Paternalism in practice: informing patients about expensive unsubsidised drugs

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dc.contributor.author Dare, Tim en
dc.contributor.author Findlay, Michael en
dc.contributor.author Browett, Peter en
dc.contributor.author Amies, Karen en
dc.contributor.author Anderson, Sarah en
dc.date.accessioned 2012-04-01T20:44:39Z en
dc.date.issued 2010-05-01 en
dc.identifier.citation JOURNAL OF MEDICAL ETHICS 36(5):260-264 01 May 2010 en
dc.identifier.issn 0306-6800 en
dc.identifier.uri http://hdl.handle.net/2292/16234 en
dc.description.abstract Recent research conducted in Australia shows that many oncologists withhold information about expensive unfunded drugs in what the authors of the study suggest is unacceptable medical paternalism. Surprised by the Australian results, we ran a version of the study in New Zealand and received very different results. While the percentages of clinicians who would prescribe the drugs described in the scenarios were very similar (73-99% in New Zealand and 72-94% in Australia depending on the scenario) the percentage who would not discuss expensive unfunded drugs was substantially lower in New Zealand (6.4-11.1%) than it was in Australia (28-41%). This seems surprising given the substantial similarities between the two countries, and the extensive interaction between their medical professions. We use the contrast between the two studies to examine the generalisability of the Australian results, to identify influences on clinicians' decisions about what treatment information to give patients, and so the tendency towards medical paternalism and, more pragmatically, about how such decisions might be influenced. en
dc.language English en
dc.publisher BMJ Publishing Group Ltd. en
dc.relation.ispartofseries JOURNAL OF MEDICAL ETHICS en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0306-6800/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Social Sciences en
dc.subject Science & Technology en
dc.subject Life Sciences & Biomedicine en
dc.subject Ethics en
dc.subject Medical Ethics en
dc.subject Social Issues en
dc.subject Social Sciences, Biomedical en
dc.subject Social Sciences - Other Topics en
dc.subject Biomedical Social Sciences en
dc.title Paternalism in practice: informing patients about expensive unsubsidised drugs en
dc.type Journal Article en
dc.identifier.doi 10.1136/jme.2009.033944 en
pubs.issue 5 en
pubs.begin-page 260 en
pubs.volume 36 en
dc.rights.holder Copyright: BMJ Publishing Group Ltd. en
dc.identifier.pmid 20439327 en
pubs.end-page 264 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 119375 en
pubs.org-id Arts en
pubs.org-id Humanities en
pubs.org-id Philosophy en
pubs.org-id Medical and Health Sciences en
pubs.org-id Medical Sciences en
pubs.org-id Molecular Medicine en
pubs.org-id Oncology en
pubs.org-id Science en
pubs.org-id Science Research en
pubs.org-id Maurice Wilkins Centre (2010-2014) en
pubs.record-created-at-source-date 2012-04-02 en
pubs.dimensions-id 20439327 en


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