Physicians' Attitudes Toward Using Deception to Resolve Difficult Ethical Problems
Novack, Dennis H.
Detering, Barbara J.
Pezzullo, John C.
JAMA. 1989 May 26; 261(20): 2980-2985.
Four hundred and seven physicians were surveyed to assess attitudes toward the use of deception in medical practice. Four ethical problems were presented that could be resolved by the use of deception. The cases involved providing a misleading diagnosis to an insurance company, telling a wife about her husband's venereal disease, deceiving family members about a death resulting from a medical mistake, and disclosing an adolescent's pregnancy to her mother. Each case was followed by multiple-choice options and a list of possible justifications. The physicians were also asked to describe their basic principles regarding the place of deception in patient care. The 211 responses are presented in graph form and commented upon. Most physicians indicated a willingness to engage in deception in some circumstances, justifying their decisions in terms of the consequences and placing a higher value on patient welfare and keeping confidences than on truth telling. (KIE abstract)
Abortion; Attitudes; Beneficence; Bioethical Issues; Confidentiality; Death; Deception; Diagnosis; Disclosure; Disease; Ethics; Family Members; Health; Injuries; Insurance; Malpractice; Married Persons; Medical Ethics; Minors; Misconduct; Morality; Negligence; Notification; Parental Notification; Parents; Paternalism; Patient Advocacy; Patient Care; Physician Patient Relationship; Physicians; Professional Patient Relationship; Pregnancy; Risks and Benefits; Sexually Transmitted Diseases; Survey; Values;
Showing items related by title, author, creator and subject.
Novack, Dennis H.; Detering, Barbara J.; Arnold, Robert; Forrow, Lachlan; Ladinsky, Morissa; Pezzullo, John C. (1989-05-26)
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