medical ethics past present and future
Download
Skip this Video
Download Presentation
Medical ethics – Past, Present, and Future

Loading in 2 Seconds...

play fullscreen
1 / 14

Medical ethics – Past, Present, and Future - PowerPoint PPT Presentation


  • 480 Views
  • Uploaded on

Medical ethics – Past, Present, and Future. Presented By: Perin Suthakar MS, MD. History of Medical Ethics. Medical ethics was practiced by most ancient cultures Chinese (based on Confucius teaching) and Indians had medical oaths

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Medical ethics – Past, Present, and Future' - dacey


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
medical ethics past present and future

Medical ethics – Past, Present, and Future

Presented By: PerinSuthakar MS, MD

history of medical ethics
History of Medical Ethics
  • Medical ethics was practiced by most ancient cultures
  • Chinese (based on Confucius teaching) and Indians had medical oaths
  • Hippocratic Oath from Ancient Greece influenced the Western medical culture
traditional ethical theories
Traditional Ethical Theories
  • Utilitarianism
  • Deontology
  • Virtue Theory
modern medical ethical principles
Modern Medical Ethical Principles

By Beauchamp and Childress

  • Autonomy
  • Beneficence
  • Non-maleficence (Do no harm)
  • Justice
autonomy
Autonomy
  • Capacity to think and decide
  • Mental Competence
  • Free choice of the individual; even choosing against family and medical advice
beneficence
Beneficence
  • What is best for the patient
  • Related at some level to autonomy
  • Considers the overall scenario-pain, quality of life, mental suffering, inherent risk for disability and death
  • Not intervening may be best sometimes
non maleficence
Non-Maleficence
  • Do no harm
  • Diagnosis/treatment leading to more harm than good?
  • Experimental protocols
  • Immunizations
justice
Justice
  • Limited Resource
  • Set Priority
  • Equal Access
  • Fairness
  • Burden to others
most common reasons for ethical dilemmas in popular cases
Most Common Reasons for Ethical Dilemmas In Popular Cases
  • Ignorance
  • Failure to teach or communicate
  • Monetary benefit
  • Violation of obvious ethical principles or moral values
  • Secondary market/benefit
  • Misunderstanding or misinterpretation of existing laws
most common ethical dilemmas for physicians today
Most Common Ethical Dilemmas For Physicians Today
  • End of life care issues
  • Tug-of-war with insurance companies
    • Should I falsify records to get the procedure/medication approved?
  • Electronic Medical Records – Click happy
  • Accepting Gifts from Pharmaceutical companies
  • Dropping poorly reimbursing insurance companies and losing long term patients
  • Dropping poorly compliant patients to improve performance numbers
  • Reporting abuse and impaired professionals
  • Choice of care models – ACO, IPA
  • Google search patient
ethical dilemmas of the future
Ethical Dilemmas of the Future
  • Physician assisted suicide
  • Medical/legalized marijuana – what is next?
  • Genetically modified babies
  • Health care rationing
  • Technology and medicine – EMR data breach
resources available for physicians
Resources Available for Physicians
  • AMA Guidelines
  • Specialty medical associations
  • State medical associations
  • Malpractice insurance carrier
  • Hospital ethics committee consultation
sources
Sources

Anspach , Renee . Chapter 2, Theorizing about life and death, a critical review, univ of California press

Avitzur, Orly MD.,MBA Who else is paying your doctor? Neurology now: August-September 2012, vol 8 Issue 4 P 34-37

Beaucamp, Tom and Childress, James. Principles of bioethics, May 15 2008

Brody, Howaard. January 28, 2010 Medicine’s ethical responsibility for health care reform- the top five list. NEJM, 2010 362:283-285

Code of medical ethics of the American medical association, 2012-2013

Ehrenreich ,John . The cultural crisis of modern medicine , Science and society Vol 43 no 4, page 503 1979

Goldman, Alan The moral foundations of professional ethics ,Totowa, NJ 1980

Gostlin, Lawrence JD. Legal and ethical responsibilities following brain death , the Mcmath and Munoz cases. JAMA January 24, 2014 doi:10.1001

Koisos, Nikolasosetal . Evolution of medical ethics and bioethics in Greece: “ Ancient –c hristian –comtemporary Greece “ Elefterna”- scientific yearbook- vol III-2006

Maeda, Yoshiro. A Method to solve ethical dilemmas in Medicine. Journal of philosophy and ethics in health care and medicine, August 2012 No.6,9-28

Charka Samhita, Shree GalabkuverdaAyurvedic society Jamnagar India 1947, vol.5 pg,326 The medical student oath of ancient India

Skinner, Jonathan and Wennberg ,John . How much is enough?efficiency and Medicare spending in the last six months of life. National Bureau of economic research,working paper no 6513 April 1998

ad