Biomedical subjects

J C Tealdi

Publications and source records attributed to J C Tealdi.

3 recordsLinked to original sources

PubMed1990

Hospital ethics committees.

The hospital ethics committee (HEC) is an entity that arose relatively recently, in the 1980s, in response to various concerns about how to choose the ethically correct path in dealing with a wide range of novel situations being brought about by the advances of medicine. This article recounts the hospital ethics committee's historical background, briefly defines its nature, describes the Argentine experience with it to the present, reviews existing guidelines for organizing and operating an HEC, and makes a number of recommendations designed to heighten awareness of the HEC's potential and promote its use.

Argentina↗

PubMedDate not supplied

[Hospital committees of ethics].

Hospital ethics committees have arisen in response to the serious moral dilemmas that are becoming increasingly prevalent in medical practice. This article outlines the historical development of such committees by reviewing some celebrated cases and also categorizes the committees as ethical-praxeological, legal-scientific, or deontological-technical, according to their functions and structure. In addition, a description is given of the establishment of interdisciplinary committees in several health institutions in Argentina that deal with teaching, research, and consultation related to decision-making involving moral questions; case study and clinical ethics protocols; analysis of the relationship between health professionals and patients; and other related topics. Finally, based on their own experience in this field and knowledge of models employed in other countries, the authors offer theoretical, methodological, and administrative recommendations for the establishment of ethics committees.

Argentina↗

PubMedDate not supplied

[Local health systems. Moral rationality of community decisions].

The author examines the points of convergence between local health systems and bioethics in three basic areas: structural or institutional, methodological or justificatory, and regulatory or normative. Comparisons are drawn between the decentralization of the health system posed by local health systems and deconcentration of the power vested in multidisciplinary ethics committees; the strategy of social participation and the movement in the United States of community decision-making in the area of health; and the basic concepts of primary health care and the principle of justice. The theories of Pellegrino and Thomasma on the philosophic bases for medical practice provide the framework of this comparative analysis. The article concludes with a call for a local health systems-bioethical nexus in which this discipline can provide the basis for infusing an ethical component into participatory planning and community decision-making.

Delivery of Health Care↗