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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Religion, conscience, and controversial clinical practices.

Farr A Curlin1, Ryan E Lawrence, Marshall H Chin

  • 1Department of Medicine, University of Chicago, Chicago, IL 60637, USA. fcurlin@medicine.bsd.uchicago.edu

The New England Journal of Medicine
|February 9, 2007
PubMed
Summary
This summary is machine-generated.

Many physicians believe it is ethical to refuse morally controversial procedures. However, most agree doctors must inform patients of all options and refer them elsewhere if they object.

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Area of Science:

  • Medical Ethics
  • Physician Obligations
  • Patient Access to Care

Background:

  • Ongoing debate regarding healthcare professionals' rights to refuse treatments based on moral objections.
  • Understanding physician perspectives on ethical rights and obligations during moral conflicts in clinical practice is crucial.

Purpose of the Study:

  • To investigate U.S. physicians' ethical judgments on their obligations when faced with patient requests for procedures conflicting with their moral or religious beliefs.

Main Methods:

  • Cross-sectional survey of 2000 randomly selected U.S. physicians across all specialties.
  • Assessed physicians' views on disclosing objections, presenting all options, and referring patients for controversial procedures like terminal sedation, abortion, and birth control prescription.

Main Results:

  • 63% of surveyed physicians believe it's permissible to disclose moral objections.
  • A majority believe physicians must present all options (86%) and refer patients (71%).
  • Male, religious, and those with personal objections were less likely to support disclosure or referral.

Conclusions:

  • A significant portion of physicians do not feel obligated to disclose or refer for morally controversial procedures.
  • Patients seeking access to such procedures may need to proactively inquire about physician accommodation.