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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 1/2009

01-01-2009 | Letter to the Editor

Letter to the Editor

Authors: Alexia M. Torke, MD, MS, G. Caleb Alexander, MD, MS, John Lantos, MD

Published in: Journal of General Internal Medicine | Issue 1/2009

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Excerpt

The Authors Reply: Our fundamental objection to substituted judgment is that it is a misguided attempt to support the patient’s autonomy, when such a thing is no longer possible. Although this effort may be well intentioned, it may also have serious unintended consequences. We propose a different substantive standard to guide surrogate decisions based on the principle of respect for persons. …
Literature
1.
Buchanan B. Deciding for others: The ethics of surrogate decision making. Cambridge: Cambridge University Press; 1990.
2.
Fagerlin A, Schneider CE. Enough: the failure of the living will. Hastings Cent Rep. 2004;34(2):30–42.PubMedCrossRef
3.
Karlawish JH, Quill T, Meier DE. A consensus-based approach to providing palliative care to patients who lack decision-making capacity. ACP-ASIM End-of-Life Care Consensus Panel. American College of Physicians-American Society of Internal Medicine. Ann Intern Med. 1999;130(10):835–840.PubMed
Metadata
Title
Letter to the Editor
Authors
Alexia M. Torke, MD, MS
G. Caleb Alexander, MD, MS
John Lantos, MD
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 1/2009
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0837-0

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Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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