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Role of clinical ethics committees
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Introduction |
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Most clinicians encounter ethical dilemmas, the resolution of which produces tensions within the multidisciplinary teams that deliver much contemporary health care.1 Despite the growth of medical ethics and publication of professional codes of practice2 3 there is no clear consensus on how individuals, teams, and hospitals might obtain specific guidance in resolving the dilemmas they face. Indeed, current methods of resolving dilemmas may be ad hoc, unstructured, and subject to time constraints.4
In North America health care ethics committees (HEC) have been
established whose remit includes ethical debate and analysis of
individual cases and topics, policy development, and
education.5 Although 60% of US paediatric units have
HECs, their role has been criticised and up to 33% may be
inactive.6 UK experience with HECs is limited but interest
is growing7 and a specific need has been identified in
teaching and district general hospitals.4 7 8 In 1996 a
clinical ethics forum (CEF) was established at
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