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Entre volonté du patient et nécessité médicale. Les médecins face au refus de transfusion

Abstract : n the years 1990-2000, the refusal by Jehova’s Witnesses to accept blood transfusions led to lively debates on how to prioritise the two obligations binding doctors : the obligation to help a person in danger and the duty to respect a patient’s wishes. The article adopts a qualitative sociology perspective, to examine the different ways in which doctors now react to refusals to accept transfusions. It is based on a study of resuscitating anaesthetists (N=32). Most of the doctors interviewed contrasted an “old fashioned” way of resolving tensions inherent to the coexistence of the two obligations, with the current difficulties of developing new cognitive and moral reference points for decision-making. The article looks at this contrast by placing it within the framework of political changes in the medical world and, more particularly, the move from “paternalistic clinical tradition” to “participative therapeutic modernity”. It sets out the three main posititions evoked by the doctors interviewed, to examine healthcare behaviour within this special context.
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https://hal-cnrs.archives-ouvertes.fr/hal-03477229
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Submitted on : Monday, December 13, 2021 - 1:22:48 PM
Last modification on : Thursday, December 16, 2021 - 4:12:05 PM

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Janine Barbot. Entre volonté du patient et nécessité médicale. Les médecins face au refus de transfusion. Journal d'Economie Médicale, Masson, 2009, 27 (3), pp.123-133. ⟨10.3917/jgem.093.0123⟩. ⟨hal-03477229⟩

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