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Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care
Would primary care services benefit from the aid of a clinical ethics committee (CEC)? The implementation of CECs in primary care in four Norwegian municipalities was supported and their activities followed for 2.5 years. In this study, the CECs’ structure and activities are described, with special...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485308/ https://www.ncbi.nlm.nih.gov/pubmed/34596811 http://dx.doi.org/10.1007/s10730-021-09461-9 |
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author | Magelssen, Morten Karlsen, Heidi Thoresen, Lisbeth |
author_facet | Magelssen, Morten Karlsen, Heidi Thoresen, Lisbeth |
author_sort | Magelssen, Morten |
collection | PubMed |
description | Would primary care services benefit from the aid of a clinical ethics committee (CEC)? The implementation of CECs in primary care in four Norwegian municipalities was supported and their activities followed for 2.5 years. In this study, the CECs’ structure and activities are described, with special emphasis on what characterizes the cases they have discussed. In total, the four CECs discussed 54 cases from primary care services, with the four most common topics being patient autonomy, competence and coercion; professionalism; cooperation and disagreement with next of kin; and priority setting, resource use and quality. Nursing homes and home care were the primary care services most often involved. Next of kin were present in 10 case deliberations, whereas patients were never present. The investigation indicates that it might be feasible for new CECs to attain a high level of activity including case deliberations within the time frame. It also confirms that significant, characteristic and complex moral problems arise in primary care services. |
format | Online Article Text |
id | pubmed-8485308 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-84853082021-10-01 Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care Magelssen, Morten Karlsen, Heidi Thoresen, Lisbeth HEC Forum Article Would primary care services benefit from the aid of a clinical ethics committee (CEC)? The implementation of CECs in primary care in four Norwegian municipalities was supported and their activities followed for 2.5 years. In this study, the CECs’ structure and activities are described, with special emphasis on what characterizes the cases they have discussed. In total, the four CECs discussed 54 cases from primary care services, with the four most common topics being patient autonomy, competence and coercion; professionalism; cooperation and disagreement with next of kin; and priority setting, resource use and quality. Nursing homes and home care were the primary care services most often involved. Next of kin were present in 10 case deliberations, whereas patients were never present. The investigation indicates that it might be feasible for new CECs to attain a high level of activity including case deliberations within the time frame. It also confirms that significant, characteristic and complex moral problems arise in primary care services. Springer Netherlands 2021-10-01 2023 /pmc/articles/PMC8485308/ /pubmed/34596811 http://dx.doi.org/10.1007/s10730-021-09461-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Magelssen, Morten Karlsen, Heidi Thoresen, Lisbeth Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care |
title | Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care |
title_full | Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care |
title_fullStr | Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care |
title_full_unstemmed | Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care |
title_short | Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care |
title_sort | establishing clinical ethics committees in primary care: a study from norwegian municipal care |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485308/ https://www.ncbi.nlm.nih.gov/pubmed/34596811 http://dx.doi.org/10.1007/s10730-021-09461-9 |
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