Zoe Fritz
Datos Biográficos
| ID | 8911221 |
|---|---|
| NOMBRE | Zoe Fritz |
| NOMBRES | Zoe |
| APELLIDO | Fritz |
| FIRMA | FRITZ Z |
| AFILIACIONES | University of Cambridge |
| ORCID | 0000-0001-9403-409X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Willing to Donate? A Quantitative and Thematic Analysis of Attitudes to Deceased Organ Donation in Different Circumstances
INTRODUCTION: The UK public's willingness to donate, knowledge of, and concerns about different organ donation scenarios are not known. METHODS: A validated questionnaire was developed based on a literature review of the ethical issues associated with uncontrolled Donation after Circulatory Death (uDCD). Participants read three scenarios (Donation after Brain Death [DBD], controlled, and uncontrolled Donation after Circulatory Death [cDCD and uDC…
Why administration of lethal drugs should not be the role of the doctor
The suitability of doctors as agents of assisting dying remains debated, although it is common in many jurisdictions, and forms part of the proposed assisted dying legislation for England and Wales. We examine the established philosophical and legal role of doctors in England and Wales and compare it to the active role required of doctors under proposed assisted dying legislation. For clarity, we refer to the latter role as ‘assisted dying practi…
An ethnographic study of diagnosis of physical illness in people with mental health conditions in the emergency department
People living with mental health conditions face reduced life expectancy, largely associated with under-diagnosed and under-treated physical illnesses. Inequalities in the way physical symptoms are diagnosed may be implicated in these outcomes, but, to date, studies have primarily understood these inequalities in terms of 'diagnostic overshadowing': the misattribution of physical symptoms to mental health conditions. In this paper, we use the can…
Good bioethics and a good bioethicist
To what extent should doctors communicate diagnostic uncertainty with their patients? An empirical ethics vignette study
BACKGROUND/AIMS: Although diagnostic uncertainty is common, patient-focused research examining its communication is lacking. We aimed to determine patient preferences for the communication of diagnostic uncertainty, and examine the effects of such communication on patients. METHODS: We applied an empirical ethics approach, integrating the data collected with ethical analysis to form normative recommendations about diagnostic uncertainty communica…
In Defence of Causing Patients to Worry
Doctors are often motivated by a desire to avoid causing their patients worry. In this paper, we provide a defence of disclosing diagnostic uncertainty information to patients, even if such disclosures are worrying. We first consider whether making a patient worry harms them, arguing that worry can be harmful in some—but not all—situations. Although worry is an aversive emotion, sometimes, worry can be beneficial (e.g., if the worry drives adapti…
Anticipatory regulation, anticipatory ethics
How and why do doctors communicate diagnostic uncertainty
BACKGROUND: Diagnostic uncertainty is common, but its communication to patients is under-explored. This study aimed to (1) characterise variation in doctors' communication of diagnostic uncertainty and (2) explore why variation occurred. METHODS: Four written vignettes of clinical scenarios involving diagnostic uncertainty were developed. Doctors were recruited from five hospitals until theoretical saturation was reached (n = 36). Participants re…
Identifying Facilitators and Inhibitors of Shared Understanding
BACKGROUND AND AIMS: Communication is important in determining how patients understand the diagnostic process. Empirical studies involving direct observation of communication within diagnostic processes are relatively limited. This ethnographic study aimed to identify communicative practices facilitating or inhibiting shared understanding between patients and doctors in UK acute secondary care settings. METHODS: Data were collected in acute medic…
In defence of our model for just healthcare systems
In a recent response to our paper on developing a philosophical framework to guide the design and delivery of a just health service, Sarela raises several objections. We feel that although Sarela makes points which are worthy of discussion, his critique does not undermine either the need for, or the worth of, our proposed model. First, the law does not negate the need for ethics in determining just healthcare policy. Reliance on legal processes c…
When the frameworks don’t work
Medical ethics and the climate change emergency
Doctors have an ethical obligation to ask patients about food insecurity
Inadequate diet is the leading risk factor for morbidity and mortality worldwide. However, approaches to identifying inadequate diets in clinical practice remain inconsistent, and dietary interventions (on both individual and public health policy levels) frequently focus on facilitating ‘healthy choices’, with limited emphasis on structural constraints. We examine the ethical implications of introducing a routine question in the medical history a…
Custodians of Information
In the UK, in the acute in-patient setting, the only information that a patient receives about their medical care is verbal; there is no routine patient access to any part of the medical record. It has been suggested that this should change, so that patients can have real-time access to their notes, but no one has previously explored patient or clinician views on the impact this might have. Semi-structured interviews were conducted with 12 patien…
Consenting to consent
Both ethicists and lawyers accept that a provider – be it a researcher or a clinician – should provide sufficient information for a reasonable person to make an informed decision about whether they wish to go ahead with the proposed intervention or treatment.1 They are bound to do so both because they have an ethical responsibility to preserve the individual’s autonomous decision making, and, in many countries, because the law obliges them to. In…
Family members, ambulance clinicians and attempting CPR in the community
Here we present the personal perspectives of two authors on the important and unfortunately frequent scenario of ambulance clinicians facing a deceased individual and family members who do not wish them to attempt cardiopulmonary resuscitation. We examine the professional guidance and the protection provided to clinicians, which is not matched by guidance to protect family members. We look at the legal framework in which these scenarios are takin…
Solidarity, sustainability and medical ethics
In this issue of the Journal of Medical Ethics arguments are cogently made that sustainability and solidarity should be considered as core medical ethical principles, and that more explicit attention should be given to the complex context in which a decision is made. Munthe et al propose that sustainability should become an established principle for justifying healthcare resource allocation, and should be an explicit factor in procuring drugs and…
Integrating philosophy, policy and practice to create a just and fair health service
To practise ‘fairly and justly’ a clinician must balance the needs of both the many and the few: the individual patient in front of them, and the many unseen patients in the waiting room, and in the county. They must consider the immediate clinical needs of those in the present, and how their actions will impact on future patients. The good medical practice guidance ‘Make the care of your patient your first concern’ provides no guidance on how do…
Acute Medicine
Sin obras prominentes en esta página.
Acute Medicine
Integrating philosophy, policy and practice to create a just and fair health service
To practise ‘fairly and justly’ a clinician must balance the needs of both the many and the few: the individual patient in front of them, and the many unseen patients in the waiting room, and in the county. They must consider the immediate clinical needs of those in the present, and how their actions will impact on future patients. The good medical practice guidance ‘Make the care of your patient your first concern’ provides no guidance on how do…
Custodians of Information
In the UK, in the acute in-patient setting, the only information that a patient receives about their medical care is verbal; there is no routine patient access to any part of the medical record. It has been suggested that this should change, so that patients can have real-time access to their notes, but no one has previously explored patient or clinician views on the impact this might have. Semi-structured interviews were conducted with 12 patien…
Consenting to consent
Both ethicists and lawyers accept that a provider – be it a researcher or a clinician – should provide sufficient information for a reasonable person to make an informed decision about whether they wish to go ahead with the proposed intervention or treatment.1 They are bound to do so both because they have an ethical responsibility to preserve the individual’s autonomous decision making, and, in many countries, because the law obliges them to. In…
Family members, ambulance clinicians and attempting CPR in the community
Here we present the personal perspectives of two authors on the important and unfortunately frequent scenario of ambulance clinicians facing a deceased individual and family members who do not wish them to attempt cardiopulmonary resuscitation. We examine the professional guidance and the protection provided to clinicians, which is not matched by guidance to protect family members. We look at the legal framework in which these scenarios are takin…
Solidarity, sustainability and medical ethics
In this issue of the Journal of Medical Ethics arguments are cogently made that sustainability and solidarity should be considered as core medical ethical principles, and that more explicit attention should be given to the complex context in which a decision is made. Munthe et al propose that sustainability should become an established principle for justifying healthcare resource allocation, and should be an explicit factor in procuring drugs and…
In defence of our model for just healthcare systems
In a recent response to our paper on developing a philosophical framework to guide the design and delivery of a just health service, Sarela raises several objections. We feel that although Sarela makes points which are worthy of discussion, his critique does not undermine either the need for, or the worth of, our proposed model. First, the law does not negate the need for ethics in determining just healthcare policy. Reliance on legal processes c…
When the frameworks don’t work
Medical ethics and the climate change emergency
Doctors have an ethical obligation to ask patients about food insecurity
Inadequate diet is the leading risk factor for morbidity and mortality worldwide. However, approaches to identifying inadequate diets in clinical practice remain inconsistent, and dietary interventions (on both individual and public health policy levels) frequently focus on facilitating ‘healthy choices’, with limited emphasis on structural constraints. We examine the ethical implications of introducing a routine question in the medical history a…
Anticipatory regulation, anticipatory ethics
How and why do doctors communicate diagnostic uncertainty
BACKGROUND: Diagnostic uncertainty is common, but its communication to patients is under-explored. This study aimed to (1) characterise variation in doctors' communication of diagnostic uncertainty and (2) explore why variation occurred. METHODS: Four written vignettes of clinical scenarios involving diagnostic uncertainty were developed. Doctors were recruited from five hospitals until theoretical saturation was reached (n = 36). Participants re…
Identifying Facilitators and Inhibitors of Shared Understanding
BACKGROUND AND AIMS: Communication is important in determining how patients understand the diagnostic process. Empirical studies involving direct observation of communication within diagnostic processes are relatively limited. This ethnographic study aimed to identify communicative practices facilitating or inhibiting shared understanding between patients and doctors in UK acute secondary care settings. METHODS: Data were collected in acute medic…
Good bioethics and a good bioethicist
To what extent should doctors communicate diagnostic uncertainty with their patients? An empirical ethics vignette study
BACKGROUND/AIMS: Although diagnostic uncertainty is common, patient-focused research examining its communication is lacking. We aimed to determine patient preferences for the communication of diagnostic uncertainty, and examine the effects of such communication on patients. METHODS: We applied an empirical ethics approach, integrating the data collected with ethical analysis to form normative recommendations about diagnostic uncertainty communica…
In Defence of Causing Patients to Worry
Doctors are often motivated by a desire to avoid causing their patients worry. In this paper, we provide a defence of disclosing diagnostic uncertainty information to patients, even if such disclosures are worrying. We first consider whether making a patient worry harms them, arguing that worry can be harmful in some—but not all—situations. Although worry is an aversive emotion, sometimes, worry can be beneficial (e.g., if the worry drives adapti…
Willing to Donate? A Quantitative and Thematic Analysis of Attitudes to Deceased Organ Donation in Different Circumstances
INTRODUCTION: The UK public's willingness to donate, knowledge of, and concerns about different organ donation scenarios are not known. METHODS: A validated questionnaire was developed based on a literature review of the ethical issues associated with uncontrolled Donation after Circulatory Death (uDCD). Participants read three scenarios (Donation after Brain Death [DBD], controlled, and uncontrolled Donation after Circulatory Death [cDCD and uDC…
Why administration of lethal drugs should not be the role of the doctor
The suitability of doctors as agents of assisting dying remains debated, although it is common in many jurisdictions, and forms part of the proposed assisted dying legislation for England and Wales. We examine the established philosophical and legal role of doctors in England and Wales and compare it to the active role required of doctors under proposed assisted dying legislation. For clarity, we refer to the latter role as ‘assisted dying practi…
An ethnographic study of diagnosis of physical illness in people with mental health conditions in the emergency department
People living with mental health conditions face reduced life expectancy, largely associated with under-diagnosed and under-treated physical illnesses. Inequalities in the way physical symptoms are diagnosed may be implicated in these outcomes, but, to date, studies have primarily understood these inequalities in terms of 'diagnostic overshadowing': the misattribution of physical symptoms to mental health conditions. In this paper, we use the can…
Medicine (10 obras) · Political science (9 obras) · Psychology (9 obras) · Computer Science (7 obras) · Law (6 obras) · Clinical Reasoning and Diagnostic Skills (5 obras) · Engineering (5 obras) · Palliative Care and End-of-Life Issues (5 obras) · Patient-Provider Communication in Healthcare (5 obras) · Data science (4 obras)