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El. knyga: Medical Experimentation: Personal Integrity and Social Policy: New Edition

(Beneficial Professor of Law, Harvard Law School), Edited by (Professor Emeritus, University of Vermont), Edited by (Senior Faculty, Department of Bioethics, National Institutes of Health)
  • Formatas: 176 pages
  • Išleidimo metai: 02-May-2016
  • Leidėjas: Oxford University Press Inc
  • Kalba: eng
  • ISBN-13: 9780190602734
Kitos knygos pagal šią temą:
Medical Experimentation: Personal Integrity and Social Policy: New EditionDidesnis paveikslėlis
  • Formatas: 176 pages
  • Išleidimo metai: 02-May-2016
  • Leidėjas: Oxford University Press Inc
  • Kalba: eng
  • ISBN-13: 9780190602734
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First published in 1974, Charles Fried's Medical Experimentation is a classic statement of the moral relationship between doctor and patient, as expressed within the concept of personal care. This concept is then tested in the context of medical experimentation and, more specifically, the randomized controlled trial (RCT). Regularly referred to as a point of departure for ethical and legal discussions of the RCT, the book has long been out of print. This new, second edition includes a general introduction by Franklin Miller and the late Alan Wertheimer, a reprint of the 1974 text, and an in-depth analysis by Harvard Law School scholars I. Glenn Cohen and D. James Greiner which discusses the extension of RTCTs to social science and public policy contexts. The volume concludes with a new essay by Charles Fried that reflects on the original text and how it applies to the contemporary landscape of medicine and medical experimentation.
Preface to the New Edition ix
Charles Fried
Introduction to the New Edition 1(8)
Franklin G. Miller
Alan Wertheimer
1 Introduction
9(8)
2 The Legal Context of Medical Experimentation
17(36)
2.1 General principles
18(6)
2.2 Consent
24(7)
2.2.1 The Meaning of Consent
24(1)
2.2.2 Qualifications of the Requirement of Informed Consent
25(3)
2.2.3 Overriding the Patient's Failure to Consent
28(2)
2.2.4 Withdrawal of Consent and the Continuing Duty to Disclose
30(1)
2.3 General Legal Principles Applied to Medical Experimentation
31(12)
2.3.1 Non-therapeutic Experimentation
33(2)
2.3.2 Therapeutic Experimentation
35(1)
2.3.3 Mixed Therapeutic and Non-therapeutic Research: The Problem of the Randomized Clinical Trial
36(7)
2.4 Participation in Experimentation as a Condition of Medical Treatment
43(4)
2.5 Statutes and Regulations
47(6)
3 The Concept of Personal Care
53(37)
3.1 Do Randomized Clinical Trials Really Pose a Dilemma?
57(12)
3.1.1 The Burdens on the Experimental Subject
57(7)
3.1.2 Is Personal Care a Coherent Concept?
64(3)
3.1.3 The Terms of the Conflict: Distributive Justice and Rights
67(2)
3.2 Distributive Justice
69(7)
3.3 The Good of Personal Care
76(14)
4 Personal Care: Interests or Rights
90(28)
4.1 Economic Theory and Medical Care
91(9)
4.1.1 Efficiency
91(6)
4.1.2 Distribution
97(3)
4.2 The Concept of Rights
100(5)
4.2.1 Rights and Efficiency
100(4)
4.2.2 Negative and Positive Rights
104(1)
4.3 Personal Integrity the Goals of Medicine, and Rights in Personal Care
105(13)
4.3.1 Personal Integrity
107(2)
4.3.2 Sickness and Death
109(1)
4.3.3 The Function of Medical Care
110(3)
4.3.4 Rights in Medical Care: Lucidity Autonomy, Fidelity, Humanity
113(5)
5 Realizing Rights---Medical Care in General
118(39)
5.1 Preliminary Speculation: The Antinomy of the Personal and the Social
120(9)
5.1.1 Political Versus Ethical Theory
121(3)
5.1.2 The Theory of Democracy
124(2)
5.1.3 What Are We Entitled to Ask of Theory?
126(3)
5.2 Two Models of the Health Care System
129(19)
5.2.1 Primary Care
131(11)
5.2.2 The Hospital
142(4)
5.2.3 The Department of Health
146(2)
5.3 The Antinomy Confronted: Putting the Two Models Together
148(9)
5.3.1 The Rightness of Queuing
148(7)
5.3.2 The Obligations of Bureaucrats
155(2)
6 The Practice of Experimentation
157(84)
6.1 Some Recent Randomized Clinical Trials
159(5)
6.1.1 The Veterans Administration Cooperative Study Group: Clinical Trial of Anti-Hypertensive Therapy
159(1)
6.1.2 The University Group Collaborative Oral Anti-Diabetic Agent Randomized Clinical Trial
160(1)
6.1.3 Coronary Bypass Surgery
161(1)
6.1.4 The Salk Polio Vaccine Trial
162(2)
6.2 The Concept of Professional Knowledge
164(4)
6.3 Rights in Experimentation
168(5)
6.3.1 Lucidity and the Duty of Candor
168(3)
6.3.2 Autonomy and the Concept of Professional Accountability
171(1)
6.3.3 Fidelity and Humanity
172(1)
6.4 Rights in Experimentation: Implementation and Accommodations
173(68)
6.4.1 Alternatives to Randomized Controlled Trials
174(4)
6.4.2 Accommodation by Differentiation of Role
178(5)
6.4.3 Compensation and Participation
183(9)
From Medical Experimentation to Non-Medical Experimentation: What Can and Cannot Be Learned from Medicine as to the Ethics of Legal and Other Non-Medical Experiments?
192(28)
I. Glenn Cohen
D. James Greiner
Concluding Reflections
220(21)
Charles Fried
Index 241
Charles Fried is a full time member of the faculty and Beneficial Professor of Law at Harvard Law School. A former Associate Justice of the Supreme Judicial Court of Massachusetts, he has served on the Harvard Law School faculty since 1961. From 1985-1989 he was Solicitor General of the United States.
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