral action of practicing nurses and social workers?Christine Grady, Marion Danis, Karen L. Soeken, Patricia O'Donnell, Carol Taylor, Adrienne Farrar & Connie M. Ulrich - 2008 - American Journal of Bioethics 8 (4):4 – 11.
    Purpose/methods: This study investigated the relationship between ethics education and training, and the use and usefulness of ethics resources, confidence in moral decisions, and moral action/activism through a survey of practicing nurses and social workers from four United States (US) census regions. Findings: The sample (n = 1215) was primarily Caucasian (83%), female (85%), well educated (57% with a master's degree). no ethics education at all was reported by 14% of study participants (8% of social workers had no ethics education, (...)
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  12.  15
    Health care ethics programs in U.S. Hospitals: results from a National Survey.Christopher C. Duke, Anita Tarzian, Ellen Fox & Marion Danis - 2021 - BMC Medical Ethics 22 (1):1-14.
    BackgroundAs hospitals have grown more complex, the ethical concerns they confront have grown correspondingly complicated. Many hospitals have consequently developed health care ethics programs (HCEPs) that include far more than ethics consultation services alone. Yet systematic research on these programs is lacking.MethodsBased on a national, cross-sectional survey of a stratified sample of 600 US hospitals, we report on the prevalence, scope, activities, staffing, workload, financial compensation, and greatest challenges facing HCEPs.ResultsAmong 372 hospitals whose informants responded to an online survey, 97% (...)
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  13.  66
    Physicians' Access to Ethics Support Services in Four European Countries.Samia A. Hurst, Stella Reiter-Theil, Arnaud Perrier, Reidun Forde, Anne-Marie Slowther, Renzo Pegoraro & Marion Danis - 2007 - Health Care Analysis 15 (4):321-335.
    Clinical ethics support services are developing in Europe. They will be most useful if they are designed to match the ethical concerns of clinicians. We conducted a cross-sectional mailed survey on random samples of general physicians in Norway, Switzerland, Italy, and the UK, to assess their access to different types of ethics support services, and to describe what makes them more likely to have used available ethics support. Respondents reported access to formal ethics support services such as clinical ethics committees (...)
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  14.  18
    Clinical ethics dilemmas in a low-income setting - a national survey among physicians in Ethiopia.Ingrid Miljeteig, Frehiwot Defaye, Dawit Desalegn & Marion Danis - 2019 - BMC Medical Ethics 20 (1):1-13.
    Ethical dilemmas are part of medicine, but the type of challenges, the frequency of their occurrence and the nuances in the difficulties have not been systematically studied in low-income settings. The objective of this paper was to map out the ethical dilemmas from the perspective of Ethiopian physicians working in public hospitals. A national survey of physicians from 49 public hospitals using stratified, multi-stage sampling was conducted in six of the 11 regions in Ethiopia. Descriptive statistics were used and the (...)
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  15.  9
    Putting Anti-Racism into Practice as a Healthcare Ethics Consultant.Marion Danis - 2021 - American Journal of Bioethics 21 (2):36-38.
    Events in the US in 2020 have laid bare the reality that racism and its effects continue to take a heavy toll on the lives of Black Americans. The three articles in this issue of AJOB each provide...
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  16. Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research.Daniel Strech, Govind Persad, Georg Marckmann & Marion Danis - 2009 - Health Policy 90 (2):113-124.
    Several quantitative surveys have been conducted internationally to gather empirical information about physicians’ general attitudes towards health care rationing. Are physicians ready to accept and implement rationing, or are they rather reluctant? Do they prefer implicit bedside rationing that allows the physician–patient relationship broad leeway in individual decisions? Or do physicians prefer strategies that apply explicit criteria and rules?
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  17.  12
    Communication of patients’ and family members’ ethical concerns to their healthcare providers.Mariam Noorulhuda, Christine Grady, Paul Wakim, Talia Bernhard, Hae Lin Cho & Marion Danis - 2023 - BMC Medical Ethics 24 (1):1-9.
    Background Little is known about communication between patients, families, and healthcare providers regarding ethical concerns that patients and families experience in the course of illness and medical care. To address this gap in the literature, we surveyed patients and family members to learn about their ethical concerns and the extent to which they discussed them with their healthcare providers. Methods We surveyed adult, English-speaking patients and family members receiving inpatient care in five hospitals in the Washington DC-Baltimore metropolitan area from (...)
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  18.  5
    Ethics Consultation in United States Hospitals: Assessment of Training Needs.Christopher C. Duke, Marion Danis, Anita J. Tarzian & Ellen Fox - 2021 - Journal of Clinical Ethics 32 (3):247-255.
    BackgroundTo help inform the development of more accessible, acceptable, and effective ethics consultation (EC) training programs, we conducted an EC training needs assessment, exploring ethics practitioners’ opinions on: the relative importance of various EC practitioner competencies; the potential market for EC training (that is, how many individuals would benefit and how much individuals and hospitals would be willing to pay); and the preferred content, format, and characteristics of EC training.MethodsAs part of a multipart study, we surveyed “best informants” who self-identified (...)
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  19.  32
    Examining the Ethics of Clinical Use of Unproven Interventions Outside of Clinical Trials During the Ebola Epidemic.Seema K. Shah, David Wendler & Marion Danis - 2015 - American Journal of Bioethics 15 (4):11-16.
    The recent Ebola outbreak in West Africa began in the spring of 2014 and has since caused the deaths of over 6,000 people. Since there are no approved treatments or prevention modalities specifically targeted at Ebola Virus Disease , debate has focused on whether unproven interventions should be offered to Ebola patients outside of clinical trials. Those engaged in the debate have responded rapidly to a complex and evolving crisis, however, and this debate has not provided much opportunity for in-depth (...)
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  20.  61
    A framework for rationing by clinical judgment.Samia A. Hurst & Marion Danis - 2007 - Kennedy Institute of Ethics Journal 17 (3):247-266.
    Although rationing by clinical judgment is controversial, its acceptability partly depends on how it is practiced. In this paper, rationing by clinical judgment is defined in three different circumstances that represent increasingly wider circles of resource pools in which the rationing decision takes place: triage during acute shortage, comparison to other potential patients in a context of limited but not immediately strained resources, and determination of whether expected benefit of an intervention is deemed sufficient to warrant its cost by reference (...)
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  21.  22
    What Is the Minimal Competency for a Clinical Ethics Consult Simulation? Setting a Standard for Use of the Assessing Clinical Ethics Skills (ACES) Tool.Katherine Wasson, William H. Adams, Kenneth Berkowitz, Marion Danis, Arthur R. Derse, Mark G. Kuczewski, Michael McCarthy, Kayhan Parsi & Anita J. Tarzian - 2019 - AJOB Empirical Bioethics 10 (3):164-172.
    The field of clinical ethics consultation has matured into a multidisciplinary profession, with clinical ethics consultants (CECs) being trained in bioethics, philosophy, theology, law, medicine, n...
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  22.  17
    Home Care in America: The Urgent Challenge of Putting Ethical Care into Practice.Coleman Solis, Kevin T. Mintz, David Wasserman, Kathleen Fenton & Marion Danis - 2023 - Hastings Center Report 53 (3):25-34.
    Home care is one of the fastest‐growing industries in the United States, providing valuable opportunities for millions of older adults and people with disabilities to live at home rather than in institutional settings. Home care workers assist clients with essential activities of daily living, but their wages and working conditions generally fail to reflect the importance of their work. Drawing on the work of Eva Feder Kittay and other care ethicists, we argue that good care involves attending to the needs (...)
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  23.  60
    Patient autonomy and the challenge of clinical uncertainty.Mark Parascandola, Jennifer Susan Hawkins & Marion Danis - 2002 - Kennedy Institute of Ethics Journal 12 (3):245-264.
    : Bioethicists have articulated an ideal of shared decision making between physician and patient, but in doing so the role of clinical uncertainty has not been adequately confronted. In the face of uncertainty about the patient's prognosis and the best course of treatment, many physicians revert to a model of nondisclosure and nondiscussion, thus closing off opportunities for shared decision making. Empirical studies suggest that physicians find it more difficult to adhere to norms of disclosure in situations where there is (...)
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  24.  44
    Response to Open Peer Commentaries on “Bioethicists Can and Should Contribute to Addressing Racism”.Yolonda Wilson, Marion Danis & Amina White - 2016 - American Journal of Bioethics 16 (5):1-4.
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  25.  5
    Ethical Concerns of Patients and Family Members Arising During Illness or Medical Care.Marion Danis, Christine Grady, Mariam Noorulhuda, Ben Krohmal, Henry Silverman, Lee Schwab, Hae Lin Cho, Melissa Goldstein & Paul Wakim - 2023 - AJOB Empirical Bioethics 14 (4):218-226.
    Patients and family members (N = 671) were surveyed in five Mid-Atlantic U.S. hospitals to ascertain the number and kinds of ethical concerns they are presently experiencing or have previously experienced while being sick or receiving medical care. Seventy percent of participants had at least one (range 0–14) type of ethical concern or question. The most commonly experienced concerns pertained to being unsure how to plan ahead or complete an advance directive (29.4%), being unsure whether someone in the family was (...)
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  26.  21
    Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting.Frehiwot Berhane Defaye, Marion Danis, Paul Wakim, Yemane Berhane, Ole Frithjof Norheim & Ingrid Miljeteig - 2019 - AJOB Empirical Bioethics 10 (2):125-135.
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  27.  34
    How can bedside rationing be justified despite coexisting inefficiency? The need for 'benchmarks of efficiency'.Daniel Strech & Marion Danis - 2014 - Journal of Medical Ethics 40 (2):89-93.
    Imperfect efficiency in healthcare delivery is sometimes given as a justification for refusing to ration or even discuss how to pursue fair rationing. This paper aims to clarify the relationship between inefficiency and rationing, and the conditions under which bedside rationing can be justified despite coexisting inefficiency. This paper first clarifies several assumptions that underlie the classification of a clinical practice as being inefficient. We then suggest that rationing is difficult to justify in circumstances where the rationing agent is or (...)
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  28. Federalism and Responsibility for Health Care.Douglas MacKay & Marion Danis - 2016 - Public Affairs Quarterly 30 (1):1-29.
    Political philosophers often formulate the problem of distributive justice as the problem of how the government ought to distribute different types of goods—for example, income or health care—to its citizens. They therefore presuppose that the government is a unitary agent that governs its citizens directly. However, although a number of governments are unitary in this way, many are federations, exhibiting a division of sovereignty between two or more levels of government having independent grounds of authority. In contrast to unitary states, (...)
     
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  29.  28
    Regulation of the Global Marketplace for the Sake of Health.Marion Danis & Amy Sepinwall - 2002 - Journal of Law, Medicine and Ethics 30 (4):667-676.
    Mounting evidence suggests that socioeconomic status is a determinant of health. As nations around the globe increasingly rely on market-based economies, the corporate sector has come to have a powerful influence on the socioeconomic gradient in most nations and hence upon the health status of their populations. At the same time, it has become more difficult for any one nation to influence corporate activities, given the increasing ease with which corporations relocate their operations from country to country, As a result (...)
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  30.  16
    Floating All Boats: Promoting Solidarity to Advance Social Justice.Marion Danis - 2018 - American Journal of Bioethics 18 (10):15-17.
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  31.  35
    Participation of Citizen Scientists in Clinical Research and Access to Research Ethics Consultation.Elaine Collier & Marion Danis - 2017 - American Journal of Bioethics 17 (4):70-72.
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  32.  14
    Autonomy and the Common Weal.Marion Danis & Larry R. Churchill - 1991 - Hastings Center Report 21 (1):25-31.
    When health care providers make decisions to use resources, their devotion to the patient at hand must be mediated by a framework that puts individual autonomy and social equity into focus simultaneously. The concept of citizenship yields such a framework.
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  33.  47
    Does fear of retaliation deter requests for ethics consultation?Marion Danis, Adrienne Farrar, Christine Grady, Carol Taylor, Patricia O’Donnell, Karen Soeken & Connie Ulrich - 2008 - Medicine, Health Care and Philosophy 11 (1):27-34.
    BackgroundReports suggest that some health care personnel fear retaliation from seeking ethics consultation. We therefore examined the prevalence and determinants of fear of retaliation and determined whether this fear is associated with diminished likelihood of consulting an ethics committee.MethodsWe surveyed registered nurses (RNs) and social workers (SWs) in four US states to identify ethical problems they encounter. We developed a retaliation index (1–7 point range) with higher scores indicating a higher perceived likelihood of retaliation. Linear regression analysis was performed to (...)
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  34. Ethics of patient activation: exploring its relation to personal responsibility, autonomy and health disparities.Sophia H. Gibert, David DeGrazia & Marion Danis - 2017 - Journal of Medical Ethics 43 (10):670-675.
    Discussions of patient-centred care and patient autonomy in bioethics have tended to focus on the decision-making context and the process of obtaining informed consent, leaving open the question of how patients ought to be counselled in the daily maintenance of their health and management of chronic disease. Patient activation is an increasingly prominent counselling approach and measurement tool that aims to improve patients’ confidence and skills in managing their own health conditions. The strategy, which has received little conceptual or ethical (...)
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  35. Parents of Adults with Diminished Self-Governance.Jennifer Desante, David Degrazia & Marion Danis - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (1):93-107.
    Most theories of parenthood assume, at least implicitly, that a child will grow up to be an independent, autonomous adult. However, some children with cognitive limitations or psychiatric illness are unable to do so. For this reason, these accounts do not accommodate the circumstances and responsibilities of parents of such adult children. Our article attempts to correct this deficiency. In particular, we describe some of the common characteristics and experiences of this population of parents and children, examine the unique aspects (...)
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  36.  28
    Developing the Capacity of Ethics Consultants to Promote Just Resource Allocation.Marion Danis & Samia A. Hurst - 2009 - American Journal of Bioethics 9 (4):37-39.
    One of the most striking findings of the study by Foglia and colleagues (2009) was that clinicians and managers were most concerned with limited resources while ethics committee chairpersons focuse...
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  37.  22
    Defining the Scope and Improving the Quality of Clinical Research Ethics Consultation: Response to Open Peer Commentaries About the National Collaborative.Kathryn M. Porter, Marion Danis, Holly A. Taylor, Mildred K. Cho & Benjamin S. Wilfond - 2018 - American Journal of Bioethics 18 (2):13-15.
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  38. Allocation of scarce biospecimens for use in research.Leah Pierson, Sophia Gibert, Benjamin Berkman, Marion Danis & Joseph Millum - 2021 - Journal of Medical Ethics 47 (11):740-743.
    Hundreds of millions of rare biospecimens are stored in laboratories and biobanks around the world. Often, the researchers who possess these specimens do not plan to use them, while other researchers limit the scope of their work because they cannot acquire biospecimens that meet their needs. This situation raises an important and underexplored question: how should scientists allocate biospecimens that they do not intend to use? We argue that allocators should aim to maximise the social value of the research enterprise (...)
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  39.  61
    No Exceptionalism Needed to Treat Terrorists.Chiara Lepora, Marion Danis & Alan Wertheimer - 2009 - American Journal of Bioethics 9 (10):53-54.
    Gesundheit and colleagues offer dramatic examples of the medical treatment of terrorists but then pose the suggestion that those who engage in terrorism forfeit their right to medical care, and, consequently, that physicians have no obligation to treat them. Their argument presupposes that a physician’s obligation to provide medical care depends on the patients’ right to health care. Therefore, someone who commits heinous and abhorrent acts thereby waives the right to health care and the physicians’ duty to provide health care (...)
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  40.  24
    Weighing the Importance of Palliation of Symptoms for Ebola Patients During the Epidemic in West Africa.Marion Danis - 2015 - American Journal of Bioethics 15 (4):70-72.
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  41.  29
    Best to Exclude but Pay.Marion Danis, Sam Doernberg, Matthew Memoli & Joseph Millum - 2018 - American Journal of Bioethics 18 (4):87-88.
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  42.  27
    A Translational Role for Bioethics: Looking Back and Moving Forward.Marion Danis - 2022 - Perspectives in Biology and Medicine 65 (4):596-603.
    ABSTRACT:Assumptions that bioethics was intended to focus only on a narrow set of issues related to research and health care are mistaken. The field of bioethics has long been focused on pressing contemporary issues, and it will play an unduly peripheral and less significant role than it could otherwise if it fails to focus on a broad set of issues, including human relations and the relationship of humans to nonhuman beings and the environment—and if it does not consider how to (...)
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  43.  22
    By Author.Tom L. Beauchamp, Baruch Brody, Marion Danis, Samia A. See Hurst, David Degrazia, Must We Have, Alber W. Dzur, Daniel Levin, Daniel M. Fox & Diane Gianelli - 2007 - Kennedy Institute of Ethics Journal 17 (4):405-407.
  44.  2
    Clinical Research Consultation: A Casebook.Marion Danis (ed.) - 2012 - Oxford University Press.
    Starting research -- Enrolling research participants -- Protecting research participants -- Conducting research with vulnerable populations -- Balancing clinical research and clinical care -- Navigating interpersonal difficulties -- Ending research.
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  45.  17
    Acceptable Approaches to Enrolling Adults Who Cannot Consent in More Than Minimal Risk Research.Marion Danis, David Wendler & Scott Kim - 2015 - American Journal of Bioethics 15 (10):70-71.
  46.  5
    A Developing Timeline for Bioethics.Marion Danis, Robert Baker & Susan Lederer - 2021 - Hastings Center Report 51 (6):inside_front_cover-inside_front_.
    This brief essay describes the purpose, the content, and the development, by a group of Hastings Center fellows and a scholar at the Center, of the Hastings Center Bioethics Timeline. The timeline covers the wide range of contemporary events pertaining to the intersection of bioethics with the medical and biological sciences, health care, and health policy, as well as the medical arts and medical humanities. A collaborative effort that documents events in a collaborative field, the timeline is meant to be (...)
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  47.  22
    Following Advance Directives.Marion Danis - 1994 - Hastings Center Report 24 (6):21-23.
  48.  3
    Should Ethics Committees Study Themselves?Marion Danis - 1994 - Journal of Clinical Ethics 5 (2):159-162.
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  49.  41
    Making the Case for Talking to Patients about the Costs of End-of-Life Care.Greer Donley & Marion Danis - 2011 - Journal of Law, Medicine and Ethics 39 (2):183-193.
    Costs at the end of life disproportionately contribute to health care costs in the United States. Addressing these costs will therefore be an important component in making the U.S. health care system more financially sustainable. In this paper, we explore the moral justifications for having discussions of end-of-life costs in the doctor-patient encounter as part of an effort to control costs. As health care costs are partly shared through pooled resources, such as insurance and taxation, and partly borne by individuals (...)
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  50.  29
    Making the Case for Talking to Patients about the Costs of End-of-Life Care.Greer Donley & Marion Danis - 2011 - Journal of Law, Medicine and Ethics 39 (2):183-193.
    The cost of health care at the end of life accounts for a high proportion of total health care costs in the United States. The percentage of Medicare payments attributable to patients in their last year of life was 28.3% in 1978 and has remained substantially the same at 25.1% in 2006. This indicates how little progress has been made in containing these costs, though doing so will be important to promote a financially sustainable health care system. These expenditures also (...)
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