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J Clin Ethics. Spring 2019;30(1):35-45.

Clinical Ethics in Pediatrics: An International Perspective.

Author information

1
Children's Mercy Bioethics Center, Children's Mercy Hospital, Kansas City, Missouri USA. jlantos@cmh.edu.
2
Bioethics Department, Shalamar Medical and Dental College, Lahore, Pakistan. sarosh.saleem@sihs.org.pk.
3
Department of Medical Education, Shalamar Medical and Dental College, Lahore, Pakistan. fajar.raza@sihs.org.pk.
4
Department of Pediatrics, St. Olav's Hospital, Olav Kyrres gate 11, 7006 Trondheim, Norway. janicke.m.syltern@ntnu.no.
5
\PediatricDepartment, School of Medicine, International Medical University, Kuala Lumpur, Malaysia. erwinkhoo@gmail.com.
6
550, 1st Stage, 9th 'A' Main Road, Indiranagar, Bangalore 560038, India. arpanaiyengar@gmail.com.
7
St. John's Medical College, Department of Pediatric Nephrology, Bangalore, India.
8
1, Anand Villa, 59, Langford Road, Bangalore 560025, India. jagchin@gmail.com.
9
Calle Fr Marquez 162, colonia Doctores, Delegacion Cuauhtemoc, Ciudad de Mexico, Mexico 06720. pablolezamadelvalle@gmail.com.
10
Division of Neonatology, Department of Pediatrics, University Medical Center of the Johannes Gutenberg-University Mainz, Germany. andre.kidszun@unimedizin-mainz.de.

Abstract

In this article, we first review the development of clinical ethics in pediatrics in the United States. We report that, over the last 40 years, most children's hospitals have ethics committees but that those committees are rarely consulted. We speculate that the reasons for the paucity of ethics consults might be because ethical dilemmas are aired in other venues. The role of the ethics consultant, then, might be to shape the institutional climate and create safe spaces for the discussion of difficult and sometimes contentious issues. Finally, we report how pediatric clinical ethics has evolved differently in a number of other countries around the world.

PMID:
30896442
[Indexed for MEDLINE]

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