A Survey Of European Physicians Regarding Ethical Dilemmas In Clincial Practice

欧洲医生关于临床实践中道德困境的调查

• 批准号: 7733640
• 负责人: Marion Danis
• 金额: $ 1.66万
• 依托单位: CLINICAL CENTER
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7733640
• 关键词: Address; Attitude; Back; Book Chapters; Clinical; Clinical Ethics; Country; Developed Countries; Developing Countries; Development; England; Ethical Issues; Ethicists; Ethics; European; Face; Frequencies; General Practitioners; Goals; Health Care Costs; Health Policy; Healthcare Systems; Internist; Intervention; Italy; Mails; Norway; Patients; Peer Review; Perception; Physicians; Prevalence; Primary Health Care; Publications; Publishing; Questionnaires; Reporting; Research Ethics Committees; Resources; Role; Sampling; Sampling Studies; Self-Administered; Services; Sri Lanka; Staging; Surveys; Switzerland; Translating; United States National Institutes of Health; Work; base; design; experience; interest; journal article

This study is a cross sectional self-administered mailed survey to address the type and frequency of ethical dilemmas faced by physicians, how they approach them, the types of ethical support they would find useful in addressing these ethical dilemmas, and their attitudes and practices in situations of scarce resources. The questionnaire was designed, piloted, translated and back translated. Following IRB approval, the study sample included 656 general practitioners and general internists from each of four European countries including England, Switzerland, Norway and Italy. The results have been analyzed and five peer reviewed journal articles have been published and two book chapters have been published. These publications report: 1. The ethical difficulties encountered in clinical Practice by European doctors. 2. Physicians access to ethics support services in the four european countries in the study. 3. The prevalence and determinants of physician bedside rationing in four European countries. 4. Physicians views on resource availability and equity in four European health care systems. 5. An examination of whether ethics consultants should help clinicians face scarcity in their Practices. The study has been amended to include 700 Sri Lankan physicians for comparison with the European sample. IRB approval has been attained at the NIH for the Sri Lankan survey.

这项研究是一项横截面自我管理的邮寄调查，以解决医生面临的道德困境的类型和频率，他们如何接近他们，他们发现在解决这些道德困境以及他们稀缺资源的态度和实践方面有用的道德支持类型。问卷是设计，试点，翻译和背面翻译的。在IRB批准之后，研究样本包括来自英格兰，瑞士，挪威和意大利在内的四个欧洲国家中每个国家的656名全科医生和普通内科医生。结果已经进行了分析，并发表了五篇同行评审的期刊文章，并发表了两个书籍章节。 这些出版物报告： 1。欧洲医生在临床实践中遇到的道德困难。 2。研究中四个欧洲国家的医生获得道德支持服务。 3。四个欧洲国家的医师床边配给的患病率和决定因素。 4。医师对四个欧洲卫生保健系统中资源可用性和股权的看法。 5。检查道德顾问是否应帮助临床医生在实践中面临稀缺性。 该研究已被修订，其中包括700名斯里兰卡医师，以与欧洲样本进行比较。 IRB的批准已在SRI Lankan调查的NIH获得。

项目成果

Physicians' views on resource availability and equity in four European health care systems.

• DOI: 10.1186/1472-6963-7-137
• 发表时间: 2007-08-31
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: Hurst SA;Forde R;Reiter-Theil S;Slowther AM;Perrier A;Pegoraro R;Danis M
• 通讯作者: Danis M