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Papers by Brian Hurwitz
The American Journal of Bioethics, 2020
Cardiovascular Diagnosis and Therapy, 2019
Evidence-based Healthcare, 2002
Annals of Internal Medicine, 1999
Health care delivery in many countries has expanded over the past 150 years from a largely social... more Health care delivery in many countries has expanded over the past 150 years from a largely social service delivered by individual practitioners to an intricate network of services provided by teams of professionals. The problems of increasing resource consumption, financial constraints, complexity, and poor system design that have emerged as consequences of these changes have exacerbated many of the ethical tensions inherent in health care and have created new ones. Many groups of professionals that give and affect health care have established separate codes of ethics for their own disciplines, but no shared code exists that might bring all stakeholders in health care into a more consistent moral framework. A multidisciplinary group therefore recently met at Tavistock Square in London in an effort to prepare such a shared code. The result was not a code but a more basic and generic statement of ethical principles. The intent and hope is that it will offer clear guidance for tough calls in real world settings. It is presented here not as a finished work, but as a draft to elicit comment, critique, suggestions for revision, and, especially, ideas for implementation.
International Review of Neurobiology
This chapter examines the status James Parkinson accorded "nonmotor" features of the ma... more This chapter examines the status James Parkinson accorded "nonmotor" features of the malady set out in his 1817 Essay. In reading the Essay through the lens of this recently developed dichotomy I use "nonmotor" to mean the application of a late 20th-century category to a 200 year old account, whereas nonmotor designates application of the concept to contemporary understanding. While Parkinson granted "motor" components of the malady high definitional visibility, the Essay shows he was also attentive to patients' overall well-being and noticed some "nonmotor" aspects of the malady, in particular, constipation, interrupted speech, and difficulties with saliva and swallowing. He appears to have granted these features more than incidental status, especially in assessing variant pictures of the Shaking Palsy.
Clinical Guidelines and The Law, 2018
Movement Disorders, 2020
The following tests were used: t test for comparison of 2 independent groups and 1-way analysis o... more The following tests were used: t test for comparison of 2 independent groups and 1-way analysis of variance with Bonferroni's post hoc test for comparison of 3 independent groups. PD, Parkinson's disease; NA, not applicable; NT-proBNP, N-terminal pro-B-type natriuretic peptide.
Narrative Research in Health and Illness
The British Journal of General Practice, 2001
Introduction PRELIMINARY research into the epidemiology of medical error suggests that it occurs ... more Introduction PRELIMINARY research into the epidemiology of medical error suggests that it occurs more frequently than hither-to thought,1-5 poses a considerable economic and social burden, and in an unknown proportion of instances results in patient harm.6 Reduction of ...
The American Journal of Bioethics, 2020
Cardiovascular Diagnosis and Therapy, 2019
Evidence-based Healthcare, 2002
Annals of Internal Medicine, 1999
Health care delivery in many countries has expanded over the past 150 years from a largely social... more Health care delivery in many countries has expanded over the past 150 years from a largely social service delivered by individual practitioners to an intricate network of services provided by teams of professionals. The problems of increasing resource consumption, financial constraints, complexity, and poor system design that have emerged as consequences of these changes have exacerbated many of the ethical tensions inherent in health care and have created new ones. Many groups of professionals that give and affect health care have established separate codes of ethics for their own disciplines, but no shared code exists that might bring all stakeholders in health care into a more consistent moral framework. A multidisciplinary group therefore recently met at Tavistock Square in London in an effort to prepare such a shared code. The result was not a code but a more basic and generic statement of ethical principles. The intent and hope is that it will offer clear guidance for tough calls in real world settings. It is presented here not as a finished work, but as a draft to elicit comment, critique, suggestions for revision, and, especially, ideas for implementation.
International Review of Neurobiology
This chapter examines the status James Parkinson accorded "nonmotor" features of the ma... more This chapter examines the status James Parkinson accorded "nonmotor" features of the malady set out in his 1817 Essay. In reading the Essay through the lens of this recently developed dichotomy I use "nonmotor" to mean the application of a late 20th-century category to a 200 year old account, whereas nonmotor designates application of the concept to contemporary understanding. While Parkinson granted "motor" components of the malady high definitional visibility, the Essay shows he was also attentive to patients' overall well-being and noticed some "nonmotor" aspects of the malady, in particular, constipation, interrupted speech, and difficulties with saliva and swallowing. He appears to have granted these features more than incidental status, especially in assessing variant pictures of the Shaking Palsy.
Clinical Guidelines and The Law, 2018
Movement Disorders, 2020
The following tests were used: t test for comparison of 2 independent groups and 1-way analysis o... more The following tests were used: t test for comparison of 2 independent groups and 1-way analysis of variance with Bonferroni's post hoc test for comparison of 3 independent groups. PD, Parkinson's disease; NA, not applicable; NT-proBNP, N-terminal pro-B-type natriuretic peptide.
Narrative Research in Health and Illness
The British Journal of General Practice, 2001
Introduction PRELIMINARY research into the epidemiology of medical error suggests that it occurs ... more Introduction PRELIMINARY research into the epidemiology of medical error suggests that it occurs more frequently than hither-to thought,1-5 poses a considerable economic and social burden, and in an unknown proportion of instances results in patient harm.6 Reduction of ...