Evidence map›Paper›PMID 34596811›Full record

ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2023

Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care.

Morten Magelssen, Heidi Karlsen, Lisbeth Thoresen

Abstract read
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Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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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

3 authors.

Morten MagelssenCentre for Medical Ethics, Institute of Health and Society, University of Oslo, Oslo, Norway. morten.magelssen@medisin.uio.no.ORCID http://orcid.org/0000-0002-5994-8029
Heidi KarlsenCentre for Medical Ethics, Institute of Health and Society, University of Oslo, Oslo, Norway.
Lisbeth ThoresenDepartment for Interdisciplinary Health Sciences, Institute of Health and Society , University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Would primary care services benefit from the aid of a clinical ethics committee (CEC)? The implementation of CECs in primary care in four Norwegian municipalities was supported and their activities followed for 2.5 years. In this study, the CECs' structure and activities are described, with special emphasis on what characterizes the cases they have discussed. In total, the four CECs discussed 54 cases from primary care services, with the four most common topics being patient autonomy, competence and coercion; professionalism; cooperation and disagreement with next of kin; and priority setting, resource use and quality. Nursing homes and home care were the primary care services most often involved. Next of kin were present in 10 case deliberations, whereas patients were never present. The investigation indicates that it might be feasible for new CECs to attain a high level of activity including case deliberations within the time frame. It also confirms that significant, characteristic and complex moral problems arise in primary care services.

Indexed as

Ethics Committees, ClinicalProfessionalismEthics, ClinicalEthics CommitteesHumansMoralsNorwayPrimary Health CareClinical ethicsClinical ethics committeeClinical ethics supportCommunity careHome careMunicipal careNursing homePrimary care

Identifiers

PMID34596811
PMCPMC8485308

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Registered trials

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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.