Explore the NIHProtocol Details
Values at the Bedside: A Survey of European Physicians Regarding Ethical Dilemmas in Clinical Practice
This study is currently recruiting participants.
Summary | Eligibility | Citations | Contacts
Summary
Number |
02-CC-0247 |
Sponsoring Institute |
National Institutes of Health Clinical Center (CC) |
Recruitment Detail |
Type: Participants currently recruited/enrolled |
Referral Letter Required |
Yes |
Population Exclusion(s) |
Children |
Special Instructions |
Currently Not Provided |
Keywords |
Ethics, Clinical; |
Recruitment Keyword(s) |
Survey; |
Condition(s) |
Ethics |
Investigational Drug(s) |
None |
Investigational Device(s) |
None |
Intervention(s) |
None |
Supporting Site |
|
- Identify the types of ethical dilemmas physicians report that they face in their practice and approaches they find helpful in responding to these situations
- Determine what ethical support physicians would find useful in dealing with ethically problematic situations
- Explore physicians' experience with 'bedside rationing', due to economic or societal constraints, what procedures they forgo as a result, and what criteria they use in their rationing decisions
- Explore physicians perceptions of the equity of the health care system they work in
- Determine what interventions directed at limiting health care costs physicians would find acceptable.
Physicians in Italy, Norway, Switzerland and the United Kingdom who practice direct patient care for at least 20 percent of their time may enroll in this study.
The practice of medicine sometimes involves situations where important values come into conflict. The refusal of life-saving treatment, the concern that telling the truth could have problematic consequences, acceptable ways of facing a request to die-all are examples of dilemmas that can arise in the practice of medicine. The absence of clear-cut 'right answers' to questions raised by these situations have led to the development of support services, such as ethics consultations, to help in decision-making concerning ethical problems that arise in clinical settings. Information from this survey can provide input into the continuing development of ethics support services by establishing an evidence base regarding the ethical difficulties encountered by physicians and the type of support they would consider useful in resolving these dilemmas.
Eligibility
INCLUSION CRITERIA:
Physicians in Italy, Norway, Switzerland, the UK, and the U.S.
Clinical activity in Primary Care or Internal Medicine.
EXCLUSION CRITERIA:
Physicians who are not in direct patient care for at least 20% of their time.
Physicians who have not been in direct patient care for at least one year immediately prior to the study.
Citations:
Contacts:
Principal Investigator |
Referral Contact |
For more information http://clinicalstudies.info.nih.gov. |
| Marion Danis, M.D. National Institutes of Health Clinical Center (CC) National Institutes of Health Building 10 Room 1-1440 10 Center Drive Bethesda, Maryland 20892 (301) 496-4412 jshah@cc.nih.gov |
Marion Danis, M.D. National Institutes of Health Clinical Center (CC) National Institutes of Health Building 10 Room 1-1440 10 Center Drive Bethesda, Maryland 20892 (301) 496-4412 jshah@cc.nih.gov |
Patient Recruitment and Public Liaison Office Building 61 10 Cloister Court Bethesda, Maryland 20892-4754 Toll Free: 1-800-411-1222 TTY: 301-594-9774 (local),1-866-411-1010 (toll free) Fax: 301-480-9793 prpl@mail.cc.nih.gov |
Clinical Trials Number:
NCT00352573
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