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September 1, 1982Annals of Internal Medicine

Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine.

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Implication

Conceptual analysis reveals a structured four-topic approach for ethical dilemmas in clinical medicine, highlighting systematic assessment of medical indications and patient preferences.

Key Points

  • To provide a practical and structured framework for analyzing and resolving ethical dilemmas in clinical medical decision-making.
  • Categorization of clinical ethical dilemmas into four core operational domains: medical indications, patient preferences, quality of life, and contextual features.
  • Integration of foundational bioethical principles into a practical clinical evaluation model designed for bedside application.
  • Medical indications and patient preferences define the clinical goals of care and delineate patient autonomy limits.
  • Quality of life considerations and contextual features incorporate broader psychosocial, legal, administrative, and economic factors into the ethical decision-making process.

Cite This Study

A 1982 study studied this question.

synapsesocial.com/papers/6a0aaab0286b3ba5d970b4e5https://doi.org/10.7326/0003-4819-97-3-97-3-467_1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Ethics–Challenges of the Past, the Present, and the Future2025
  2. 2End-of-Life Choices and Ethical Responsibility: Clinical Perspectives on Letting Die and Euthanasia2026
  3. 3Dilemmas in Decision Making: An In-depth Exploration of Abortion, End-of-lifecare, and Euthanasia in Medical Ethics2024
  4. 4A Content Analysis of Clinical Ethics Consultations: Identifying Core Ethical Challenges in Neuro-care (P2-14.001)2026
  5. 5Understanding What Clinical Ethical Cases Are: A Review and Perspectives from a Canadian Collaborative Working Group2026 · 2 citations