David S. Gierada, MD and Lawrence M. Kotner, Jr., MD
Despite strong supportive evidence on and professional society endorsement of CT screening for lung cancer, there is minimal demand from patients or physicians.
Research has shown that ethics committees are less prevalent in rural hospitals than elsewhere, they do not fulfill the typical role, and they are seldom used; rural health care workers do not see bioethics analysis as applicable to the challenges they face, and they are hesitant to take action about many ethical problems.
Forced migration of Pacific Islanders raises ethical issues of health and health care disparities, which are examined in the case of Tuvaluan immigrants.
AMA J Ethics. 2017;19(12):1211-1221. doi:
10.1001/journalofethics.2017.19.12.imhl1-1712.
VCA candidates need clinicians to help them become familiar with experimental surgery eligibility criteria, prior and possible outcomes, and potential risks and benefits.
AMA J Ethics. 2019;21(11):E960-967. doi:
10.1001/amajethics.2019.960.
Quality improvement initiatives in clinical medicine are part research and part patient care and pose challenges to traditional forms of ethical oversight.
The early diagnosis of Alzheimer disease is a boon in that it enables advance planning, but that planning process can engender conflict between respect for future-oriented autonomy and future welfare.
Rates of referral to a cardiologist, which markedly improves cardiovascular outcomes, differ significantly based on nonclinical patient characteristics.