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Related Experiment Videos

Physicians' attitudes toward using deception to resolve difficult ethical problems.

D H Novack1, B J Detering, R Arnold

  • 1Brown University Program in Medicine, Providence, RI.

JAMA
|May 26, 1989
PubMed
Summary
This summary is machine-generated.

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Most physicians are willing to use deception in medicine, prioritizing patient welfare and confidentiality over absolute truth-telling. Ethical dilemmas often lead doctors to justify misleading practices based on potential outcomes.

Area of Science:

  • Medical Ethics
  • Physician Attitudes
  • Clinical Practice

Background:

  • Physicians frequently encounter complex ethical situations.
  • The role of deception in medical practice remains a debated topic.
  • Understanding physicians' perspectives on truth-telling is crucial.

Purpose of the Study:

  • To evaluate practicing physicians' attitudes towards employing deception in various medical scenarios.
  • To explore the ethical justifications physicians use when considering deception.
  • To assess the balance between patient welfare, confidentiality, and honesty in clinical decision-making.

Main Methods:

  • A questionnaire was distributed to 407 practicing physicians.
  • Physicians responded to hypothetical ethical dilemmas involving deception.
Keywords:
Bioethics and Professional EthicsEmpirical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Data on general attitudes and practices regarding deception were collected.

    • Main Results:

    • A 52% response rate (211 physicians) was achieved.
    • The majority of respondents expressed willingness to deceive for insurance payments or to protect a patient's marriage.
    • One-third would mislead families about fatal errors; few would deceive about adolescent pregnancies.

    Conclusions:

    • Most physicians exhibit some willingness to engage in deception when faced with difficult ethical choices.
    • Decisions to deceive are often justified by consequentialist reasoning, prioritizing patient well-being and confidentiality.
    • The study highlights a complex interplay between ethical principles in medical practice.