ISSN:0093-0334    

DOI:10.2307/3562022

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3562002

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3562003

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Cost‐containment pressures impose fiscal responsibilities upon physicians that can conflict with their fiduciary commitment to patients. Should the law permit health care providers to adjust standards of care according to patients' financial resources? The legal concept of “rebuttable presumption” should be used to reconceive the traditional requirement of a uniform standard of

ISSN:0093-0334    

DOI:10.2307/3562004

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3562006

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3562007

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3562009

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Jehovah's Witnesses who refuse blood transfusions on religious grounds have long created ethical dilemmas for those in the medical profession trying to serve them. A bioethicist working in a clinical setting explores how one hospital ethics committee grappled with the additional problem of pregnant Jehovah's Witnesses, including the complex interdependence of maternal and fetal rights.

ISSN:0093-0334    

DOI:10.2307/3562010

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Ms. Q is a thirty‐year‐old woman who is pregnant for the first time, having spent several years in a local infertility program. She had been treated previously with clomiphene citrate, a fertility drug that increases the incidence of multiple births among those who subsequently become pregnant from 1 percent to 8 percent. Dr. G, the physician who prescribed the drug, had indicated to the patient that its use involved “some risk of multiple gestation.”At nine weeks gestation, ultrasound reveals the presence of triplets. After discussion with her husband, Ms. Q asks Dr. G to terminate two of the fetuses. She says she really wants to have a child and “be a good mother,” but doesn't feel capable of caring for more than one child at a time. Even though all three fetuses appear healthy, her preference is to abort all rather than have triplets.A technique similar to amniocentesis (in which the uterine cavity is entered) has been used to terminate selectively a defective fetus, when a serious fetal anomaly, such as Down syndrome, occurs in a multiple gestation. This technique could be used to terminate two of the triplets, but it entails an incremental risk of miscarriage. Legally, Dr. G could: (1) terminate the pregnancy through a standard method of abortion; (2) selectively terminate the gestation of two of the triplets; (3) refuse to terminate the pregnancy, with transfer of care to a physician who is willing to do so. Should Dr. G acquiesce in Ms. Q's request? Is this request mo

ISSN:0093-0334    

DOI:10.2307/3562011

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3562012

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY