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Results for “Refusal to Treat”

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At least 19 recordsLinked to original sources
PubMed1999

Factors associated with refusal to treat HIV-infected patients: the results of a national survey of dentists in Canada.

OBJECTIVES: This study investigated dentists refusal to treat patients who have HIV. METHODS: A survey was mailed to a random sample of all licensed dentists in Canada, with 3 follow-up attempts (n = 6444). Data were weighted to allow for probability of selection and nonresponse and analyzed with Pearson's chi 2 and multiple logistic regression. RESULTS: The response rate was 66%. Of the respondents, 32% had knowingly treated HIV-infected patients in the last year; 16% would refuse to treat HIV-infected patients. Respondents reported willingness to treat HIV-infected patients (81%), injection drug users (86%), hepatitis B virus-infected patients (87%), homosexual and bisexual persons (94%), individuals with sexually transmitted disease(s) (94%), and recipients of blood and blood products (97%). The best predictors of refusal to treat patients with HIV were lack of ethical responsibility (odds ratio = 9.0) and items related to fear of cross-infection or lack of knowledge of HIV. CONCLUSIONS: One in 6 dentists reported refusal to treat HIV-infected patients, which was associated primarily with respondents' lack of belief in an ethical responsibility to treat patients with HIV and fears related to cross-infection. These results have implications for undergraduate, postgraduate, and continuing education.

Adult↗
PubMed2002

Nursing students' right to refuse to treat patients and the relationship between year of study and altitude towards patient care.

Nursing students are taught the nursing code of ethics and how to deal with ethical questions and dilemmas. After graduation, they are expectedto adhere to this code, but as students do they? We examined student nurses' and their instructors' position regarding students' obligations in treating patients. In order to identify the students' perspectives towards these obligations, students and instructors were asked if a student has the right to refuse to treat a patient. A cross-sectional descriptive design was used in examining 162 academic nursing students and 16 faculty members' attitudes towards refusing to treat a patient. The results of this study indicate that significant relationships exist between clinical and ethical knowledge and the perception of obligations to ensure and protect patients' rights. Clinical and ethical knowledge are significantly related to the development of ethical conduct in nursing students.

Acquired Immunodeficiency Syndrome↗
PubMed1998

"Refusal to treat under six conditions", the earliest medical and ethical code in ancient China.

In the paper the principle of physician's "Refusal to treat under six cases" was reviewed. It was the first ethical code for physician in ancient China. The emergence of ethical code for physician was the result of medical professionalism and the formation of the professional groups. The principle proposed by the famous physician Bian-Que in ancient China, like Hippocratic Oath, was an ethics of outer achievement rather than one of inner intention. It provided a framework of medical behavior, and emerges as a powerful tool seeking to safeguard the reputation of the profession for its own sake rather than, in main, seeking to promote the patients' good.

China↗
PubMedDate not supplied

Non-compliance to treatment: can professionals ethically refuse to treat?

Professionals who work in health care have long been aware of patients who continually fail to adhere to treatment regimes recommended to them by their nurses, doctors and dieticians. This is no less a problem within the field of renal medicine. In the current climate where who to treat often causes more of a dilemma than how to treat, professionals in renal care frequently deliberate the fairness of treating those who persistently "non-comply".

Ethics, Nursing↗
PubMed1998

[Withholding medical care as physical injury--refusal to treat from the viewpoint of the lawyer. Special aspects of therapy in children].

Medical treatment as well as refusal of treatment may be a source for tortious liability. Omitting treatment is generally accepted if the patient refuses consent. Special problems arise however, if the patient is not capable of consenting to therapeutic procedures. Assessing the patient's capability to consent is then the primary obligation. In absence of a respective capability the parents' will has to be accepted as the basis of therapeutic decision, as long as the objective medical needs of the patient remain in consideration. Omitting medically necessary treatment may not be justified with the opposing will of the parents.

Child↗