Religion, Conscience, and Controversial Clinical Practices

Curlin, Farr A.; Lawrence, Ryan E.; Chin, Marshall H.; Lantos, John D.

doi:10.1056/nejmsa065316

Cited by 302 publications

(228 citation statements)

References 17 publications

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“…No entanto, em um país laico, como o Brasil, as razões e crenças religiosas não devem ser definidoras para o estabelecimento das políticas públicas e da assistência em saúde. Médicos com filiação religiosa apresentam menor disponibilidade para aconselhar e participar de procedimentos no aborto eletivo 8,15 . Pesquisa conduzida em quatro universidades do Reino Unido mostrou que 76,2% dos alunos muçulmanos entrevistados acreditam que médicos têm o direito de recusar a participação em qualquer procedimento, inclusive o aborto 11 .…”

Section: Discussionunclassified

“…As categorias de respostas para as seções B e C foram "sim" ou "não". O questionário foi desenhado levando em consideração estudos prévios sobre atitudes e opiniões sobre o aborto entre médicos e estudantes de Medicina 8,11,13 .…”

Section: Coleta De Dadosunclassified

“…Inquéritos realizados em outros países demonstraram que são os médicos do sexo masculino e com filiação religiosa os que mais frequentemente se recusam a justificar a objeção e encaminhar a paciente à assistência em saúde 8,9 . O Código de Ética Médica brasileiro garante ao médico o direito de objeção, mas impõe a ele a responsabilidade de não dificultar o acesso ao aborto previsto em lei 10 .…”

Section: Introductionunclassified

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Objeção de Consciência e Aborto Legal: Atitudes de Estudantes de Medicina

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Rufino

Santos

et al. 2016

Rev. bras. educ. med.

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Section: Discussionunclassified

Section: Coleta De Dadosunclassified

Section: Introductionunclassified

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Objeção de Consciência e Aborto Legal: Atitudes de Estudantes de Medicina

Madeiro

Rufino

Santos

et al. 2016

Rev. bras. educ. med.

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“…The latter items were derived from Hoge's Intrinsic Religious Motivation Scale 20 and have been validated extensively in our own and others' research. [21][22][23][24] In all cases, findings for religious attendance and intrinsic religiosity paralleled those for importance of religion, so we display only the results for importance of religion.…”

Section: Questionnairementioning

confidence: 96%

A Spiritual Problem? Primary Care Physicians’ and Psychiatrists’ Interpretations of Medically Unexplained Symptoms

et al. 2012

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BACKGROUND:Patients commonly present to their physicians with medically unexplained symptoms (MUS), and there is no consensus about how physicians should interpret or treat such symptoms. OBJECTIVE: To examine how variations in physicians' interpretations of MUS are associated with physicians' religious characteristics and with physician specialty (primary care vs. psychiatry). DESIGN AND PARTICIPANTS: A national survey of a stratified random sample of 1,504 primary care physicians and 512 psychiatrists in 2009-2010. MAIN MEASURES: The extent to which physicians believe MUS reflect a root problem that is spiritual in nature or result from conditions that scientific research will eventually explain, and whether such patients would benefit from attention to their relationships, attention to their spiritual life, taking medications, and/or treatment by physicians. KEY RESULTS: Response rate was 63 % (1,208/ 1,909). More religious/spiritual physicians were more likely to believe that MUS reflect a spiritual problem (55 % for high vs. 24 % for low spirituality; OR=2.8, 1.7-4.5) and that these patients would benefit from paying attention to their spiritual life (79 % for high vs. 55 % for low spirituality; OR=3.1, 1.8-5.3). Psychiatrists were more likely to believe that scientific research will one day explain MUS (66 % vs. 52 %; OR= 1.9, 1.4-2.5) and that these symptoms will improve with treatment by a physician (54 % vs. 35 %; OR=2.4, 1.8-3.3). They were less likely to believe that MUS reflect a spiritual problem (23 % vs. 38 %; OR=0.5, 0.4-0.8). CONCLUSIONS: Physicians' interpretations of MUS vary widely, depending in part on physicians' religious characteristics and specialty. One in three physicians believes that patients with MUS have root problems that are spiritual in nature. Physicians who are more religious or spiritual are more likely to think of MUS as stemming from spiritual concerns. Psychiatrists are more optimistic that these patients will get better with treatment by physicians.

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“…The study then uses an experimental vignette to see whether physicians' ingeneral opinions about directive counsel are reflected in their opinions about directive counsel for a patient requesting palliative sedation to unconsciousness. Because previous studies have indicated a relationship between religious variables and physician responses in morally controversial situations, 17,[19][20][21] religious characteristics and other demographic covariates were included in the analysis.…”

Section: Introductionmentioning

confidence: 99%