2022
Ethical Considerations in Precision Medicine and Genetic Testing in Internal Medicine Practice: A Position Paper From the American College of Physicians.
Lehmann L, Snyder Sulmasy L, Burke W, Opole I, Deep N, Abraham G, Burnett J, Callister T, Carney J, Cooney T, Esbensen K, Fins J, Harp T, Holbrook A, Huddle T, Levine M, Prager K. Ethical Considerations in Precision Medicine and Genetic Testing in Internal Medicine Practice: A Position Paper From the American College of Physicians. Annals Of Internal Medicine 2022, 175: 1322-1323. PMID: 35878403, DOI: 10.7326/m22-0743.Peer-Reviewed Original ResearchConceptsGenetic testingAmerican College of Physicians position paperAmerican College of PhysiciansAmerican CollegeImprove health outcomesHealth care professionalsInternal medicine practiceHealth care systemCollege of PhysiciansCare professionalsHealth outcomesIntegration of precision medicineCare systemPrecision medicineClinical carePracticing physiciansMedicine practiceResidency programsPosition paperClinical settingPhysiciansHealthEthical decisionsProfessional schoolsEthical considerations
2018
Ethical, Palliative, and Policy Considerations in Disorders of Consciousness
Fins J, Bernat J. Ethical, Palliative, and Policy Considerations in Disorders of Consciousness. Archives Of Physical Medicine And Rehabilitation 2018, 99: 1927-1931. PMID: 30098790, DOI: 10.1016/j.apmr.2018.07.003.Peer-Reviewed Original ResearchConceptsLearning health care systemSystems of careHealth care systemAmerican Academy of Neurology guidelinesGroups of brain-injured patientsMedical decision-makingCognitive-motor dissociationNeuropalliative careAdvance directivesCare systemPractice scopeIncreasing frequency of reportsVegetative stateFrequency of reportingGuideline authorsNeurology guidelinesAmerican AcademyDisorders of consciousnessBrain-injured patientsCareCovert consciousnessGroup of patientsGuidelinesWakefulness syndromePrognostic refinementEthical, palliative, and policy considerations in disorders of consciousness
Fins J, Bernat J. Ethical, palliative, and policy considerations in disorders of consciousness. Neurology 2018, 91: 471-475. PMID: 30089621, DOI: 10.1212/wnl.0000000000005927.Peer-Reviewed Original ResearchConceptsLearning health care systemSystems of careHealth care systemAmerican Academy of Neurology guidelinesGroups of brain-injured patientsMedical decision-makingCognitive-motor dissociationNeuropalliative careAdvance directivesCare systemPractice scopeIncreasing frequency of reportsVegetative stateFrequency of reportingGuideline authorsNeurology guidelinesAmerican AcademyDisorders of consciousnessBrain-injured patientsCareCovert consciousnessGroup of patientsGuidelinesWakefulness syndromePrognostic refinement
2016
A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants
Fins J, Kodish E, Cohn F, Danis M, Derse A, Dubler N, Goulden B, Kuczewski M, Mercer M, Pearlman R, Smith M, Tarzian A, Youngner S. A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants. The American Journal Of Bioethics 2016, 16: 15-24. PMID: 26913652, DOI: 10.1080/15265161.2015.1134705.Peer-Reviewed Original Research
2015
Ethics of neuromodulation in psychiatry
Fins J, Pohl B. Ethics of neuromodulation in psychiatry. 2015, 15-26. DOI: 10.1002/9781118801086.ch2.Peer-Reviewed Original ResearchSevere psychiatric illnessHealth care systemNeuropsychiatric conditionsPsychiatric illnessPervasive stigmaMental illnessCare systemDeep brain stimulationBrain stimulationClinical ethicsMoral dilemmasDerivative questionsIllnessEthicsDevice regulationNeuromodulationTranslational researchClinical needPsychiatryStigmaHealthBrainIntervention
2013
Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity
Fins J. Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity. Archives Of Physical Medicine And Rehabilitation 2013, 94: 1934-1939. PMID: 23770277, DOI: 10.1016/j.apmr.2012.12.028.Peer-Reviewed Original ResearchConceptsAmerican health care systemAcute care needsSurrogate decision makersHealth care systemDisorders of consciousnessAffordable Care ActDecision-making capacityCare needsSevere disorders of consciousnessCare decisionsOngoing careCare systemReimbursement frameworkCare ActReimbursement strategiesCareMedical necessityCivil rightsMedical infrastructureRehabilitationEthical challengesReimbursementSevere disordersCaregiversPatients
2005
Justice and Health Care in the Rheumatic Diseases
MacKenzie C, Miller F, Fins J. Justice and Health Care in the Rheumatic Diseases. HSS Journal ® 2005, 1: 58-63. PMID: 18751811, PMCID: PMC2504135, DOI: 10.1007/s11420-005-0108-0.Peer-Reviewed Original ResearchHealth careAllied health professionalsDisadvantaged socioeconomic circumstancesHealth-related needsHealth care systemPerspective of justiceHealth professionalsNatural lotteryRheumatic diseasesEthical perspectiveMoral obligationCare systemChronic rheumatic diseasesSocioeconomic circumstancesMedical careChronic diseasesDisabling consequencesPatients-thoseCareHighest prevalenceDisease communityJusticeHealthDemographic distributionProfessionals