semmelweis university 2 0 1 2 / 2 0 1 3

SEMMELWEIS UNIVERSITY / FACULTY OF DENTISTRY
366
4. week (Practices)
The concept of health and disease.
Naturalistic definitions of health.
The medical model of defining health.
Normativist definitions of health.
Some questions of psychiatric ethics.
5. week (Lecture)
Informed consent.
Simple consent and paternalism in medicine.
The emergence of the doctrine of informed consent.
Standards for information disclosure for patients.
When is informed consent not necessary?
Standards of competence and incompetence.
The right to refuse medical treatment.
Some psychological and communicational aspects of informed consent.
6. week (Practices)
Information disclosure to terminally ill patients. Telling the truth to patients.
The history of information disclosure to terminally ill patients.
Pros and cons for lying to terminally ill patients.
The weaknesses of the arguments in favour of lying.
The dying process according to E. Kübler-Ross.
How to communicate the bad news to terminally ill patients.
The physician’s relationship with the relatives of the deceased patient.
7. week (Lecture).
Justice in Health Care I. Ethical questions of macroallocation.
Higher and lower level macroallocational problems.
The role of personal responsibility in maintaining health.
The principles and practice of rationing in contemporary health care systems. (Soft and hard
rationing.)
Medical ethics and medical economics. Ethical questions of cost-benefit and cost effectiveness
analysis. The QALY.
The problem of right to health care. (The libertarian, the liberal and the socialist views about the
right to health care.)
The role of the market and that of the state in the health care system.
Ethical problems of financing health care. (Fee-for-service, capitation, fixed salary, DRG-system,
etc.)
Setting health care priorities in Oregon.
Attempts to define a just health care system.
8. week (Pratcices)
Ethical questions of reproductive medicine.
Abortion.
Artificial insemination from donor.
In vitro fertilization, surrogate motherhood.
Ethical questions of genetic counseling.
Ethical questions of embryo experimentation.