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Tertiary Healthcare Ethics Consultation: Enhancing Access to Expertise
Anita J Tarzian1, Kenneth A Berkowitz2, Cynthia M A Geppert3
1Deputy Executive Director for the VHA National Center for Ethics in Health Care, U.S. Department of Veterans Affairs, in Washington, District of Columbia USA. anita.tarzian@va.gov.
Abstract:
Tertiary healthcare ethics (HCE) consultation occurs when an HCE consultant at a healthcare facility requests guidance from one or more senior HCE consultants who are not members of that facility's HCE consultation service. Tertiary HCE consultants provide advanced HCE guidance and/or mentoring to facility (secondary) HCE consultants, mirroring healthcare consultation in clinical practice. In this article, we describe advantages and challenges of providing tertiary HCE consultation through a hub-and-spoke model administered by a national integrated HCE service.
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