Skip header and navigation

Refine By

8 records – page 1 of 1.

Accountability and pediatric physician-researchers: are theoretical models compatible with Canadian lived experience?

https://arctichealth.org/en/permalink/ahliterature130725
Source
Philos Ethics Humanit Med. 2011;6:15
Publication Type
Article
Date
2011
Author
Christine Czoli
Michael Da Silva
Randi Zlotnik Shaul
Lori d'Agincourt-Canning
Christy Simpson
Katherine Boydell
Natalie Rashkovan
Sharon Vanin
Author Affiliation
The Hospital for Sick Children, c/o Bioethics Department, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada.
Source
Philos Ethics Humanit Med. 2011;6:15
Date
2011
Language
English
Publication Type
Article
Keywords
Canada
Hospitals, Pediatric
Humans
Interviews as Topic
Models, Theoretical
Pediatrics
Physician's Role
Research Personnel - legislation & jurisprudence
Social Responsibility
Abstract
Physician-researchers are bound by professional obligations stemming from both the role of the physician and the role of the researcher. Currently, the dominant models for understanding the relationship between physician-researchers' clinical duties and research duties fit into three categories: the similarity position, the difference position and the middle ground. The law may be said to offer a fourth "model" that is independent from these three categories.These models frame the expectations placed upon physician-researchers by colleagues, regulators, patients and research participants. This paper examines the extent to which the data from semi-structured interviews with 30 physician-researchers at three major pediatric hospitals in Canada reflect these traditional models. It seeks to determine the extent to which existing models align with the described lived experience of the pediatric physician-researchers interviewed.Ultimately, we find that although some physician-researchers make references to something like the weak version of the similarity position, the pediatric-researchers interviewed in this study did not describe their dual roles in a way that tightly mirrors any of the existing theoretical frameworks. We thus conclude that either physician-researchers are in need of better training regarding the nature of the accountability relationships that flow from their dual roles or that models setting out these roles and relationships must be altered to better reflect what we can reasonably expect of physician-researchers in a real-world environment.
Notes
Cites: Hastings Cent Rep. 2008 Mar-Apr;38(2):6; author reply 6-718457218
Cites: Hastings Cent Rep. 2008 Mar-Apr;38(2):5-6; author reply 6-718457217
Cites: JAMA. 2000 May 24-31;283(20):2701-1110819955
Cites: Am J Bioeth. 2002 Spring;2(2):3-912189059
Cites: Am J Bioeth. 2002 Spring;2(2):14-712189062
Cites: Am J Bioeth. 2002 Spring;2(2):22-312189066
Cites: Am J Bioeth. 2002 Spring;2(2):27-812189069
Cites: N Engl J Med. 2003 Apr 3;348(14):1386-812672868
Cites: Kennedy Inst Ethics J. 2003 Jun;13(2):93-11814569997
Cites: Kennedy Inst Ethics J. 2003 Dec;13(4):329-4615049297
Cites: Kennedy Inst Ethics J. 2003 Dec;13(4):353-715049299
Cites: Hastings Cent Rep. 2004 Jan-Feb;34(1):25-3315098404
Cites: N Engl J Med. 1987 Jul 16;317(3):141-53600702
Cites: JAMA. 1998 Oct 28;280(16):1449-549801009
Cites: Health Law Rev. 2002;10(2):3-1315739307
Cites: J Law Med Ethics. 2005 Fall;33(3):566-7416240736
Cites: J Law Med Ethics. 2006 Summer;34(2):424-4016789965
Cites: Hastings Cent Rep. 2008 Mar-Apr;38(2):30-4218457227
PubMed ID
21974866 View in PubMed
Less detail

Challenges for health regions--meeting both rural and urban ethics needs: a Canadian perspective.

https://arctichealth.org/en/permalink/ahliterature176459
Source
HEC Forum. 2004 Dec;16(4):219-21
Publication Type
Article
Date
Dec-2004
Author
Christy Simpson
Author Affiliation
Department of Bioethics, Dalhousie University.
Source
HEC Forum. 2004 Dec;16(4):219-21
Date
Dec-2004
Language
English
Publication Type
Article
Keywords
Canada
Ethics, Institutional
Health Services Accessibility - ethics
Health Services Needs and Demand - ethics - standards
Humans
Rural Health
Rural Health Services - ethics - standards
Rural Population
PubMed ID
15672696 View in PubMed
Less detail

Challenges for rural communities in recruiting and retaining physicians: a fictional tale helps examine the issues.

https://arctichealth.org/en/permalink/ahliterature107303
Source
Can Fam Physician. 2013 Sep;59(9):915-7, e390-2
Publication Type
Article
Date
Sep-2013
Author
Fiona McDonald
Christy Simpson
Author Affiliation
Queensland University of Technology, Faculty of Law, GPO Box 2434, 2 George St, Brisbane, Queensland 4169, Australia. fiona.mcdonald@qut.edu.au.
Source
Can Fam Physician. 2013 Sep;59(9):915-7, e390-2
Date
Sep-2013
Language
English
French
Publication Type
Article
Keywords
Attitude of Health Personnel
Humans
Medically underserved area
Motion Pictures as Topic
Motivation
Physician-Patient Relations
Physicians, Family - psychology - supply & distribution
Quebec
Rural Health Services - manpower
Notes
Cites: Aust J Rural Health. 2010 Jun;18(3):102-920579020
Cites: Soc Sci Med. 2009 Nov;69(9):1368-7619747755
Cites: Am J Manag Care. 1999 Nov;5(11):1431-810662416
Cites: Rural Remote Health. 2011;11(4):186722136331
Cites: Rural Remote Health. 2010 Apr-Jun;10(2):131620423202
Erratum In: Can Fam Physician. 2013 Oct;59(10):1053
PubMed ID
24029501 View in PubMed
Less detail

The ethics of disclosure of patient safety incidents.

https://arctichealth.org/en/permalink/ahliterature121188
Source
Healthc Manage Forum. 2012;25(2):120-5
Publication Type
Article
Date
2012
Author
Christy Simpson
Diane Aubin
Theresa Fillatre
Author Affiliation
Christy.Simpson@DAL.ca
Source
Healthc Manage Forum. 2012;25(2):120-5
Date
2012
Language
English
French
Publication Type
Article
Keywords
Canada
Disclosure - ethics
Humans
Medical Errors
Patient Safety
PubMed ID
22931015 View in PubMed
Less detail

Mapping our practice? Some conceptual "bumps" for us to consider.

https://arctichealth.org/en/permalink/ahliterature121690
Source
HEC Forum. 2012 Sep;24(3):219-26
Publication Type
Article
Date
Sep-2012
Author
Christy Simpson
Author Affiliation
Department of Bioethics, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada. Christy.simpson@Dal.ca
Source
HEC Forum. 2012 Sep;24(3):219-26
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Canada
Concept Formation
Conflict of Interest
Delivery of Health Care - ethics
Ethicists
Humans
Medical Errors - ethics
Moral Obligations
Professional Practice - standards
Abstract
There are several important conceptual issues and questions about the practice of healthcare ethics that can, and should, inform the development of any practice standards. This paper provides a relatively short overview of seven of these issues, with the invitation for further critical reflection and examination of their relevance to and implications for practice standards. The seven issues described include: diversity (from the perspective of training and experience); moral expertise and authority/influence; being an insider or outsider; flexibility and adaptability (for local contexts of practice); the relative weighting of procedural and normative aspects of ethics practice; making mistakes or errors; and conflicts of interest in practice.
PubMed ID
22886153 View in PubMed
Less detail

The public funding of expensive cancer therapies: synthesizing the "3Es"--evidence, economics, and ethics.

https://arctichealth.org/en/permalink/ahliterature154851
Source
Organ Ethic. 2008 Fall-Winter;4(2):97-108
Publication Type
Article
Author
Jeffrey Kirby
Emily Somers
Christy Simpson
Judy McPhee
Author Affiliation
Department of Bioethics at Dalhousie University, Nova Scotia, Canada. jeffrey.kirby@dal.ca
Source
Organ Ethic. 2008 Fall-Winter;4(2):97-108
Language
English
Publication Type
Article
Keywords
Advisory Committees - organization & administration
Antineoplastic Agents - economics - therapeutic use
Decision Making
Economics, Pharmaceutical
Ethics, Clinical
Evidence-Based Medicine
Health Care Rationing - ethics - organization & administration
Health Policy
Humans
National Health Programs - economics - organization & administration
Neoplasms - drug therapy
Nova Scotia
Quality-Adjusted Life Years
Social Justice
Abstract
The cost of new cancer therapies and drugs has risen sharply and somewhat alarmingly in the last five years. In those developed countries where healthcare systems are (primarily) publicly funded, this has caused legitimate concern among government administrators and politicians who must make decisions regarding funding. In the Canadian context, provincial Departments of Health are mandated to provide comprehensive healthcare services to all citizens out of a "fixed pot" of financial resources, which is determined annually as part of the provincial government's overall budget process. In recent years there has been increasing recognition among healthcare decision makers that the approval of funding for multiple new expensive cancer treatments is creating an "opportunity cost" for meeting the other legitimate healthcare needs of provincial citizens. In response to this reality, the Department of Health of the Canadian province of Nova Scotia created a Cancer Systemic Therapy Policy Committee (CSTPC) in 2005. The mandate of this committee is to make recommendations to the Nova Scotia Deputy Minister of Health regarding the public funding of new cancer therapies. In collaboration with consultants from the Dalhousie University Department of Bioethics, the committee developed a comprehensive and inclusive decision-making framework to promote and facilitate decision making that is explicitly informed by evidence, economics, and ethics--the "3Es"--in reaching and making recommendations.
PubMed ID
18839752 View in PubMed
Less detail

8 records – page 1 of 1.