Article: Institutional ethics committee and case consultation: is there a role?

In the brave new world of modern American medicine, institutional ethics committees (IECs) have taken hold. The number of hospital ethics committees has grown dramatically over the past ten years. In 1981, Dr. Stuart Youngner surveyed 602 U.S. hospitals, and only 1% reported having an IEC, (1) whereas by 1990, the American Hospital Association (AHA) estimated that more than 60% of all U.S. hospitals had formed IECs. (2) In addition, in 1987, Maryland became the first state to enact legislation that requires all hospitals to establish patient advisory committees, (3) and in 1989 Senator Danforth (R., Missouri) introduced legislation to Congress entitled the "Patient ...

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