By Ahmed Ammar, Mark Bernstein
ISBN-10: 3642549799
ISBN-13: 9783642549793
ISBN-10: 3642549802
ISBN-13: 9783642549809
Good neurosurgical perform is predicated not just on facts, talents, and glossy gear, but additionally on solid values. This ebook is the 1st to debate in particular the moral concerns that come up throughout the day-by-day perform of neurosurgery. it's divided into 3 components addressing sufferers’ rights, moral concerns when it comes to the operating setting, and wider societal points akin to dealings of neurosurgeons with the felony procedure, the media, and corporations. The authors are well-established neurosurgeons who current the moral difficulties that they have got encountered in the course of their careers and clarify what they've got realized in confronting those difficulties. In all, greater than 50 neurosurgical situations drawn from actual lifestyles are stated and mentioned from a moral perspective. This ebook might be in particular informative for younger neurosurgeons and should offer all who paintings during this very specific box with a street map on tips to stay away from violations of clinical ethics in neurosurgical practice.
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Extra info for Neurosurgical Ethics in Practice: Value-based Medicine
Example text
Qualitative research methodology has been successfully used to explore cultural and religious influences, like end-of-life care in ethnic minority groups (Donovan et al. 2011). More egregious examples of cultural differences in medical practice across the planet include practices which are considered heinous and even illegal in some parts of the world and are commonplace in others, like female genital mutilation (Kopelman 2013). There is considerable sociocultural controversy over male circumcision as well, although obviously not at the same level.
In societies where the medical doctor has achieved very high status in society, litigation is less likely. Similarly, deep religious conviction that complications of surgery, including death, are God’s will leads to acceptance of the mistake rather than litigation. Conversely, in societies where surgical specialists are seen merely as very well-paid technicians, there is less tolerance for errors and an expectation that the doctor can perform miracles if paid enough. In these societies medical litigation is more common.
Honesty and responding to complaints is more challenging in some cultures and religions than others. 11 A. Ammar and M. Bernstein Illustrative Case (Problems Arising from Inadequate Resources) In a hospital in a large city in sub-Saharan Africa, a hot waiting room is overcrowded with people, most of whom are standing. Slowly they are seen over a period of about 5 h. In each examining room are two small desks and four chairs. A senior resident sits behind one desk and a junior resident sits behind the other, both seeing patients at the same time.