South African Journal of Bioethics and Law最新文献_第9页

Enabling the use of health data for research: Developing a POPIA code of conduct for research in South Africa 使健康数据能够用于研究：为南非的研究制定持久性有机污染物信息倡议行为守则

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South African Journal of Bioethics and Law Pub Date : 2021-04-19 DOI: 10.7196/SAJBL.2021.V14I1.00740

C. Staunton, R. Adams, M. Botes, J. D. Vries, M. Labuschaigne, G. Loots, S. Mahomed, N. N. Loideáin, A. Olckers, M. Pepper, A. Pope, Michéle Ramsay

引用次数: 3

Ivermectin and the rule of law 伊维菌素与法治

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South African Journal of Bioethics and Law Pub Date : 2021-03-16 DOI: 10.7196/SAJBL.2021.V14I2.763

D. Thaldar

引用次数: 1

Factors influencing truth-telling by healthcare providers to terminally ill cancer patients at Ocean Road Cancer Institute in Dar-es-Salaam, Tanzania 坦桑尼亚达累斯萨拉姆海洋路癌症研究所医疗保健提供者向癌症绝症患者进行真相推销的影响因素

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00706

R. Athanas, F. Gasto, S. J. Renatha

{"title":"Factors influencing truth-telling by healthcare providers to terminally ill cancer patients at Ocean Road Cancer Institute in Dar-es-Salaam, Tanzania","authors":"R. Athanas, F. Gasto, S. J. Renatha","doi":"10.7196/SAJBL.2020.V13I2.00706","DOIUrl":"https://doi.org/10.7196/SAJBL.2020.V13I2.00706","url":null,"abstract":"Background: Widely accepted international clinical ethics standards and Tanzania’s national cancer treatments guidelines mandate that healthcare providers give patients the information they want or need in an understandable way. However, adherence to these standards is low particularly in developing countries. In Tanzania, little is known regarding the views and practice of disclosure of diagnosis and prognosis to cancer patients. Objective: In this study, we aimed at examining the factors influencing truth-telling by healthcare providers to terminally ill cancer patients at Ocean Road Cancer Institute (ORCI) in Dar-es-Salaam, Tanzania. Methods: We conducted semi-structured interviews with a purposive sample of healthcare providers (n=13) and terminally ill cancer patients (n=8) in English and Swahili. The interviews were recorded, transcribed verbatim, and translated to English. Results: Study findings show unsatisfactory experience of truth-telling according to international clinical standards. Many healthcare providers emphasized many barriers including: limited communication skills, limited time, a high volume of patients and lack of privacy for communication. Patients’ preferences and readiness to information as well as family collusion were identified as barriers, whereas communalism was identified as facilitator to truth-telling. Conclusion: We identified several barriers and facilitators of truth-telling that may be targeted in order to promote high-quality communication at ORCI. Our results support advocacy for improvements like: training for clinical communication skills and information sharing, space designated to enhance privacy, deliberate efforts to employ enough providers to care for the increasing volume of patients, and need of counselling session with patients and family members prior to clinical information disclosure","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43372792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Factors associated with refusal of hospital treatment at Odi District Hospital, Gauteng Province, South Africa 南非豪登省Odi区医院拒绝住院治疗的相关因素

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00688

D. Nzaumvila, L. Mabuza, M. Mogotsi, T. Bongongo, C. Saidiya

{"title":"Factors associated with refusal of hospital treatment at Odi District Hospital, Gauteng Province, South Africa","authors":"D. Nzaumvila, L. Mabuza, M. Mogotsi, T. Bongongo, C. Saidiya","doi":"10.7196/SAJBL.2020.V13I2.00688","DOIUrl":"https://doi.org/10.7196/SAJBL.2020.V13I2.00688","url":null,"abstract":"Abstract Background Medical consultation entails shared doctor-patient decision making. However, in certain cases disagreement between the two parties may lead to patient refusal of hospital treatment (RHT). At Odi District Hospital, patients opted for RHT at the accident and emergency (A&E) department and in wards. The study aimed at determining factors related to the RHT. Methods This was a cross-sectional descriptive study of patient files with a record of RHT from 2017 to 2018. They were traced using the register books and 241 were obtained: A&E (160), obstetrics and gynaecology (2), internal medicine (24), orthopaedics (2), paediatrics (12) and surgery (41). Eighteen files were excluded for incomplete data, 223 remained for analysis. Results More males and the single signed RHT 139 (62.33%) and 152 (68.16%), respectively. RHT was frequent towards the end of the day (p = 0.041), at A&E (59.5%) and as a result of family related matters (31.84%). Other factors related to RHT were the first-time consultation at A&E (p < 0.0001, CI 3.238–11.051), being young (p < 0.0001, CI: 0.1071–0.2451), having co-morbidities (p = 0.0072, CI: 0.4222-0.8647) and a long stay in the wards (p=0.0003, CI 1.382–3.275). Conclusion RHT was more prevalent among males, the young, single and unemployed patients. More RHTs occurred towards the end of the day, at A&E, among those who had long hospital stay, those with family related matters and those with co-morbidities. These identified factors should guide prioritisation in intervention strategies aimed at curbing RHT at Odi District Hospital","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44986403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19: What should employers do if employed health professionals such as doctors and nurses refuse to treat COVID-19 patients despite being provided with the required personal protective equipment? COVID-19:如果受雇的卫生专业人员(如医生和护士)尽管提供了所需的个人防护装备，但仍拒绝治疗COVID-19患者，雇主应怎么办?

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00733

D. Mcquoid-mason

引用次数: 1

COVID-19 vaccines: Equitable access, vaccine hesitancy and the dilemma of emergency use approvals 新冠肺炎疫苗：公平获取、疫苗犹豫和紧急使用批准的困境

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00754

A. Dhai

引用次数: 2

Multidisciplinary specialist treatment teams and abandonment of patients – who is responsible for what? 多学科专家治疗团队和遗弃患者——谁对什么负责?

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00704

D. Mcquoid-mason

{"title":"Multidisciplinary specialist treatment teams and abandonment of patients – who is responsible for what?","authors":"D. Mcquoid-mason","doi":"10.7196/SAJBL.2020.V13I2.00704","DOIUrl":"https://doi.org/10.7196/SAJBL.2020.V13I2.00704","url":null,"abstract":"The legal and ethical position of treating specialists whose contractual relationship with a patient has been prematurely terminated by the patient or themselves is discussed. The validity of a mandated parent terminating the treatment of a mentally and legally competent patient by a surgeon member of a specialist team is discussed. After a contractual relationship between a treating specialist and a patient has been prematurely terminated, the specialist concerned still owes a duty of care towards the patient under the law of delict - until a new specialist in the field has been properly briefed by the previous treating specialist to take over the treatment of the patient. Such previous treating specialists may not rely on other specialists in the multidisciplinary treatment team, who are not specialists in the field, to take over the treatment of the patient, or to brief the new specialist on the patient’s condition. In such circumstances, the original treating specialist may be held liable for abandoning their patient. As a general rule, members of a multidisciplinary team may not treat patients outside their speciality – except in emergency situations. In the latter case, however, they cannot rely on emergency as a partial defence, when they themselves have created the emergency. Such members of the team may be cited as joint wrongdoers, if without good cause their conduct contributes to the harm caused by the original treating specialist, after the latter has left the team and abandoned their patient by not ensuring that another specialist in their field had been briefed to take over the patient.","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47168534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sharing human biobank samples and data in exchange for funding in South Africa in international collaborative health research – an ethicolegal analysis 共享人类生物库样本和数据，以换取南非在国际合作健康研究中的资金——伦理分析

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00719

M. Maseme, S. Mahomed

引用次数: 1

‘Please confirm your HIV-positive status by email to the following government address’: Protection of ‘vulnerable employees’ under COVID-19 “请通过电子邮件向以下政府地址确认您的艾滋病毒阳性状态”:COVID-19下保护“弱势员工”

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00736

D. Hagemeister, M. Mpeli, B. Shabangu

引用次数: 1

Resource allocation during COVID-19: A focus on vulnerable populations 2019冠状病毒病期间的资源分配:重点关注弱势群体

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South African Journal of Bioethics and Law Pub Date : 2020-12-15 DOI: 10.7196/SAJBL.2020.V13I2.00730

C. Castelyn, I. Viljoen, A. Dhai, Michael Pepper

{"title":"Resource allocation during COVID-19: A focus on vulnerable populations","authors":"C. Castelyn, I. Viljoen, A. Dhai, Michael Pepper","doi":"10.7196/SAJBL.2020.V13I2.00730","DOIUrl":"https://doi.org/10.7196/SAJBL.2020.V13I2.00730","url":null,"abstract":"South Africa (SA) is a country of contrasts, with abundant resources, hard-won civil rights and a diverse population. Woven into the fabric of our society is a large divide between its poorest and its wealthiest members. In this article we highlight the vulnerabilities in our society that have been amplified by the COVID-19 crisis. Based on recent projections, it is very likely that the healthcare system will be overwhelmed. We acknowledge the recognition by government and civil society of these vulnerabilities, and note that difficult decisions will need to be made with regard to resource allocation. Our plea, however, is to ensure that human dignity and the principle of distributive justice are maintained, and that when difficult decisions are made, vulnerable people do not suffer disproportionately. Furthermore, it is of great concern that there is no national directive guiding resource allocation, prioritisation and triage decisions in both public and private hospitals. The Health Professions Council of SA should, as a matter of urgency, issue guidance on priority-setting and triage decisions in the context of COVID-19, based on distributive justice principles.","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42655891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7