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Reinforcing medical authority: clinical ethics consultation and the resolution of conflicts in treatment decisions
dc.contributor.authorHauschildt, Katrina
dc.contributor.authorDe Vries, Raymond
dc.date.accessioned2020-03-17T18:28:36Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-03-17T18:28:36Z
dc.date.issued2020-02
dc.identifier.citationHauschildt, Katrina; De Vries, Raymond (2020). "Reinforcing medical authority: clinical ethics consultation and the resolution of conflicts in treatment decisions." Sociology of Health & Illness 42(2): 307-326.
dc.identifier.issn0141-9889
dc.identifier.issn1467-9566
dc.identifier.urihttps://hdl.handle.net/2027.42/154312
dc.description.abstractDespite substantial efforts in the past 15 years to professionalise the field of clinical ethics consultation, sociologists have not re‐examined past hypotheses about the role of such services in medical decision‐making and their effect on physician authority. In relation to those hypotheses, we explore two questions: (i) What kinds of issues does ethics consultation resolve? and (ii) what is the nature of the resolution afforded by these consults? We examined ethics consultation records created between 2011 and mid‐2015 at a large tertiary care US hospital and found that in most cases, the problems addressed are not novel ethical dilemmas as classically conceived, but are instead disagreements between clinicians and patients or their surrogates about treatment. The resolution offered by a typical ethics consultation involves strategies to improve communication rather than the parsing of ethical obligations. In cases where disagreements persist, the proposed solution is most often based on technical clinical judgements, reinforcing the role of physician authority in patient care and the ethical decisions made about that care.
dc.publisherAmerican Society for Bioethics and Humanities
dc.publisherWiley Periodicals, Inc.
dc.subject.otherbioethics
dc.subject.otherdoctor–patient communication
dc.subject.othermedical decision‐making
dc.subject.otherpatient autonomy
dc.subject.otherclinical ethics
dc.subject.otherUnited States
dc.titleReinforcing medical authority: clinical ethics consultation and the resolution of conflicts in treatment decisions
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelSociology
dc.subject.hlbsecondlevelFamily Medicine and Primary Care
dc.subject.hlbtoplevelHealth Sciences
dc.subject.hlbtoplevelSocial Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154312/1/shil13003.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154312/2/shil13003_am.pdf
dc.identifier.doi10.1111/1467-9566.13003
dc.identifier.sourceSociology of Health & Illness
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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