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Text
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URL Address
<a href="http://doi.org/10.1097/00006254-197804000-00013" target="_blank" rel="noreferrer">http://doi.org/10.1097/00006254-197804000-00013</a>
Dublin Core
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Title
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Pediatricians' attitudes affecting decision-making in defective newborns
Publisher
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Pediatrics
Date
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1977
Subject
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Female; Humans; infant; Male; Parental Consent; Adult; Attitude of Health Personnel; Withholding Treatment; Questionnaires; Middle Aged; Age Factors; Sex Factors; Religion; Ethics; Medical; Empirical Approach; decision making; Newborn; ICU Decision Making; Pediatrics/standards; Abnormalities/therapy
Creator
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Todres ID; Krane D; Howell MC; Shannon DC
Description
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A questionnaire designed to identify the factors that influence the resolution of ethical dilemmas was returned by 230 (57% of the total) Massachusetts pediatricians. The decision to recommend surgery for an infant with Down's syndrome with duodenal atresia when the parents had refused surgery was influenced by religious affiliation (P less than .01), religious activity (P less than .04), and sex (P=.05). Of those favoring surgery, 40.2% would pursue a court order. The decision to recommend surgery for an infant with severe meningomyelocele when the parents' position was not stated was influenced by age (P less than .01), religious activity (P less than .02), and specialization (P less than .008). When the parents' wishes were expressed, the majority of the pediatricians modified their decision in accord with these wishes. In response to general ethical questions, 79.6% of all pediatricians thought that parents should have the right to withold consent for surgery. Equal numbers thought that psychosocial reasons justified witholding lifesaving procedures. Among a variety of factors, they thought that willingness of the parents to care for the child would influence the decision to take heroic measures. There were 90.4% who thought that ethics should be part of medical education; 55.7% indicated this need throughout their careers.
1977
Identifier
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<a href="http://doi.org/10.1097/00006254-197804000-00013" target="_blank" rel="noreferrer">10.1097/00006254-197804000-00013</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
1977
Abnormalities/therapy
Adult
Age Factors
Attitude Of Health Personnel
Backlog
Decision Making
Empirical Approach
Ethics
Female
Howell MC
Humans
ICU Decision Making
Infant
Journal Article
Krane D
Male
Medical
Middle Aged
Newborn
Parental Consent
Pediatrics
Pediatrics/standards
Questionnaires
Religion
Sex Factors
Shannon DC
Todres ID
Withholding Treatment