The Roles of a Bioethicist on an Organ Transplantation Service

Transplantation for Alcoholic Hepatitis: Are We Achieving Justice and Utility?

“…With a thorough psychosocial intake versus a “stringent” psychosocial evaluation, LT programs will need to be enhanced by expanding evidence‐based treatment options for patients with AH (e.g., the inclusion of weekly motivational interviewing in a posttransplant clinic or case management services in an outpatient hepatology clinic before LT evaluation) that have been proven to be effective . Finally, many hospitals have trained bioethicists to assist in helping resolve highly controversial cases in which ethical issues arise; transplant centers should consider standard approaches of engaging these health care professionals and including them in candidate selection discussions when appropriate …”

“…(15) Finally, many hospitals have trained bioethicists to assist in helping resolve highly controversial cases in which ethical issues arise; transplant centers should consider standard approaches of engaging these health care professionals and including them in candidate selection discussions when appropriate. (18)…”

Moving towards implementation of a clinical ethics consultation program in Egyptian liver transplant units

“…Ethics consultants contribute to achieving patient care goals by facilitating resolution of conflicts in a respectful atmosphere through a fair and inclusive decision-making process, helping institutions to shape policies and practices that conform with the highest ethical standards, and assisting individual persons with handling current and future ethical problems by providing education in healthcare ethics to the transplant team. 15 It is generally agreed that ethics consultants can advise clinicians, patients, and family members on ethical matters including:…”

“…The bioethicist's interdisciplinary education, preparation, experience, and familiarity with ethics, law, sociology, philosophy, and skills of mediation, communication and ethical analysis contribute to addressing and resolving many issues in transplantation. 15 Healthcare planners have duties to foster an ethical practice environment, and should hold physicians accountable for quality of care and not simply for performance. 12 The patient-physician relationship and the principles that govern it should be central to the delivery of care.…”

“…Clash of values among the various stakeholders may create problems for the transplant team. A clinical bioethicist will approach such cases systematically, using theory related to transplantation to determine a morally satisfactory solution, 15 according to the religious and social beliefs and norms of Egyptian patients.…”