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dc.creatorSheather, Julianen
dc.creatorShah, Tejshrien
dc.date.accessioned2016-01-09T00:34:59Zen
dc.date.available2016-01-09T00:34:59Zen
dc.date.created2011-03en
dc.date.issued2011-03en
dc.identifierdoi:10.1136/jme.2010.038448en
dc.identifier.bibliographicCitationJournal of medical ethics 2011 Mar; 37(3): 162-5en
dc.identifier.urihttp://hdl.handle.net/10822/1018417en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Ethical+dilemmas+in+medical+humanitarian+practice:+cases+for+reflection+from+Médecins+Sans+Frontières.&title=Journal+of+medical+ethics+&volume=37&issue=3&date=2011-03&au=Sheather,+Julian;+Shah,+Tejshrien
dc.identifier.urihttp://dx.doi.org/10.1136/jme.2010.038448en
dc.description.abstractMédecins Sans Frontières (MSF) is an independent medical humanitarian organisation working in over 70 countries. It has provided medical assistance for over 35 years to populations vulnerable through conflict, disease and inadequate health systems. Medical ethics define the starting point of the relationship between medical staff and patients. The ethics of humanitarian interventions and of research in conflict settings are much debated. However, less is known about the ethical dilemmas faced by medical humanitarian staff in their daily work. Ethical dilemmas can be intensified in humanitarian contexts by insecure environments, lack of optimum care, language barriers, potentially heightened power discrepancies between care providers and patients, differing cultural values and perceptions of patients, communities and medical staff. Time constraints, stressful conditions and lack of familiarity with ethical frameworks can prevent reflection on these dilemmas, as can frustration that such reflection does not necessarily provide instant solutions. Lack of reflection, however, can be distressing for medical practitioners and can reduce the quality of care. Ethical reflection has a central role in MSF, and the organisation uses ethical frameworks to help with clinical and programmatic decisions as well as in deliberations over operational research. We illustrate and discuss some real ethical dilemmas facing MSF teams. Only by sharing and seeking guidance can MSF and similar actors make more thoughtful and appropriate decisions. Our aim in sharing these cases is to invite discussion and dialogue in the wider medical community working in crisis, conflict or with severe resource limitations.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:337739en
dc.subjectDiseaseen
dc.subjectEthicsen
dc.subjectHealthen
dc.subjectMedical Ethicsen
dc.subjectPatientsen
dc.subjectPoweren
dc.subjectResearchen
dc.subjectValuesen
dc.subject.classificationSociology of Health Careen
dc.subject.classificationAllocation of Health Care Resourcesen
dc.subject.classificationInternational and Political Dimensions of Biology and Medicineen
dc.titleEthical dilemmas in medical humanitarian practice: cases for reflection from Médecins Sans Frontièresen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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