How Physician Executives and Clinicians Perceive Ethical Issues in Saudi Arabian Hospitals
Bin Saeed, Khalid Saad
Journal of Medical Ethics. 1999 Feb; 25(1): 51-56.
OBJECTIVES: To compare the perceptions of physician executives and clinicians regarding ethical issues in Saudi Arabian hospitals and the attributes that might lead to the existence of these ethical issues. DESIGN: Self-completion questionnaire administered from February to July 1997. SETTING: Different health regions in the Kingdom of Saudi Arabia. PARTICIPANTS: Random sample of 457 physicians (317 clinicians and 140 physician executives) from several hospitals in various regions across the kingdom. RESULTS: There were statistically significant differences in the perceptions of physician executives and clinicians regarding the existence of various ethical issues in their hospitals. The vast majority of physician executives did not perceive that seven of the eight issues addressed by the study were ethical concerns in their hospitals. However, the majority of the clinicians perceived that six of the same eight issues were ethical considerations in their hospitals. Statistically significant differences in the perceptions of physician executives and clinicians were observed in only three out of eight attributes that might possibly lead to the existence of ethical issues. The most significant attribute that was perceived to result in ethical issues was that of hospitals having a multinational staff. CONCLUSION: The study calls for the formulation of a code of ethics that will address specifically the physicians who work in the kingdom of Saudi Arabia. As a more immediate initiative, it is recommended that seminars and workshops be conducted to provide physicians with an opportunity to discuss the ethical dilemmas they face in their medical practice.
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Administrators; Allowing to Die; Attitudes; Autonomy; Bioethical Issues; Bioethics; Codes of Ethics; Comparative Studies; Confidentiality; Conflict of Interest; Continuing Education; Cultural Pluralism; Deontological Ethics; Discrimination; Education; Ethics; Gifts; Health; Hospitals; Institutional Ethics; Institutional Policies; Interprofessional Relations; Life; Medical Education; Medical Ethics; Misconduct; Patient Advocacy; Patient Care; Patients; Patients' Rights; Physicians; Professional Autonomy; Prolongation of Life; Regulation; Resource Allocation; Rights; Social Discrimination; Socioeconomic Factors; Survey; Terminally Ill; Utilitarianism; Values; Withholding Treatment;
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How Physician Executives and Clinicians Perceive Ethical Issues in Saudi Arabian Hospitals Bin Saeed, Khalid Saad (1999-02)