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Biomedical subjects

F Rosner

Publications and source records attributed to F Rosner.

At least 55 records · Page 3Linked to original sources
PubMed1998

Current events and bioethical concerns in physician-assisted death.

In June 1997, the Supreme Court of the United States found that the Constitution does not guarantee a right to physician-assisted suicide, thereby allowing states the opportunity to variously prohibit or permit such practice. The Court's findings notwithstanding, physician-assisted death remains a topic of intense medical, legal and philosophical discussion. Principled discourse variously supports both an ethical prohibition against assisted death and an ethical obligation to help some patients achieve death. Both theoretical and practical concerns are raised by the practice of physician-assisted death. This essay reviews recent events and developments concerning assisted suicide and euthanasia. The discussion which follows was generated by the members of the Committee on Bioethical Issues of the Medical Society of the State of New York and builds upon a previous Committee report.

Advance Directives↗
PubMed1997

Increasing autopsy rates at a public hospital.

Despite the acknowledged value of autopsies, autopsy rates are low in American hospitals. We developed an extensive intervention to increase the autopsy rate on the medical service of our urban teaching hospital and to identify obstacles to obtaining permission for autopsy. The 6-month intervention increased the autopsy rate from 7.5% during the previous 2 years to 16.8%, but this effect disappeared after the intervention. Among patients for whom permission for autopsy was nor obtained, physicians failed to request permission for 31% and families refused permission for 69%.

Autopsy↗
PubMed1997

The ethics of managed care.

Ethical concerns relating to managed care discussed in this essay include incentives to underutilize services, delays in care, postponement of consultation or hospitalization, gatekeeping, patient satisfaction, physician satisfaction, and information disclosure. Because managed care is here to stay, physicians and patients must learn to understand it and develop methods to work with it, preserving the overriding principle that the physician's first obligation is to be the patient's advocate. Physicians must continue to practice good medicine, eliminate that which is unnecessary, and be conscious of the need to contain costs.

American Medical Association↗
PubMed1996

The ethics of practice guidelines.

Practice guidelines, which are assistive tools for clinicians, have a long tradition in clinical medicine. Traditionally, these documents were developed by physicians to improve quality of care and can provide practitioners with valuable medical information and improve objectivity in medical decision making. Guidelines development by nonphysician groups is increasing. Guidelines are now intended to assist in decreasing costs, in reducing liability risk, and in utilization review, among other activities. Despite this enthusiasm for guidelines, their development is variable and validity remains largely untested. The intended clinical and nonclinical applications of guidelines require critical analysis. Practice guidelines are not inherently unethical. However, applications of nonmedical values combined with intense pressures on health care provision create an environment for guideline misuse. The ethical implications of practice guidelines are examined in our article.

Beneficence↗