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dc.creatorMarshall, Kenneth G.en
dc.date.accessioned2015-05-05T18:57:44Zen
dc.date.available2015-05-05T18:57:44Zen
dc.date.created1996-08-15en
dc.date.issued1996-08-15en
dc.identifier.bibliographicCitationCanadian Medical Association Journal. 1996 Aug 15; 155(4): 377-383.en
dc.identifier.issn0008-4409en
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=Prevention.+How+Much+Harm?+How+Much+Benefit?+4.+the+Ethics+Of+informed+Consent+for+Preventive+Screening+Programs&title=Canadian+Medical+Association+Journal.++&volume=155&issue=4&pages=377-383&date=1996&au=Marshall,+Kenneth+G.en
dc.identifier.urihttp://hdl.handle.net/10822/749638en
dc.description.abstractPreventive interventions may have few or unproven benefits, or they may even be harmful. Since three of the fundamental precepts of Western biomedical ethics are beneficence, non-maleficence and respect for individual autonomy, failure to obtain truly informed consent for many current preventive interventions may be unethical. However, there are many impediments to obtaining such consent. Physicians need to be aware of an immense amount of up-to-date, complex information. It may be difficult for patients to assimilate this information, and there is rarely time for physicians to become informed and to inform their patients. Clinical practice guidelines may be helpful, but not all are based on evidence, and recommendations are often conflicting. Medical institutions, as well as individual clinicians, can help solve these dilemmas. Authors and journal editors can make a commitment to report and publish well-referenced evidence-based guidelines. Organizations such as the Canadian Task Force on the Periodic Health Examination and the US Preventive Services Task Force can develop balanced, evidence-based patient-information material. Faculty at all levels of medical education can increase their emphasis on the ethics of prevention. Individual clinicians should avoid making clinical decisions on the basis of relative reductions of morbidity or mortality, should use evidence-based clinical practice guidelines rather than those based on authority whenever possible, should make use of patient-information material and, most important, should have a consistent policy of obtaining informed consent from patients before they participate in potentially harmful preventive programs.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/96354585en
dc.subjectAdvertisingen
dc.subjectAttitudesen
dc.subjectAutonomyen
dc.subjectBeneficenceen
dc.subjectCultural Pluralismen
dc.subjectConsenten
dc.subjectDecision Makingen
dc.subjectDisclosureen
dc.subjectEducationen
dc.subjectEthicsen
dc.subjectEvidence-Based Medicineen
dc.subjectFacultyen
dc.subjectGuidelinesen
dc.subjectHarmen
dc.subjectHealthen
dc.subjectInformation Disseminationen
dc.subjectInformed Consenten
dc.subjectMass Screeningen
dc.subjectMedical Educationen
dc.subjectMedicineen
dc.subjectMorbidityen
dc.subjectMortalityen
dc.subjectOrganizationsen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectPractice Guidelinesen
dc.subjectPreventive Medicineen
dc.subjectProfessional Organizationsen
dc.subjectRisks and Benefitsen
dc.titlePrevention. How Much Harm? How Much Benefit? 4. the Ethics of Informed Consent for Preventive Screening Programsen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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