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Ruud ter Meulen [30]Ruud H. J. ter Meulen [2]
  1. Bennett Foddy.Enhancing Human Capacities, Julian Savulescu, Ruud ter Meulen & Guy Kahane - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell.
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  2. Addressing research integrity challenges: from penalising individual perpetrators to fostering research ecosystem quality care.Hub Zwart & Ruud ter Meulen - 2019 - Life Sciences, Society and Policy 15 (1):1-5.
    Concern for and interest in research integrity has increased significantly during recent decades, both in academic and in policy discourse. Both in terms of diagnostics and in terms of therapy, the tendency in integrity discourse has been to focus on strategies of individualisation. Other contributions to the integrity debate, however, focus more explicitly on environmental factors, e.g. on the quality and resilience of research ecosystems, on institutional rather than individual responsibilities, and on the quality of the research culture. One example (...)
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  3.  86
    Solidarity and Justice in Health Care. A Critical Analysis of their Relationship.Ruud ter Meulen - 2015 - Diametros 43:1-20.
    This article tries to analyze the meaning and relevance of the concept of solidarity as compared to the concept of justice. While ‘justice’ refers to rights and duties , the concept of solidarity refers to relations of personal commitment and recognition . The article wants to answer the question whether solidarity and liberal justice should be seen as mutually exclusive or whether both approaches should be regarded as complementary to each other. The paper starts with an analysis of liberal theories (...)
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  4.  44
    Solidarity, justice, and recognition of the other.Ruud ter Meulen - 2016 - Theoretical Medicine and Bioethics 37 (6):517-529.
    Solidarity has for a long time been referred to as the core value underpinning European health and welfare systems. But there has been debate in recent years about whether solidarity, with its alleged communitarian content, can be reconciled with the emphasis on individual freedom and personal autonomy. One may wonder whether there is still a place for solidarity, and whether the concept of justice should be embraced to analyse the moral issues regarding access to health care. In this article, I (...)
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  5. Thomas Douglas.Enhancing Human Capacities, Julian Savulescu, Ruud ter Meulen & Guy Kahane - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell.
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  6.  26
    Rethinking Cognitive Enhancement.Ruud ter Meulen, Ahmed Mohammed & Wayne Hall (eds.) - 2017 - Oxford, United Kingdom: Oxford University Press.
    This book critically explores and analyses the scientific and ethical debates surrounding cognitive enhancers. Including contributions from neuroscientists, neuropsychopharmacologists, ethicists, philosophers, public health professionals, and policy researchers, the book offers a multidisciplinary, critical consideration of this topic.
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  7.  58
    Smart homes, private homes? An empirical study of technology researchers’ perceptions of ethical issues in developing smart-home health technologies.Giles Birchley, Richard Huxtable, Madeleine Murtagh, Ruud ter Meulen, Peter Flach & Rachael Gooberman-Hill - 2017 - BMC Medical Ethics 18 (1):23.
    Smart-home technologies, comprising environmental sensors, wearables and video are attracting interest in home healthcare delivery. Development of such technology is usually justified on the basis of the technology’s potential to increase the autonomy of people living with long-term conditions. Studies of the ethics of smart-homes raise concerns about privacy, consent, social isolation and equity of access. Few studies have investigated the ethical perspectives of smart-home engineers themselves. By exploring the views of engineering researchers in a large smart-home project, we sought (...)
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  8.  69
    Evidence-Based Medicine as an Instrument for Rational Health Policy.Nikola Biller-Andorno, Reidar K. Lie & Ruud Ter Meulen - 2002 - Health Care Analysis 10 (3):261-275.
    This article tries to present a broad view on the values and ethicalissues that are at stake in efforts to rationalize health policy on thebasis of economic evaluations (like cost-effectiveness analysis) andrandomly controlled clinical trials. Though such a rationalization isgenerally seen as an objective and `value free' process, moral valuesoften play a hidden role, not only in the production of `evidence', butalso in the way this evidence is used in policy making. For example, thedefinition of effectiveness of medical treatment or (...)
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  9.  78
    Dutch Nurses' Attitudes Towards Euthanasia and Physician-Assisted Suicide.Ada van Bruchem-van de Scheur, Arie van der Arend, Frans van Wijmen, Huda Huijer Abu-Saad & Ruud ter Meulen - 2008 - Nursing Ethics 15 (2):186-198.
    This article presents the attitudes of nurses towards three issues concerning their role in euthanasia and physician-assisted suicide. A questionnaire survey was conducted with 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The study was conducted in the Netherlands between January 2001 and August 2004. The results show that less than half (45%) of nurses would be willing to serve on committees reviewing cases of euthanasia and physician-assisted suicide. More than half of the nurses (58.2%) (...)
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  10.  48
    Family solidarity and informal care: The case of care for people with dementia.Ruud ter Meulen & Katharine Wright - 2012 - Bioethics 26 (7):361-368.
    According to Bayertz the core meaning of solidarity is the perception of mutual obligations between the members of a community. This definition leaves open the various ways solidarity is perceived by individuals in different communities and how it manifests itself in a particular community. This paper explores solidarity as manifested in the context of families in respect of caregiving for a family member who has become dependent because of disease or illness. Though family caregiving is based on the same perception (...)
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  11.  35
    Dutch Nurses' Attitudes Towards Euthanasia and Physician-Assisted Suicide.Ada de Scheur, Arie van der Arend, Frans van Wijmen, Huda Abu-Saad & Ruud ter Meulen - 2008 - Nursing Ethics 15 (2):186-198.
    This article presents the attitudes of nurses towards three issues concerning their role in euthanasia and physician-assisted suicide. A questionnaire survey was conducted with 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The study was conducted in the Netherlands between January 2001 and August 2004. The results show that less than half of nurses would be willing to serve on committees reviewing cases of euthanasia and physician-assisted suicide. More than half of the nurses found it (...)
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  12.  36
    Supporting Stroke Patients' Autonomy During Rehabilitation.Ireen M. Proot, Ruud H. J. ter Meulen, Huda Huijer Abu-Saad & Harry F. J. M. Crebolder - 2007 - Nursing Ethics 14 (2):229-241.
    In a qualitative study, 22 stroke patients undergoing rehabilitation in three nursing homes were interviewed about constraints on and improvements in their autonomy and about approaches of health professionals regarding autonomy. The data were analysed using grounded theory, with a particular focus on the process of regaining autonomy. An approach by the health professionals that was responsive to changes in the patients’ autonomy was found to be helpful for restoration of their autonomy. Two patterns in health professionals’ approach appeared to (...)
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  13.  35
    Consumer Choice in Dutch Health Insurance after Reform.Hans Maarse & Ruud Ter Meulen - 2006 - Health Care Analysis 14 (1):37-49.
    This article investigates the scope and effects of enhanced consumer choice in health insurance that is presented as a cornerstone of the new health insurance legislation in the Netherlands that will come into effect in 2006. The choice for choice marks the current libertarian trend in Dutch health care policymaking. One of our conclusions is that the scope of enhanced choice should not be overstated due to many legal and non-legal restrictions to it. The consumer choice advocates have great expectations (...)
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  14.  39
    Limiting Solidarity in the Netherlands: A Two-Tier System on the Way.Ruud Ter Meulen - 1995 - Journal of Medicine and Philosophy 20 (6):607-616.
    Health care policy in the Netherlands has long been guided by the values of solidarity and equality. As a result of several forces, particularly the scarcity of resources, the retreat of the Welfare State and the introduction of market forces in health care, both values are increasingly under strain. Next to solidarity and equality, freedom of choice and financial responsibility are playing an important role in Dutch health care. Consequently, there is a growing division in Dutch heaith care between two (...)
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  15.  17
    How 'Decent'Is a Decent Minimum of Health Care?Ruud Ter Meulen - 2011 - Journal of Medicine and Philosophy 36 (6):612-623.
    This article tries to analyze the meaning of a decent minimum of health care, by confronting the idea of decent care with the concept of justice. Following the ideas of Margalith about a decent society, the article argues that a just minimum of care is not necessarily a decent minimum. The way this minimum is provided can still humiliate individuals, even if the end result is the best possible distribution of the goods as seen from the viewpoint of justice. This (...)
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  16.  36
    Enhancement, hybris, and solidarity: a critical analysis of Sandel’s The Case Against Perfection.Ruud ter Meulen - 2019 - Medicine, Health Care and Philosophy 22 (3):397-405.
    This article presents a critical analysis of the views of Michael Sandel on human enhancement in his book The Case Against Perfection (2007). Sandel argues that the use of biotechnologies for human enhancement is driven by a will to mastery or hybris, leading to an ‘explosion of responsibility’ and a disappearance of solidarity. I argue that Sandel is using a traditional concept of solidarity which leaves little room for individual differences and which is difficult to reconcile with the modern trend (...)
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  17.  23
    Scientific, Ethical, and Social Issues in Mood Enhancement.Ron Berghmans, Ruud ter Meulen, Andrea Malizia & Rein Vos - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell. pp. 151–165.
    Since the introduction of Prozac (fluoxetine), a number of so‐called selective serotonin reuptake inhibitors (SSRIs) have been developed and introduced. These mood enhancers are being presently prescribed for people whose problems are not recognized mental illnesses. It is probable that in the near future the combination of data from advanced biochips and brain imaging will accelerate the development of neurotechnology. So‐called neuroceuticals, used for therapy and enhancement, and to improve different aspects of mental health, will be efficient neuromodulators. The scientific, (...)
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  18.  15
    Are There Limits to Solidarity with the Elderly?Ruud ter Meulen - 1994 - Hastings Center Report 24 (5):36.
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  19.  35
    The Ethics of Deprescribing in Older Adults.Emily Reeve, Petra Denig, Sarah N. Hilmer & Ruud ter Meulen - 2016 - Journal of Bioethical Inquiry 13 (4):581-590.
    Deprescribing is the term used to describe the process of withdrawal of an inappropriate medication supervised by a clinician. This article presents a discussion of how the Four Principles of biomedical ethics that may guide medical practitioners’ prescribing practices apply to deprescribing medications in older adults. The view of deprescribing as an act creates stronger moral duties than if viewed as an omission. This may explain the fear of negative outcomes which has been reported by prescribers as a barrier to (...)
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  20.  38
    Into the Hidden World Behind Evidence-Based Medicine.Ruud Ter Meulen & Donna Dickenson - 2002 - Health Care Analysis 10 (3):231-241.
    Evidence-based medicine is seen not only as an important means to improve the quality of medical care, but also as an instrument to control costs. In view of the scarcity of health care resources, decisions on the allocation of care will have to be made more explicitly and should be made more transparent.
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  21.  33
    Guidelines for Appropriate Care: The Importance of Empirical Normative Analysis.Marc Berg, Ruud ter Meulen & Masja Van den Burg - 2001 - Health Care Analysis 9 (1):77-99.
    The Royal Dutch Medical Association recently completed a researchproject aimed at investigating how guidelines for `appropriatemedical care' should be construed. The project took as a startingpoint that explicit attention should be given to ethical andpolitical considerations in addition to data about costs andeffectiveness. In the project, two research groups set out todesign guidelines and cost-effectiveness analyses (CEAs) for twocircumscribed medical areas (angina pectoris and majordepression). Our third group was responsible for the normativeanalysis. We undertook an explorative, qualitative pilot study ofthe (...)
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  22. Feminism and Bioethics.Marc Berg, Ruud ter Meulen & Masja van den - 2001 - Health Care Analysis 9:485-487.
     
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  23. in Mood Enhancement.Ron Berghmans, Ruud ter Meulen, Andrea Malizia & Rein Vos - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell.
     
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  24. a Legitimate Goal of Medicine?Enhancing Human Capacities, Julian Savulescu, Ruud ter Meulen & Guy Kahane - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell.
     
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  25. Gaia Barazzetti and Massimo Reichlin.Enhancing Human Capacities, Julian Savulescu, Ruud ter Meulen & Guy Kahane - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell.
     
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  26. Hidde J. Haisma.Enhancing Human Capacities, Julian Savulescu, Ruud ter Meulen & Guy Kahane - 2011 - In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell.
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  27.  10
    CARING FOR AN AGING WORLD: Allocating Scarce Resources.Ruud ter Meulen, Eva Topinková & Daniel Callahan - 2012 - Hastings Center Report 24 (5):3-3.
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  28.  25
    Erratum to: Solidarity, justice, and recognition of the other.Ruud ter Meulen - 2017 - Theoretical Medicine and Bioethics 38 (3):227-227.
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  29.  22
    Special Supplement: What Do We Owe the Elderly? Allocating Social and Health Care Resources.Ruud ter Meulen, Eva Topinková, Daniel Callahan & Eva Topinkova - 1994 - Hastings Center Report 24 (2):S1.
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  30.  21
    Alleviation of Pain and Symptoms With a Life-Shortening Intention.Grada G. van Bruchem-van de Scheur, Arie J. G. van der Arend, Huda Huijer Abu-Saad, Frans C. B. van Wijmen, Cor Spreeuwenberg & Ruud H. J. ter Meulen - 2008 - Nursing Ethics 15 (5):682-695.
    This article reports the findings of a study into the role of Dutch nurses in the alleviation of pain and symptoms with a life-shortening intention, conducted as part of a study into the role of nurses in medical end-of-life decisions. A questionnaire survey was carried out using a population of 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The response rate was 82.0%; 78.1% (1179) were suitable for analysis. The results show that in about half (...)
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  31.  73
    The Expectation(s) of Solidarity: Matters of Justice, Responsibility and Identity in the Reconstruction of the Health Care System. [REVIEW]Rob Houtepen & Ruud ter Meulen - 2000 - Health Care Analysis 8 (4):355-376.
    We analyse solidarity as a mixture of social justice on the onehand and a set of cultural values and ascriptions on the otherhand. The latter defines the relevant sense of belonging togetherin a society. From a short analysis of the early stages of theDutch welfare state, we conclude that social responsibility wasoriginally based in religious and political associations. In theheyday of the welfare state, institutions such as sick funds,hospitals or nursing homes became financed collectively entirelyand became accessible to people of (...)
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