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Al Sad S, Padela AI. Career Satisfaction and Burnout among American Muslim Physicians. Avicenna J Med 2023; 13:117-129. [PMID: 37483993 PMCID: PMC10361258 DOI: 10.1055/s-0043-1770701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Abstract
Background Career satisfaction and burnout among physicians are important to study because they impact healthcare quality, outcomes, and physicians' well-being. Relationships between religiosity and these constructs are underexplored, and Muslim American physicians are an understudied population. Methods To explore relationships between career satisfaction, burnout, and callousness and Muslim physician characteristics, a questionnaire including measures of religiosity, career satisfaction, burnout, callousness, and sociodemographic characteristics was mailed to a random sample of Islamic Medical Association of North America members. Statistical relationships were explored using chi-squared tests and logistic regression models. Results There were 255 respondents (41% response rate) with a mean age of 52 years. Most (70%) were male, South Asian (70%), and immigrated to the United States as adults (65%). Nearly all (89%) considered Islam the most or very important part of their life, and 85% reported being somewhat or very satisfied with their career. Multivariate models revealed that workplace accommodation of religious identity is the strongest predictor of career satisfaction (odds ratio [OR]: 2.69, p = 0.015) and that respondents who considered religious practice to be the most important part of their lives had higher odds of being satisfied with their career (OR: 2.21, p = 0.049) and lower odds of burnout (OR: 0.51, p = 0.016). Participants who felt that their religion negatively influenced their relationships with colleagues had higher odds of callousness (OR: 2.25, p = 0.003). Conclusions For Muslim physicians, holding their religion to be the most important part of their life positively associates with career satisfaction and lower odds of burnout and callousness. Critically, perceptions that one's workplace accommodates a physician's religious identity associate strongly with career satisfaction. In this era of attention to physician well-being, the importance of religiosity and religious identity accommodations to positive career outcomes deserves focused policy attention.
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Affiliation(s)
- Sondos Al Sad
- Initiative on Islam and Medicine, Brookfield, Wisconsin, United States
| | - Aasim I. Padela
- Initiative on Islam and Medicine, Brookfield, Wisconsin, United States
- Department of Emergency Medicine, HUB for Collaborative Medicine, The Medical College of Wisconsin, Milwaukee, Wisconsin, United States
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Horner C, Campo-Engelstein L. Dueling Definitions of Abortifacient: How Cultural, Political, and Religious Values Affect Language in the Contraception Debate. Hastings Cent Rep 2021; 50:14-19. [PMID: 33448401 DOI: 10.1002/hast.1161] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Contraception works by preventing fertilization of an egg or preventing implantation of a fertilized embryo. For those who believe pregnancy begins at implantation, contraceptives preventing implantation are not abortifacient. However, for those who assert that pregnancy begins at fertilization, any agent causing the intentional loss of an embryo, even prior to implantation, is abortifacient, both morally and for lack of a different term to describe the postfertilization, preimplantation loss. In the debate on this topic, much of the discourse on both sides wrongly focuses on the opposing side's perceived ignorance in denying scientifically proven definitions rather than on the substance of the conflict. Indeed, both sides accuse the other of prioritizing its "subjective" views over "objective" facts. In this essay, we unpack the scientific, cultural, and religious factors that underlie this debate. We argue that the only way to move forward is to clarify our terminology and engage with the substance of the argument, rather than merely the rhetoric.
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Zigdon A, Koren G, Korn L. Characteristics Related to Choice of Obstetrician-Gynecologist among Women of Ethiopian Descent in Israel. Healthcare (Basel) 2020; 8:E444. [PMID: 33143132 PMCID: PMC7712956 DOI: 10.3390/healthcare8040444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 10/27/2020] [Accepted: 10/28/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Patient satisfaction with the quality of health care services is complex with many known factors impacting upon satisfaction, among them the choice of physician. Previous studies examined characteristics of a woman's choice of gynecologist, but information regarding reasons for these choices among women of Ethiopian descent is lacking. The objective of this study was to identify characteristics related preference of an obstetrician-gynecologist based on gender among women of Ethiopian descent. METHOD Analysis of anonymous self-reported questionnaire distributed to 500 women of Ethiopian descent who visited an obstetrician-gynecologist at least once in the past three years (Mean age 29.5; SD = 8.2). Trust in physician was examined using the TPS scale; service quality was checked using the SERVQUAL; and the 5Qs model was used to measure patient's satisfaction of health care. RESULTS Very religious (84.1%) and religious (53.6%) women of Ethiopian descent were more likely to prefer a female obstetrician-gynecologist compared to traditional (39.3%) or secular (34.4%) women (p < 0.001). Participants had higher probability to prefer a male gynecologist if they had more employment hours (OR = 3.57, 95% CI = 1.72-7.42, p < 0.001), and the responsiveness of the physician was less important to them (OR = 0.77, 95% CI = 0.60-0.99, p < 0.05). Age of participants, country of birth, years in Israel, family status, being a mother, education or health status were not associated with choosing a female obstetrician-gynecologist. Religious women would prefer to wait longer for a female gynecologist due to modesty imperatives, even at the cost of compromising their health as a result of waiting longer. CONCLUSIONS The findings of this research highlight the importance of accessibility to female obstetrician-gynecologists for women of Ethiopian descent and demonstrate that determinants in the host population rather than immigrant's past culture, affect the women's decision. This study demonstrates the importance of the health care system in Israel to enable more female obstetrician-gynecologists to treat women of Ethiopian descent.
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Affiliation(s)
- Avi Zigdon
- Department of Health Systems Management, School of Health Sciences, Ariel University, 40700 Ariel, Israel;
| | - Gideon Koren
- Adelson Faculty of Medicine, Ariel University, 40700 Ariel, Israel;
- Motherisk Israel Program, Shamir Medical Center, 70300 Be’er Ya’akov, Israel
| | - Liat Korn
- Department of Health Systems Management, School of Health Sciences, Ariel University, 40700 Ariel, Israel;
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Wagner BG, Cleland K, Batur P, Wu J, Rothberg MB. Emergency contraception: Links between providers' counseling choices, prescribing behaviors, and sociopolitical context. Soc Sci Med 2019; 242:112588. [DOI: 10.1016/j.socscimed.2019.112588] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 09/20/2019] [Accepted: 10/03/2019] [Indexed: 12/30/2022]
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Hamouda MA, Emanuel LL, Padela AI. Empathy and Attending to Patient Religion/Spirituality: Findings from a National Survey of Muslim Physicians. J Health Care Chaplain 2019; 27:84-104. [PMID: 31179903 DOI: 10.1080/08854726.2019.1618063] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Attending to patient religion and spirituality (R/S) generates controversy. Some worry that because physicians lack formal religious training they may overstep their expertise, while others argue that physicians who are attentive to patient R/S provide higher quality of care. We aimed to describe American Muslim physicians' perspectives and practices regarding R/S discussions, and how physician characteristics correlate with these. A questionnaire including measures of religiosity, empathy, and attitudes and behaviors toward R/S, was randomly administered to Islamic Medical Association of North America members. More empathetic physicians were more likely to inquire about patients' R/S, share their own religious ideas and experiences, and encourage patients in their own R/S beliefs and practices (β = .44, p < .01). More empathetic physicians also had greater odds of encouraging discontinuation of futile life-sustaining interventions (OR 1.90, p < .05). Additionally, respondents with higher empathy had greater odds of encouraging patients at the end-of-life to seek reconciliation with God (OR 3.27, p < .001), and seek the forgiveness of those they have wronged (OR 2.48, p < .001). In the context of R/S diversity among the patient and provider population, enhancing physician empathy may be key to attending to the health-related R/S needs of patients.
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Affiliation(s)
- Mohamed A Hamouda
- Initiative on Islam and Medicine, University of Chicago, Chicago, IL, USA.,Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Linda L Emanuel
- Adult Psychotherapy, Supportive Oncology, Medicine, General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Aasim I Padela
- Section of Emergency Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA.,MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL, USA
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Duivenbode R, Hall S, Padela AI. Assessing Relationships Between Muslim Physicians’ Religiosity and End-of-Life Health-Care Attitudes and Treatment Recommendations: An Exploratory National Survey. Am J Hosp Palliat Care 2019; 36:780-788. [DOI: 10.1177/1049909119833335] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Background: Research demonstrates that the attitudes of religious physicians toward end-of-life care treatment can differ substantially from their nonreligious colleagues. While there are various religious perspectives regarding treatment near the end of life, the attitudes of Muslim physicians in this area are largely unknown. Objective: This article attempts to fill in this gap by presenting American Muslim physician attitudes toward end-of-life care decision-making and by examining associations between physician religiosity and these attitudes. Methods: A randomized national sample of 626 Muslim physicians completed a mailed questionnaire assessing religiosity and end-of-life care attitudes. Religiosity, religious practice, and bioethics resource utilization were analyzed as predictors of quality-of-life considerations, attitudes regarding withholding and withdrawing life-sustaining treatment, and end-of-life treatment recommendations at the bivariate and multivariable level. Results: Two-hundred fifty-five (41% response rate) respondents completed surveys. Most physicians reported that religion was either very or the most important part of their life (89%). Physicians who reported consulting Islamic bioethics literature more often had higher odds of recommending active treatment over hospice care in an end-of-life case vignette. Physicians who were more religious had higher odds of viewing withdrawal of life-sustaining treatment more ethically and psychologically challenging than withholding it and had lower odds of agreeing that one should always comply with a competent patient’s request to withdraw life-sustaining treatment. Discussion: Religiosity appears to impact Muslim physician attitudes toward various aspects of end-of-life health-care decision-making. Greater research is needed to evaluate how this relationship manifests itself in patient care conversations and shared clinical decision-making in the hospital.
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Affiliation(s)
- Rosie Duivenbode
- Initiative on Islam and Medicine, The University of Chicago, Chicago, IL, USA
| | - Stephen Hall
- Initiative on Islam and Medicine, The University of Chicago, Chicago, IL, USA
- Department of Medicine, Section of Emergency Medicine, The University of Chicago, Chicago, IL, USA
| | - Aasim I. Padela
- Initiative on Islam and Medicine, The University of Chicago, Chicago, IL, USA
- Department of Medicine, Section of Emergency Medicine, The University of Chicago, Chicago, IL, USA
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Ahmed M, Kubilis P, Padela A. American Muslim Physician Attitudes Toward Organ Donation. JOURNAL OF RELIGION AND HEALTH 2018; 57:1717-1730. [PMID: 30076496 DOI: 10.1007/s10943-018-0683-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Religious beliefs and values impact Muslim patients' attitudes toward a variety of healthcare decisions, including organ donation. Muslim physician attitudes toward organ donation, however, are less well studied. Utilizing a national survey of physician members of the Islamic Medical Association of North America, relationships between religiosity, patterns of bioethics resource utilization, and sociodemographic characteristics with attitudes toward organ donation were assessed. Of 255 respondents, 251 answered the target question, "in your understanding, does Islamic bioethics and law permit organ donation?." 177 respondents (70%) answered positively, 30 (12%) negatively, and 46 (18%) did not know. Despite the overwhelming majority of respondents believing organ donation to be permitted by Islamic bioethics and law, fewer than one-third (n = 72, 30%) are registered donors. Several sociodemographic features had a positive association with believing organ donation to be permitted: ethnic descent other than that of South Asian, having immigrated to the USA as an adult, and male sex. When using a logistic regression model controlling for these three variables as potential confounders, the best predictor of Muslim physicians believing organ donation to be permissible was utilization of an Imam as a bioethical resource (odds ratio 5.9, p = 0.02). Religiosity variables were not found to be associated with views on the Islamic permissibility of organ donation. While Muslim American physicians appear to believe there is religious support for organ donation, only a minority sign up to be donors. Greater study is needed to understand how physicians' attitudes regarding donation impact discussions between patients and physicians regarding the possibility of donating and of receiving a transplant.
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Affiliation(s)
- Mustafa Ahmed
- Division of Cardiovascular Medicine, University of Florida College of Medicine, 1600 SW Archer Rd, P.O. Box 100277, Gainesville, FL, 32610, USA.
| | - Paul Kubilis
- Department of Neurosurgery, University of Florida, 1600 SW Archer Rd, P.O. Box 100265, Gainesville, FL, 32610, USA
| | - Aasim Padela
- Initiative on Islam and Medicine, Program on Medicine and Religion, University of Chicago, 5841 South Maryland Ave., MC 5068, Chicago, IL, 60637, USA
- Section of Emergency Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA
- MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL, USA
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Ross E. Provisionally pregnant: uncertainty and interpretive work in accounts of home pregnancy testing. Health (London) 2017; 22:87-105. [DOI: 10.1177/1363459317739439] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Upon their availability for purchase in the 1970s, home pregnancy testing devices were hailed as a ‘revolution’ for women’s reproductive rights. Some authors, however, have described these technologies as further enabling the medicalisation of pregnancy and as contributing to the devaluing of women’s embodied knowledge. The home pregnancy test is one of many technological devices encountered by women experiencing pregnancy in the United Kingdom today. Existing literature has described how engagement with medical technologies during pregnancy might address uncertainties experienced at this time, providing women with reassurance and alleviating anxieties. Drawing on interviews with women living in Scotland, this article explores accounts of testing for a first pregnancy, and women’s descriptions of the impacts of home pregnancy testing upon experiences of early gestation. Participants engaged with pregnancy tests in varying ways, with uses shaping and shaped by their experiences of early pregnancy more broadly. Particular technical characteristics of the home pregnancy test led many participants to question their interpretation of a positive result, as well as the accuracy of the test itself. Rather than addressing the unknowns of early gestation by confirming a suspected pregnancy, a positive result could thus exacerbate uncertainty. Through participants’ accounts, this article shows how uncertainty is lived out by users of mundane techno-medical artefacts and sheds new light on women’s experiences of the first trimester of pregnancy.
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Goodin A, Delcher C, Valenzuela C, Wang X, Zhu Y, Roussos-Ross D, Brown JD. The Power and Pitfalls of Big Data Research in Obstetrics and Gynecology: A Consumer's Guide. Obstet Gynecol Surv 2017; 72:669-682. [PMID: 29164265 PMCID: PMC5704657 DOI: 10.1097/ogx.0000000000000504] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
IMPORTANCE Research in obstetrics and gynecology (OB/GYN) increasingly relies on "big data" and observational study designs. There is a gap in practitioner-relevant guides to interpret and critique such research. OBJECTIVE This guide is an introduction to interpreting research using observational data and provides explanations and context for related terminology. In addition, it serves as a guide for critiquing OB/GYN studies that use observational data by outlining how to assess common pitfalls of experimental and observational study designs. Lastly, the piece provides a compendium of observational data resources commonly used within OB/GYN research. EVIDENCE ACQUISITION Review of literature was conducted for the collection of definitions and examples of terminology related to observational data research. Data resources were collected via Web search and researcher recommendations. Next, each data resource was reviewed and analyzed for content and accessibility. Contents of data resources were organized into summary tables and matched to relevant literature examples. RESULTS We identified 26 observational data resources frequently used in secondary analysis for OB/GYN research. Cost, accessibility considerations for software/hardware capabilities, and contents of each data resource varied substantially. CONCLUSIONS AND RELEVANCE Observational data sources can provide researchers with a variety of options in tackling their research questions related to OB/GYN practice, patient health outcomes, trends in utilization of medications/procedures, or prevalence estimates of disease states. Insurance claims data resources are useful for population-level prevalence estimates and utilization trends, whereas electronic health record-derived data and patient survey data may be more useful for exploring patient behaviors and trends in practice.
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Affiliation(s)
- Amie Goodin
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
| | - Chris Delcher
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
| | - Chelsea Valenzuela
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
| | - Xi Wang
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
| | - Yanmin Zhu
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
| | - Dikea Roussos-Ross
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
| | - Joshua D. Brown
- *Postdoctoral Associate, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; †Assistant Professor and ‡Student, Department of Health Outcomes & Policy, University of Florida College of Medicine; §Graduate Student, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy; ¶Assistant Professor, Departments of Obstetrics & Gynecology and Psychiatry, University of Florida College of Medicine; and ∥Assistant Professor, Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL
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Attitudes toward Abortion among Providers of Reproductive Health Care. Womens Health Issues 2016; 26:511-6. [DOI: 10.1016/j.whi.2016.06.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 06/16/2016] [Accepted: 06/21/2016] [Indexed: 11/20/2022]
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Mahdi S, Ghannam O, Watson S, Padela AI. Predictors of Physician Recommendation for Ethically Controversial Medical Procedures: Findings from an Exploratory National Survey of American Muslim Physicians. JOURNAL OF RELIGION AND HEALTH 2016; 55:403-21. [PMID: 26613589 DOI: 10.1007/s10943-015-0154-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Physician religiosity can influence their ethical attitude toward medical procedures and can thereby impact healthcare delivery. Using a national survey of American Muslim physicians, we explored the association between physician recommendation of three controversial medical procedures--tubal ligation, abortion, and porcine-based vaccine--and their (1) religiosity, (2) utilization of bioethics resources, and (3) perception of whether the procedure was a medical necessity and if the scenario represented a life threat. Generally, multivariate models found that physicians who read the Qur'an more often as well as those who perceived medical necessity and/or life threat had a higher odds recommending the procedures, whereas those who sought Islamic bioethical guidance from Islamic jurists (or juridical councils) more often had a lower odds. These associations suggest that the bioethical framework of Muslim physicians is influenced by their reading of scripture, and the opinions of Islamic jurists and that these influences may, paradoxically, be interpreted to be in opposition over some medical procedures.
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Affiliation(s)
- Sundus Mahdi
- The Centre for Islam and Medicine, Cambridge, UK
| | - Obadah Ghannam
- The Centre for Islam and Medicine, Cambridge, UK
- Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK
| | - Sydeaka Watson
- Department of Public Health Sciences, The University of Chicago, Chicago, IL, USA
| | - Aasim I Padela
- Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, IL, USA.
- Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA.
- MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA.
- The Initiative on Islam and Medicine, Section of Emergency Medicine, 5841 South Maryland Ave., MC 5068, Chicago, IL, 60637, USA.
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Germán Zurriaráin R. La cuestión de fondo sobre el tema del aborto. PERSONA Y BIOÉTICA 2015. [DOI: 10.5294/pebi.2015.19.1.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
El tema del aborto siempre está en debate. Más todavía, cuando en España, desde finales del 2013, se estaba discutiendo el Ante- proyecto de Ley Orgánica sobre el aborto. El núcleo central del debate radica, como presupuesto del bioderecho, en dos cuestiones. La primera, si esa realidad que está en el vientre materno se puede considerar desde la concepción un ser humano o, por el contrario, no puede considerarse como tal desde el comienzo, esto es, si desde la concepción podemos hablar de identidad humana. El segundo, es la cuestión de si el ser humano no nacido queda protegido jurídicamente en la Constitución española, es decir, el tema del derecho a la vida. Afirmo que, según los datos de las ciencias empíricas, por un lado, el no nacido es un ser humano. Por otro, que el no nacido no solo es un bien jurídico constitucionalmente protegido, como dice la Sentencia del Tribunal Constitucional español, sino que también es un sujeto de derecho a la vida. Para ello, es necesario un cambio en la Constitución española para defender la vida, la salud y la dignidad del embrión y del feto humano desde su concepción.
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Flynn CO, Wilson RF. When states regulate emergency contraceptives like abortion, what should guide disclosure? THE JOURNAL OF LAW, MEDICINE & ETHICS : A JOURNAL OF THE AMERICAN SOCIETY OF LAW, MEDICINE & ETHICS 2015; 43:72-86. [PMID: 25846040 DOI: 10.1111/jlme.12197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
State laws dictating "informed consent" about surgical and chemical abortions sometimes ensnare emergency contraceptives (EC), as the science surrounding EC shows. Courts evaluating mandated disclosures gravitate to professional norms rather than the information most women would value: basic factual information about EC so that they can decide for themselves whether to use these drugs.
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Affiliation(s)
- Cameron O'Brien Flynn
- Member of the California Bar, a graduate of the Washington and Lee University School of Law, and a former Law Fellow with the University of Illinois College of Law
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Aznar J, Cerdá G. Influence of religious beliefs in the professional practice of US gynecologists. Am J Obstet Gynecol 2012; 207:e9; author reply e9-10. [PMID: 22917483 DOI: 10.1016/j.ajog.2012.06.060] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Accepted: 06/29/2012] [Indexed: 11/18/2022]
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