Ethical Considerations in the Provision of Controversial Screening Tests

David J. Doukas, Michael Fetters, Mack T. Ruffin IV, Laurence B. McCullough

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Although preventive services are a cornerstone of primary care medicine, few currently used screening tests have been demonstrated to be beneficial. Insurance organizations, the media, public advocacy groups, and patient concerns often pressure physicians to provide screening tests of controversial value. Ethical analysis provides the basis for responding to screening requests in a responsible way. Physicians may use an evidence-based medicine strategy to approach controversial screening tests. When physicians educate patients on the relative benefits and harms of controversial screening tests, it is prudent to emphasize that a screening test can assure neither a disease-free nor a risk-free state. Such preventive ethics efforts could discourage against the use of controversial screening tests. Physicians may articulate the boundaries of their own professional integrity in this process, for patients cannot compel physicians to render services that run counter to their best professional and ethical judgment.

Original languageEnglish (US)
Pages (from-to)486-490
Number of pages5
JournalArchives of family medicine
Volume6
Issue number5
DOIs
StatePublished - Jan 1 1997

Fingerprint

Physicians
Consumer Advocacy
Ethical Analysis
Evidence-Based Medicine
Insurance
Ethics
Primary Health Care
Medicine
Organizations
Pressure

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Doukas, David J. ; Fetters, Michael ; Ruffin IV, Mack T. ; McCullough, Laurence B. / Ethical Considerations in the Provision of Controversial Screening Tests. In: Archives of family medicine. 1997 ; Vol. 6, No. 5. pp. 486-490.
@article{561f587b3e3c473db91da59a26137eb6,
title = "Ethical Considerations in the Provision of Controversial Screening Tests",
abstract = "Although preventive services are a cornerstone of primary care medicine, few currently used screening tests have been demonstrated to be beneficial. Insurance organizations, the media, public advocacy groups, and patient concerns often pressure physicians to provide screening tests of controversial value. Ethical analysis provides the basis for responding to screening requests in a responsible way. Physicians may use an evidence-based medicine strategy to approach controversial screening tests. When physicians educate patients on the relative benefits and harms of controversial screening tests, it is prudent to emphasize that a screening test can assure neither a disease-free nor a risk-free state. Such preventive ethics efforts could discourage against the use of controversial screening tests. Physicians may articulate the boundaries of their own professional integrity in this process, for patients cannot compel physicians to render services that run counter to their best professional and ethical judgment.",
author = "Doukas, {David J.} and Michael Fetters and {Ruffin IV}, {Mack T.} and McCullough, {Laurence B.}",
year = "1997",
month = "1",
day = "1",
doi = "10.1001/archfami.6.5.486",
language = "English (US)",
volume = "6",
pages = "486--490",
journal = "Archives of Family Medicine",
issn = "1063-3987",
publisher = "American Medical Association",
number = "5",

}

Ethical Considerations in the Provision of Controversial Screening Tests. / Doukas, David J.; Fetters, Michael; Ruffin IV, Mack T.; McCullough, Laurence B.

In: Archives of family medicine, Vol. 6, No. 5, 01.01.1997, p. 486-490.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Ethical Considerations in the Provision of Controversial Screening Tests

AU - Doukas, David J.

AU - Fetters, Michael

AU - Ruffin IV, Mack T.

AU - McCullough, Laurence B.

PY - 1997/1/1

Y1 - 1997/1/1

N2 - Although preventive services are a cornerstone of primary care medicine, few currently used screening tests have been demonstrated to be beneficial. Insurance organizations, the media, public advocacy groups, and patient concerns often pressure physicians to provide screening tests of controversial value. Ethical analysis provides the basis for responding to screening requests in a responsible way. Physicians may use an evidence-based medicine strategy to approach controversial screening tests. When physicians educate patients on the relative benefits and harms of controversial screening tests, it is prudent to emphasize that a screening test can assure neither a disease-free nor a risk-free state. Such preventive ethics efforts could discourage against the use of controversial screening tests. Physicians may articulate the boundaries of their own professional integrity in this process, for patients cannot compel physicians to render services that run counter to their best professional and ethical judgment.

AB - Although preventive services are a cornerstone of primary care medicine, few currently used screening tests have been demonstrated to be beneficial. Insurance organizations, the media, public advocacy groups, and patient concerns often pressure physicians to provide screening tests of controversial value. Ethical analysis provides the basis for responding to screening requests in a responsible way. Physicians may use an evidence-based medicine strategy to approach controversial screening tests. When physicians educate patients on the relative benefits and harms of controversial screening tests, it is prudent to emphasize that a screening test can assure neither a disease-free nor a risk-free state. Such preventive ethics efforts could discourage against the use of controversial screening tests. Physicians may articulate the boundaries of their own professional integrity in this process, for patients cannot compel physicians to render services that run counter to their best professional and ethical judgment.

UR - http://www.scopus.com/inward/record.url?scp=0031226258&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031226258&partnerID=8YFLogxK

U2 - 10.1001/archfami.6.5.486

DO - 10.1001/archfami.6.5.486

M3 - Article

C2 - 9305694

AN - SCOPUS:0031226258

VL - 6

SP - 486

EP - 490

JO - Archives of Family Medicine

JF - Archives of Family Medicine

SN - 1063-3987

IS - 5

ER -