Clinical realities and moral dilemmas: Contrasting perspective from academic medicine in Kenya, Tanzania and America
| dc.contributor.author | Mwaikambo, Esther D. | |
| dc.date.accessioned | 2020-11-02T09:51:24Z | |
| dc.date.available | 2020-11-02T09:51:24Z | |
| dc.date.issued | 1999 | |
| dc.description.abstract | Physians in university hospitals in Africa face a funda mental moral crisis: hospitals are overwhelmed by pa tients dying from AIDS, and physicians have few re sources to respond. In such settings, not only do physicians face very specific moral dilemmas?how to ration scarce resources and acquire costly medications, how to inform families that a child is HIV positive?but the very moral foundations of medi cine as a scientific and caring profession are called into ques tion. Practicing medicine and training new physicians in such settings produce profound ethical dilemmas. On the surface, the situation in teaching hospitals in North America could hardly be more different. Resources for high technology medical practice are abundant, though not unlim ited. Physicians and medical students see a wide range of dis ease conditions and manage patients with diverse prognoses.Ethical dilemmas about when to provide or withhold care and how to involve patients in decision making are present, but at a different level. | en_US |
| dc.identifier.citation | Good, M.J.D., Mwaikambo, E., Amayo, E. and Machoki, J.M.I., 1999. Clinical realities and moral dilemmas: Contrasting perspectives from academic medicine in Kenya, Tanzania, and America. Daedalus, 128(4), pp.167-196. | en_US |
| dc.identifier.other | https://www.jstor.org/stable/20027592?seq=1#metadata_info_tab_contents | |
| dc.identifier.uri | http://hdl.handle.net/123456789/723 | |
| dc.language.iso | en | en_US |
| dc.publisher | Daedalus | en_US |
| dc.subject | Clinical realities | en_US |
| dc.subject | Moral dilemmas | en_US |
| dc.subject | Kenya, Tanzania and America | en_US |
| dc.title | Clinical realities and moral dilemmas: Contrasting perspective from academic medicine in Kenya, Tanzania and America | en_US |
| dc.type | Article | en_US |