ArticleMedicine, health care, and philosophy2014
Prevalence and characteristics of moral case deliberation in Dutch health care.
Article in Medicine, health care, and philosophy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 43 citations in OpenAlex.
- Fostering moral reflectivity in community pharmacists through moral case deliberation using the dilemma method.International journal of clinical pharmacy · 2025Article
- What is a High-Quality Moral Case Deliberation?-Facilitators' Perspectives in the Euro-MCD Project.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024Article
- Ethics support for ethics support: the development of the Confidentiality Compass for dealing with moral challenges concerning (breaching) confidentiality in moral case deliberation.BMC medical ethics · 2024Article
- Conceptualizing the impact of moral case deliberation: a multiple-case study in a health care institution for people with intellectual disabilities.BMC medical ethics · 2022Article
- Supporting GPs around euthanasia requests from people with dementia: a qualitative analysis of Dutch nominal group meetings.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Moral competence, moral teamwork and moral action - the European Moral Case Deliberation Outcomes (Euro-MCD) Instrument 2.0 and its revision process.BMC medical ethics · 2020Article
- Moral Dilemmas in Contact-Based Care: The Relevance of Moral Case Deliberation for Forensic Psychiatry.Frontiers in psychiatry · 2020Article
- Important outcomes of moral case deliberation: a Euro-MCD field survey of healthcare professionals' priorities.Journal of medical ethics · 2019Article
- A pragmatist approach to clinical ethics support: overcoming the perils of ethical pluralism.Medicine, health care, and philosophy · 2019Article
- Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2019Article
- Developing an ethics support tool for dealing with dilemmas around client autonomy based on moral case deliberations.BMC medical ethics · 2018Article
- Relational autonomy in the care of the vulnerable: health care professionals' reasoning in Moral Case Deliberation (MCD).Medicine, health care, and philosophy · 2018Article
- Defining and categorizing outcomes of Moral Case Deliberation (MCD): concept mapping with experienced MCD participants.BMC medical ethics · 2018Article
- Inspectors' ethical challenges in health care regulation: a pilot study.Medicine, health care, and philosophy · 2017Article
- Bioethics education in clinical settings: theory and practice of the dilemma method of moral case deliberation.BMC medical ethics · 2016Article
- Evaluation of moral case deliberation at the Dutch Health Care Inspectorate: a pilot study.BMC medical ethics · 2016Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The attention for Moral case deliberation (MCD) has increased over the past years. Previous research on MCD is often written from the perspective of MCD experts or MCD participants and we lack a more distant view to the role of MCD in Dutch health care institutions in general. The purpose of this paper is to provide an overview of the state of the art concerning MCD in the Netherlands. As part of a larger national study on clinical ethics support in the Netherlands, we will focus on the prevalence and characteristics of MCD in Dutch health. A mixed methods design was used in which we combined two survey questionnaires (sent to all health care institutions), two focus groups and 17 individual interviews with top managers or ethics support staff. The findings demonstrate that the prevalence of MCD is relatively high in Dutch health care (44 % has MCD), especially in mental health care (in which MCD is mentioned as present in the organization by 62 % of the respondents). Institutions with MCD differ from institutions without MCD concerning size, kind of problems and importance of ideological background. Characteristic of MCD is that it often exists for 3 years or more, has a high participation of health professionals and middle managers and is both organized scheduled as unscheduled. As well integration in existing policy as key persons emerge as important issues in relation to the positioning of MCD. We conclude that MCD is a part of an integrated ethics policy and serves as a (bottom up) catalyst for such an integrated ethics policy.
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