Evidence map›Paper›PMID 18821078›Full record

ArticleTheoretical medicine and bioethics2008

Adjudicating rights or analyzing interests: ethicists' role in the debate over conscience in clinical practice.

Armand H Matheny Antommaria

Abstract read
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Article in Theoretical medicine and bioethics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Armand H Matheny AntommariaDivisions of Pediatric Inpatient Medicine and of Medical Ethics and Humanities, University of Utah School of Medicine, 100 N Mario Capecchi Drive, Salt Lake City, UT, 84113, USA. armand.antommaria@hsc.utah.edu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The analysis of a dispute can focus on either interests, rights, or power. Commentators often frame the conflict over conscience in clinical practice as a dispute between a patient's right to legally available medical treatment and a clinician's right to refuse to provide interventions the clinician finds morally objectionable. Multiple sources of unresolvable moral disagreement make resolution in these terms unlikely. One should instead focus on the parties' interests and the different ways in which the health care delivery system can accommodate them. In the specific case of pharmacists refusing to dispense emergency contraception, alternative systems such as advanced prescription, pharmacist provision, and over-the-counter sales may better reconcile the client's interest in preventing unintended pregnancy and the pharmacist's interest in not contravening his or her conscience. Within such an analysis, the ethicist's role becomes identifying and clarifying the parties' morally relevant interests.

Indexed as

ConscienceContraceptives, PostcoitalEthical AnalysisEthicistsProfessional RoleConflict of InterestDissent and DisputesDrug PrescriptionsEthics, ClinicalEthics ConsultationEthics, MedicalEthics, PharmacyHumansNonprescription DrugsPatient RightsPrescription DrugsContraceptives, PostcoitalNonprescription DrugsPrescription Drugs

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.