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J C d'Oronzio

Publications and source records attributed to J C d'Oronzio.

11 recordsLinked to original sources
PubMed1994

What is the good of health care system reform?

The ethics of health care system reform are best viewed as parallel to clinical ethics. The individual good of patient care is a microcosm of the social good of reform. By writing clinical ethics "large" we may help construct a new American "health care Commons," matching public good and private interests.

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PubMed1991

A survey of New Jersey hospital ethics committees.

A mail survey in 1988 of all 108 hospitals in New Jersey, and telephone follow-up in 1990, investigated the extent and structure of ethics committees with attention to the distinctions between prognosis, infant care review committees (ICRC) and general ethics committees (HECs). It disclosed that as of August, 1990, 74 hospitals had prognosis committees, 16 had ICRCs, and 64 had HECs. All types of committees tend to cluster in teaching hospitals and in hospitals with 200-500 beds. HECs average 13 members which include 4-5 physicians, 2-3 nurses, administrators and clergy (1-2 each), and fewer than one each for any other single profession. The primary purpose of HECS is to develop hospital ethics policy (96%), followed by educating hospital staff (80%), and providing counsel and support to physicians (67%). Case review with recommendation is provided by 54% of the HECs and 21% are involved in confirmation of prognosis.

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