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Institutional challenges for clinical ethics committees
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 1161815
Author(s) Dörries, Andrea; Boitte, Pierre; Borovecki, Ana; Cobbaut, Jean-Philippe; Reiter-Theil, Stella; Slowther, Anne-Marie
Author(s) at UniBasel Reiter-Theil, Stella
Year 2011
Title Institutional challenges for clinical ethics committees
Journal HEC forum
Volume 23
Number 3
Pages / Article-Number 193-205
Abstract

Clinical ethics committees (CECs) have been developing in many countries since the 1980s, more recently in the transitional countries in Eastern Europe. With their increasing profile they are now faced with a range of questions and challenges regarding their position within the health care organizations in which they are situated: Should CECs be independent bodies with a critical role towards institutional management, or should they be an integral part of the hospital organization? In this paper, we discuss the organizational context in which CECs function in Europe focusing on five aspects. We conclude that in Europe clinical ethics committees need to maintain a critical independence while generating acceptance of the CEC and its potential benefit to both individuals and the organization. CECs, perhaps particularly in transitional countries, must counter the charge of "alibi ethics". CECs must define their contribution to in-house quality management in their respective health care organization, clarifying how ethical reflection on various levels serves the hospital and patient care in general. This last challenge is made more difficult by lack of consensus about appropriate quality outcomes for CECs internationally. These are daunting challenges, but the fact that CECs continue to develop suggests that we should make the effort to overcome them. We believe there is a need for further research that specifically addresses some of the institutional challenges facing CECs.

Publisher Springer
ISSN/ISBN 0956-2737
edoc-URL http://edoc.unibas.ch/dok/A6002687
Full Text on edoc No
Digital Object Identifier DOI 10.1007/s10730-011-9160-y
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/21805147
ISI-Number MEDLINE:21805147
Document type (ISI) Journal Article
 
   

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23/05/2024