Ethical dilemmas in medical humanitarian practice: cases for reflection from Médecins Sans Frontières.

Hdl Handle:
http://hdl.handle.net/10144/220022
Title:
Ethical dilemmas in medical humanitarian practice: cases for reflection from Médecins Sans Frontières.
Authors:
Sheather, Julian; Shah, Tejshri
Journal:
Journal of Medical Ethics
Abstract:
Médecins Sans Frontières (MSF) is an independent medical humanitarian organisation working in over 70 countries. It has provided medical assistance for over 35 years to populations vulnerable through conflict, disease and inadequate health systems. Medical ethics define the starting point of the relationship between medical staff and patients. The ethics of humanitarian interventions and of research in conflict settings are much debated. However, less is known about the ethical dilemmas faced by medical humanitarian staff in their daily work. Ethical dilemmas can be intensified in humanitarian contexts by insecure environments, lack of optimum care, language barriers, potentially heightened power discrepancies between care providers and patients, differing cultural values and perceptions of patients, communities and medical staff. Time constraints, stressful conditions and lack of familiarity with ethical frameworks can prevent reflection on these dilemmas, as can frustration that such reflection does not necessarily provide instant solutions. Lack of reflection, however, can be distressing for medical practitioners and can reduce the quality of care. Ethical reflection has a central role in MSF, and the organisation uses ethical frameworks to help with clinical and programmatic decisions as well as in deliberations over operational research. We illustrate and discuss some real ethical dilemmas facing MSF teams. Only by sharing and seeking guidance can MSF and similar actors make more thoughtful and appropriate decisions. Our aim in sharing these cases is to invite discussion and dialogue in the wider medical community working in crisis, conflict or with severe resource limitations.
Affiliation:
British Medical Association, Ethics Department, BMA House, London, UK.
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10144/220022
DOI:
10.1136/jme.2010.038448
PubMed ID:
21084354
Language:
en
ISSN:
1473-4257
Appears in Collections:
Ethics

Full metadata record

DC FieldValue Language
dc.contributor.authorSheather, Julianen_GB
dc.contributor.authorShah, Tejshrien_GB
dc.date.accessioned2012-04-23T19:58:13Z-
dc.date.available2012-04-23T19:58:13Z-
dc.date.issued2011-03-
dc.identifier.citationEthical dilemmas in medical humanitarian practice: cases for reflection from Médecins Sans Frontières. 2011, 37 (3):162-5 J Med Ethicsen_GB
dc.identifier.issn1473-4257-
dc.identifier.pmid21084354-
dc.identifier.doi10.1136/jme.2010.038448-
dc.identifier.urihttp://hdl.handle.net/10144/220022-
dc.description.abstractMédecins Sans Frontières (MSF) is an independent medical humanitarian organisation working in over 70 countries. It has provided medical assistance for over 35 years to populations vulnerable through conflict, disease and inadequate health systems. Medical ethics define the starting point of the relationship between medical staff and patients. The ethics of humanitarian interventions and of research in conflict settings are much debated. However, less is known about the ethical dilemmas faced by medical humanitarian staff in their daily work. Ethical dilemmas can be intensified in humanitarian contexts by insecure environments, lack of optimum care, language barriers, potentially heightened power discrepancies between care providers and patients, differing cultural values and perceptions of patients, communities and medical staff. Time constraints, stressful conditions and lack of familiarity with ethical frameworks can prevent reflection on these dilemmas, as can frustration that such reflection does not necessarily provide instant solutions. Lack of reflection, however, can be distressing for medical practitioners and can reduce the quality of care. Ethical reflection has a central role in MSF, and the organisation uses ethical frameworks to help with clinical and programmatic decisions as well as in deliberations over operational research. We illustrate and discuss some real ethical dilemmas facing MSF teams. Only by sharing and seeking guidance can MSF and similar actors make more thoughtful and appropriate decisions. Our aim in sharing these cases is to invite discussion and dialogue in the wider medical community working in crisis, conflict or with severe resource limitations.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to The British Medical Association and the Journal of Medical Ethicsen_GB
dc.subject.meshAltruismen_GB
dc.subject.meshAttitude of Health Personnelen_GB
dc.subject.meshCross-Cultural Comparisonen_GB
dc.subject.meshDelivery of Health Careen_GB
dc.subject.meshDeveloping Countriesen_GB
dc.subject.meshEthics, Medicalen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInternational Agenciesen_GB
dc.subject.meshMedical Missions, Officialen_GB
dc.subject.meshPatient Rightsen_GB
dc.titleEthical dilemmas in medical humanitarian practice: cases for reflection from Médecins Sans Frontières.en
dc.contributor.departmentBritish Medical Association, Ethics Department, BMA House, London, UK.en_GB
dc.identifier.journalJournal of Medical Ethicsen_GB

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