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Biomedical subjects

A R Derse

Publications and source records attributed to A R Derse.

12 recordsLinked to original sources
PubMed1996

Managed care ethics: an emergency?

The rapid expansion of cost-consciousness and managed care into the medical marketplace has challenged the autonomy of physicians and patients. These challenges have taken a variety of forms, including limitations on reimbursement and restrictions on the amount and type of emergency care patients may receive. Challenges aside, the economic agenda of managed care must not threaten the primacy of patient welfare. The fidelity of the emergency physician-patient relationship and the integrity of the medical profession hangs in the balance.

Emergency Medical Services↗
PubMed1995

HIV and AIDS. Legal and ethical issues in the emergency department.

The treatment of individuals infected with HIV in the emergency department presents difficult and unique medical, social, legal, and ethical issues. These issues include: (1) informed consent for testing for HIV status, (2) mandatory testing of patients for HIV, (3) confidentiality of patients infected with HIV, (4) the duty to treat individuals infected with HIV, and (5) issues concerning health care workers infected with HIV.

AIDS Serodiagnosis↗
PubMed1995

The bioethics discussion forum--an implementation of an Internet-based bioethics information analysis resource.

Ethical analysis is crucial to decision making in biomedicine and health care, necessitating both rapid access to diffusely disseminated sources of information pertinent to bioethics and promotion of analysis in the field of bioethics through a resource for information analysis. We developed the Bioethics Discussion Forum, an Internet-based information analysis resource, in order to supplement the Bioethics Online Service with an interactive information medium to meet the demand for such an interactive resource. The Bioethics Discussion Forum has shown promise for information analysis, providing an arena for the review and discussion of complex bioethical information, establishing a connection nationally and internationally among individuals with high levels of expertise in bioethics, and providing a template for future interactive informatics services.

Bioethics↗
PubMed1994

Willingness to perform euthanasia. A survey of physician attitudes.

BACKGROUND: In the United States, few studies have examined important variables in physician attitudes toward the practice of euthanasia, such as the patient's underlying disease, mental capacity, and age, and the physician's specialty and religion. We administered a case-based survey to analyze the impact of such specific variables on physician attitudes toward the practice. METHODS: A four-section survey solicited (1) physician responses to three hypothetical cases in which patients requested euthanasia; (2) physicians' general opinions about euthanasia and how its legalization might affect them personally and professionally; and (3) demographic information. Analysis focused on physicians' characteristics as they related to their responses to the various aspects of euthanasia elicited in the survey. Univariate and multivariate analyses, using logistic regression, were performed. RESULTS: Completed and analyzable surveys were returned by 740 physicians. We found that physicians felt more comfortable with euthanasia requests from nondecisional, nonterminal patients who had left advance directives than they did with requests from decisional patients suffering from grave illnesses or injuries, or from decisional patients who had early signs of a progressive but nonlethal neurologic disease. We also found that physicians' specialties and religions correlated with their responses to the hypothetical cases and with their generalized attitudes toward euthanasia. CONCLUSIONS: Given the disparity in responding physicians' attitudes toward euthanasia, along with the fact that values based on religious affiliation or profession may underlie many physicians' opposition to the practice, we conclude that if euthanasia is to be legalized, safeguards protective of patients and physicians must be incorporated.

Adult↗
PubMed1994

The Bioethics Online Service--an implementation of a bioethics database and information resource.

Ethical analysis is crucial to decision making in biomedicine and health care, necessitating rapid access to diffusely disseminated sources of information pertinent to bioethics. We developed the Bioethics Online Service to provide this access and to provide a forum for discussion of bioethical issues. The service, originally designed as a local resource, was expanded to allow Internet access and now enjoys widespread extramural use. We have logged over 8,000 users from our campus, around the state, the nation, and 42 other countries. This model has shown promise in utility and ease of access, and is being used as the template for other informatics developments on our campus and beyond.

Bioethics↗
PubMed1990

Ethics emergent.

Explore the source record for details and available documents.

Adult↗
PubMedDate not supplied

The emergency care network of a ski marathon.

In this paper we report the system of emergency care that was used in a large-scale cross-country ski marathon. We describe the typical terrain encountered, personnel required, physical facilities, communication system, injury protocol, and types and numbers of injuries seen. We have found that many injuries can occur in a cross-country ski race, given specific race conditions. A complete and efficient emergency care network is essential to the success of any athletic event similar to the one we report. These races are rapidly growing in number and size, yet we could not find any previous reports in the literature pertaining to the medical care necessary. We hope to provide a model for emergency care that can be applied to many different athletic events involving large numbers of participants and covering great distances.

Athletic Injuries↗