PMID: 11314611Apr 21, 2001Paper

Developing standards for institutional ethics committees: lessons from The Netherlands

Journal of Medical Ethics
H H van der Kloot Meijburg, R H ter Meulen

Abstract

This article presents standards for setting up and educating institutional ethics committees (IECs). These standards are based on experiences in the Netherlands, where IECs have been established in a large number of health care institutions. Though the IEC has become a generally accepted institution within Dutch health care, there are concerns over its effectiveness regarding the improving of the moral quality of clinical decision making. Health care practitioners and members of IECs too, experience a gap between the IEC and the reality of the clinical environment. At this moment, there is interest in developing programmes which educate practitioners in moral issues and how to deal with them, using the method of a structured debate on the ward. The IEC will not be made obsolete by this development, but can play a guiding role in the implementation of such programmes. Current concerns are the lack of patient representation in the Dutch IEC, and the loss of contact with the local community of health care practitioners because of the merger of hospitals into bodies similar to UK National Health Service (NHS) trusts.

Citations

Dec 10, 1991·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·H H van der Kloot Meijburg
Nov 2, 2006·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Ana BoroveckiStjepan Oresković
Sep 21, 2007·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Eric Racine
Apr 23, 2010·Clinical Medicine : Journal of the Royal College of Physicians of London·Victor LarcherUNKNOWN UK Clinical Ethics Network
May 29, 2007·Journal of Pain and Symptom Management·Alice LaneaderDavid Casarett
May 24, 2007·Medicine, Health Care, and Philosophy·Norbert SteinkampAnne Slowther
Oct 7, 2019·Science and Engineering Ethics·Marcin OrzechowskiFlorian Steger
Apr 11, 2018·BMJ Paediatrics Open·Emma CottleBen Mathews

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