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    Top 10 health care ethics challenges facing the public: views of Toronto bioethicists.

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    Author
    Breslin, JM; MacRae, SK; Bell, J; Singer, PA; University of Toronto Joint Centre for Bioethics Clinical Ethics Group
    Date
    2005-06-26
    Source Title
    BMC Medical Ethics
    Publisher
    Springer Science and Business Media LLC
    University of Melbourne Author/s
    Singer, Peter
    Affiliation
    School of Historical and Philosophical Studies
    Metadata
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    Document Type
    Journal Article
    Citations
    Breslin, J. M., MacRae, S. K., Bell, J., Singer, P. A. & University of Toronto Joint Centre for Bioethics Clinical Ethics Group (2005). Top 10 health care ethics challenges facing the public: views of Toronto bioethicists.. BMC Med Ethics, 6 (1), pp.E5-. https://doi.org/10.1186/1472-6939-6-5.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/255072
    DOI
    10.1186/1472-6939-6-5
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180442
    Abstract
    BACKGROUND: There are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics. The panel was asked the question, what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process and consensus was reached after three rounds. DISCUSSION: The top challenge ranked by the group was disagreement between patients/families and health care professionals about treatment decisions. The second highest ranked challenge was waiting lists. The third ranked challenge was access to needed resources for the aged, chronically ill, and mentally ill. SUMMARY: Although many of the challenges listed by the panel have received significant public attention, there has been very little attention paid to the top ranked challenge. We propose several steps that can be taken to help address this key challenge.

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