Research Topics
| Marion DanisSummaryAffiliation: National Institutes of Health Country: USA Publications
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Detail Information
Publications
Does ethics education influence the moral action of practicing nurses and social workers?Christine Grady
Department of Clinical Bioethics, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA
Am J Bioeth 8:4-11. 2008....
Providers, payers, the community, and patients are all obliged to get patient activation and engagement ethically rightMarion Danis
Section on Ethics and Health Policy, Department of Bioethics, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA
Health Aff (Millwood) 32:401-7. 2013..An ethical approach to patient activation and engagement should place obligations not only on patients but also on clinicians, health care organizations and delivery systems, insurers, and communities...- Priorities of low-income urban residents for interventions to address the socio-economic determinants of healthMarion Danis
Bioethics Consultation Service, Dept of Bioethics Clinical Center, National Institutes of Health, Bldg 10, Rm 1C118, Bethesda, MD 20892 1156, USA
J Health Care Poor Underserved 21:1318-39. 2010..To determine the priorities of low-income urban residents for interventions that address the socio-economic determinants of health... - Experience in the United States with public deliberation about health insurance benefits using the small group decision exercise, CHATMarion Danis
Department of Bioethics, National Institutes of Health Clinical Center, Bethesda, Maryland 20892, USA
J Ambul Care Manage 33:205-14. 2010..Some municipalities have used it to assess public priorities for direct service delivery to the uninsured. Setting up the exercise requires substantial preparation, but the public finds it simple to use and understand... 
Does fear of retaliation deter requests for ethics consultation?Marion Danis
Department of Clinical Bioethics, National Institutes of Health, Bethesda, MD 20892 1156, USA
Med Health Care Philos 11:27-34. 2008..We therefore examined the prevalence and determinants of fear of retaliation and determined whether this fear is associated with diminished likelihood of consulting an ethics committee...- Enhancing employee capacity to prioritize health insurance benefitsMarion Danis
Section on Ethics and Health Policy, National Institutes of Health, Bethesda, MD 20892 1156, USA
Health Expect 10:236-47. 2007..To demonstrate that employees can gain understanding of the financial constraints involved in designing health insurance benefits... - Low-income employees' choices regarding employment benefits aimed at improving the socioeconomic determinants of healthMarion Danis
Department of Clinical Bioethics, National Institutes of Health Clinical Center, Bethesda, Md 20982 1156, USA
Am J Public Health 97:1650-7. 2007..We sought to identify affordable employment benefit packages that might ameliorate these socioeconomic factors and would be consonant with employees' priorities... - Incorporating palliative care into critical care education: principles, challenges, and opportunitiesM Danis
National Institutes of Health, Bethesda, MD 20892 1156, USA
Crit Care Med 27:2005-13. 1999..To identify the goals and methods for medical education about end-of-life care in the intensive care unit (ICU)... - The coverage priorities of disabled adult Medi-Cal beneficiariesMarion Danis
Section on Ethics and Health Policy, Department of Clinical Bioethics, National Institutes of Health, Bethesda, MD, USA
J Health Care Poor Underserved 17:592-609. 2006..The resulting findings may be of value to legislators drafting Medicaid proposals that revise benefits for this vulnerable population... - Enrollees choose priorities for MedicareMarion Danis
Department of Clinical Bioethics, Warren G Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892 1156, USA
Gerontologist 44:58-67. 2004..The purpose of this study was to demonstrate the feasibility and results of ascertaining Medicare enrollees' priorities for insured medical benefits... - Insurance benefit preferences of the low-income uninsuredMarion Danis
Section on Ethics and Health Policy, Department of Clinical Bioethics, National Institutes of Health, Building 10, Rm 1C118, Bethesda, MD 20892 1156, USA
J Gen Intern Med 17:125-33. 2002..This study was conducted to assess the feasibility of providing uninsured patients the opportunity to define their own benefit package within cost constraints... - Indecent coverage? Protecting the goals of health insurance from the impact of co-paymentsSamia A Hurst
Department of Clinical Bioethics, National Institutes of Health, USA
Camb Q Healthc Ethics 15:107-13. 2006 - Deliberation to enhance awareness of and prioritize socioeconomic interventions for healthJulianna E Pesce
National Institutes of Health, Department of Clinical Bioethics, Building 10, Room 1C118, 10 Center Drive MSC 1156, Bethesda, MD 20892 1156, United States
Soc Sci Med 72:789-97. 2011.... - Patient autonomy and the challenge of clinical uncertaintyMark Parascandola
National Cancer Institute, Bethesda, MD, USA
Kennedy Inst Ethics J 12:245-64. 2002..In situations where there is substantial uncertainty, extra vigilance is required to ensure that patients are given the tools and information they need to participate in cooperative decision making about their care... - How does lack of insurance affect use of intensive care? A population-based studyMarion Danis
Department of Clinical Bioethics, Warren G Magnuson Clinical Center, National Institutes of Health, Bethesda, MD, USA
Crit Care Med 34:2043-8. 2006..We sought to compare the use of intensive care by insured and uninsured populations... - Making the case for talking to patients about the costs of end-of-life careGreer Donley
Department of Bioethics, Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA
J Law Med Ethics 39:183-93. 2011.... - Physicians' responses to resource constraintsSamia A Hurst
Department of Clinical Bioethics, National Institutes of Health, Bethesda, MD, USA
Arch Intern Med 165:639-44. 2005..This study explores the strategies and rationales reported by physicians in situations of resource constraints encountered in practice... - Enrolling the uninsured in clinical trials: an ethical perspectiveChristine Pace
Department of Clinical Bioethics, Warren G Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892 1156, USA
Crit Care Med 31:S121-5. 2003..We discuss these competing issues and make recommendations for how investigators can both protect uninsured research participants and provide the uninsured with fair access to research in their recruitment and enrollment strategies... - Does it pay to pay? A randomized trial of prepaid financial incentives and lottery incentives in surveys of nonphysician healthcare professionalsConnie M Ulrich
Department of Clinical Bioethics, Warren G Magnuson Clinical Center, National Institutes of Health, Bethesda, MD, USA
Nurs Res 54:178-83. 2005..However, few studies have systematically investigated the use of monetary incentives or other methods to improve the response rates in the nonphysician clinician population... - The views of low-income employees regarding mandated comprehensive employee benefits for the sake of healthKatherin A Adikes
Department of Clinical Bioethics, Clinical Center, National Institutes of Health, Building 10, Room 1C118, 10 Center Drive MSC1156, Bethesda, MD 20892 1156, USA
Soc Work Public Health 25:102-23. 2010..Long-term financial and educational investments were of particular value. These results may facilitate the design of employee benefits that promote the health of low-income workers... - End-of-life care for terminally ill participants in clinical researchManish Agrawal
Department of Clinical Bioethics, National Institutes of Health, Bethesda, Maryland 20892-1156, USA
J Palliat Med 5:729-37. 2002.... - Predictors of ethical stress, moral action and job satisfaction in health care social workersPatricia O'Donnell
Center for Ethics, Inova Health System, 8003 Forbes Place, Springfield, VA 22151, USA
Soc Work Health Care 46:29-51. 2008.... - A framework for rationing by clinical judgmentSamia A Hurst
Institute for Biomedical Ethics, University of Geneva Medical School, Switzerland
Kennedy Inst Ethics J 17:247-66. 2007..The process could be monitored for its applicability and appropriateness... - Will insured citizens give up benefit coverage to include the uninsured?Susan Dorr Goold
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor 48109 0429, USA
J Gen Intern Med 19:868-74. 2004..To describe the willingness of insured citizens to trade off their own health benefits to cover the uninsured... - Ethical dilemmas encountered by clinical researchersGordon Duval
University of Toronto Faculty of Law, Toronto, Ontario, Canada
J Clin Ethics 16:267-76. 2005 - Choosing Healthplans All Together: a deliberative exercise for allocating limited health care resourcesSusan Dorr Goold
Bioethics Program, University of Michigan Medical School, USA
J Health Polit Policy Law 30:563-601. 2005..It can serve to inform and stimulate public dialogue about limited health care resources... - (De)constructing 'basic' benefits: citizens define the limits of coverageMarjorie Ginsburg
Sacramento Healthcare Decisions in Rancho Cordova, California, USA
Health Aff (Millwood) 25:1648-55. 2006..They also supported practice guidelines and standards of effectiveness, and they excluded high-cost, low-value interventions. These results reinforce the importance of community input to policymakers... - Physicians' access to ethics support services in four European countriesSamia A Hurst
Institute for Biomedical Ethics, Medical Faculty, University of Geneva, Geneva, Switzerland
Health Care Anal 15:321-35. 2007..Such support services may also need to be more proactive in making their help available... - Physicians' views on resource availability and equity in four European health care systemsSamia A Hurst
Institute for Biomedical Ethics, Geneva University Medical School, Switzerland
BMC Health Serv Res 7:137. 2007..The perception of physicians, who witness the effects of these strategies, may provide useful insights regarding the impact of system-wide priority setting on access to care... - Tackling the health-poverty nexus: primary care medicine and intersectoral health actionNamrata Kotwani
J Gen Intern Med 22:1632-3. 2007 - Rationing in the intensive care unitRobert D Truog
Professor of Medical Ethics and Anesthesia (Pediatrics, Harvard Medical School, Senior Associate in Critical Care Medicine, Children's Hospital, Boston, MA, USA
Crit Care Med 34:958-63; quiz 971. 2006..Additional work is needed to elucidate how both empirical evidence and ethical analysis can further inform the rationing decisions that arise in the taxonomy described here... - Prevalence and determinants of physician bedside rationing: data from EuropeSamia A Hurst
Bioethics Institute, University of Geneva Medical School, Geneva, Switzerland
J Gen Intern Med 21:1138-43. 2006..The prevalence of physician bedside rationing, which presents physicians with difficult moral dilemmas, highlights the importance of discussions regarding how to ration care in the most ethically justifiable manner... - A content analysis of forms, guidelines, and other materials documenting end-of-life care in intensive care unitsEllen B Clarke
Department of Critical Care Medicine, Brown University, Rhode Island Hospital, Providence, RI, USA
J Crit Care 19:108-17. 2004..A second purpose was to determine how these materials might be modified to include more EOLC content and used to trigger clinical behaviors that might improve the quality of EOLC... - Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United StatesConnie Ulrich
University of Pennsylvania Philadelphia, PA, USA
Soc Sci Med 65:1708-19. 2007..Black nurses were 3.21 times more likely than white nurses to want to leave their position. We suggest several strategies to reduce ethics stress and improve the ethical climate of the workplace for nurses and social workers... - Ethical conflict in nurse practitioners and physician assistants in managed careConnie M Ulrich
School of Nursing, University of Pennsylvania, Philadelphia, PA 19104 4210, USA
Nurs Res 55:391-401. 2006..However, very little is known about the ethical conflicts and causes of these conflicts experienced by these clinicians in their daily practice... - Health insurance benefit packages prioritized by low-income clients in India: three criteria to estimate effectiveness of choiceDavid Mark Dror
Erasmus University Rotterdam, Institute for Health Policy and Management, rte de Frontenex 39B, 1207 Geneva, Switzerland
Soc Sci Med 64:884-96. 2007.... - A national survey of U.S. internists' experiences with ethical dilemmas and ethics consultationGordon Duval
Joint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada
J Gen Intern Med 19:251-8. 2004..Health care organizations should emphasize ethics educational activities to prepare physicians for handling ethical dilemmas on their own and should improve the accessibility and responsiveness of ethics consultation when needed...