Document Detail


Clinical bioethics integration, sustainability, and accountability: the Hub and Spokes Strategy.
MedLine Citation:
PMID:  15863679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The "lone" clinical bioethicist working in a large, multisite hospital faces considerable challenges. While attempting to build ethics capacity and sustain a demanding range of responsibilities, he or she must also achieve an acceptable level of integration, sustainability, and accountability within a complex organisational structure. In an effort to address such inherent demands and to create a platform towards better evaluation and effectiveness, the Clinical Ethics Group at the Joint Centre for Bioethics at the University of Toronto is implementing the Hub and Spokes Strategy at seven hospitals. The goal of the Hub and Spokes Strategy is to foster an ethical climate and strengthen ethics capacity broadly throughout healthcare settings as well as create models in clinical bioethics that are excellent and effective.
Authors:
S MacRae; P Chidwick; S Berry; B Secker; P Hébert; R Zlotnik Shaul; K Faith; P A Singer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of medical ethics     Volume:  31     ISSN:  0306-6800     ISO Abbreviation:  J Med Ethics     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-02     Completed Date:  2005-07-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7513619     Medline TA:  J Med Ethics     Country:  England    
Other Details:
Languages:  eng     Pagination:  256-61     Citation Subset:  E; IM    
Affiliation:
University of Toronto Joint Centre for Bioethics, Toronto, Ontario, Canada. sue.macrae@utoronto.ca
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MeSH Terms
Descriptor/Qualifier:
Bioethics*
Decision Making / ethics
Delivery of Health Care, Integrated / ethics
Ethics Committees, Clinical / ethics
Hospitals
Leadership
Models, Theoretical
Ontario
Role
Social Responsibility
Universities / ethics
Comments/Corrections

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