Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children
As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the inte...
Gespeichert in:
| Veröffentlicht in: | Journal of medical ethics 2010-05, Vol.36 (5), p.302-305 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 305 |
|---|---|
| container_issue | 5 |
| container_start_page | 302 |
| container_title | Journal of medical ethics |
| container_volume | 36 |
| creator | Wainwright, Paul Gallagher, Ann |
| description | As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the interests of the child, but in family practice many other interests may be at stake. The authors argue that uncritical adoption of the paramountcy principle is too simplistic and can lead, paradoxically, to greater harm. They argue for a more subtle and nuanced view of interests and of conflicts of interest in safeguarding children. |
| doi_str_mv | 10.1136/jme.2009.034488 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_733593988</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A227945240</galeid><jstor_id>25699658</jstor_id><sourcerecordid>A227945240</sourcerecordid><originalsourceid>FETCH-LOGICAL-b457t-da735ea2cbeca910ace958907f2acdc7f6ed0e865c4afc73fc313a589c76f4843</originalsourceid><addsrcrecordid>eNqFkUFv1DAQRiMEokvhzAkUiUMlpGyd2I7tYxVBQVq1HCgHLpbXmaQOjr3YjkT_PV5SCuKCL5Y1b0bP8xXFyxpt6xq359MM2wYhsUWYEM4fFZuaMFyRhrLHxQZh1FYtR-ikeBbjhPJpuHhanDSIYIFxvSnCjeshxKRcb9xYjuAgKFsegtLJJOPzM56V2rvBGp1i6YfSuAQBYn7kpjLdQnlQQc1-cUnf5U7jtDlYyFwZ1QDjosKv2frW2D6Ae148GZSN8OL-Pi1u3r_73H2odteXH7uLXbUnlKWqVwxTUI3eg1aiRkqDoFwgNjRK95oNLfQIeEs1UYNmeNC4xioTmrUD4QSfFmfr3EPw35csLGcTNVirHPglSoYxFVhwnsk3_5CTX4LLcrJmvEaCEXakqpUalQWZf-nzIn4k7a2FEWR2767lRdMwQWhDUObPV14HH2OAQebdzCrcyRrJY3oypyeP6ck1vdzx-t5j2c_QP_C_48rAqxWYYvLhT522QrT0L0UTs9pDXYVvsmWYUXn1pZOX3dUngelXucv825Xfz9N_7X4CoYe9MQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781097478</pqid></control><display><type>article</type><title>Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>JSTOR</source><creator>Wainwright, Paul ; Gallagher, Ann</creator><creatorcontrib>Wainwright, Paul ; Gallagher, Ann</creatorcontrib><description>As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the interests of the child, but in family practice many other interests may be at stake. The authors argue that uncritical adoption of the paramountcy principle is too simplistic and can lead, paradoxically, to greater harm. They argue for a more subtle and nuanced view of interests and of conflicts of interest in safeguarding children.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/jme.2009.034488</identifier><identifier>PMID: 20439331</identifier><identifier>CODEN: JMETDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Institute of Medical Ethics</publisher><subject>Adolescent ; Attitude of Health Personnel ; Bioethics ; Child ; Child abuse ; Child molestation ; Child neglect ; Child welfare ; Child Welfare - ethics ; Child Welfare - legislation & jurisprudence ; Child, Preschool ; Children ; Children & youth ; Childrens rights ; Company business management ; Conflict of Interest ; Conflict of interests (Agency) ; Conflicts of interest ; Decision Making - ethics ; Ethical aspects ; Ethics, Medical ; Experts ; Families & family life ; Family Health ; Family Practice - ethics ; General practice ; General practitioners ; Human relations ; Humans ; Infant ; Law, ethics and medicine ; Legal aspects ; Management ; newborns and minors ; Parents ; Physician's Role ; Physicians (General practice) ; professional–professional relationship ; Society ; Youths at risk</subject><ispartof>Journal of medical ethics, 2010-05, Vol.36 (5), p.302-305</ispartof><rights>2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: © 2010 BMJ Publishing Group Ltd and the Institute of Medical Ethics</rights><rights>Copyright: 2010 (c) 2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b457t-da735ea2cbeca910ace958907f2acdc7f6ed0e865c4afc73fc313a589c76f4843</citedby><cites>FETCH-LOGICAL-b457t-da735ea2cbeca910ace958907f2acdc7f6ed0e865c4afc73fc313a589c76f4843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jme.bmj.com/content/36/5/302.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jme.bmj.com/content/36/5/302.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,315,781,785,804,3197,23575,27928,27929,58021,58254,77604,77635</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20439331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wainwright, Paul</creatorcontrib><creatorcontrib>Gallagher, Ann</creatorcontrib><title>Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the interests of the child, but in family practice many other interests may be at stake. The authors argue that uncritical adoption of the paramountcy principle is too simplistic and can lead, paradoxically, to greater harm. They argue for a more subtle and nuanced view of interests and of conflicts of interest in safeguarding children.</description><subject>Adolescent</subject><subject>Attitude of Health Personnel</subject><subject>Bioethics</subject><subject>Child</subject><subject>Child abuse</subject><subject>Child molestation</subject><subject>Child neglect</subject><subject>Child welfare</subject><subject>Child Welfare - ethics</subject><subject>Child Welfare - legislation & jurisprudence</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Childrens rights</subject><subject>Company business management</subject><subject>Conflict of Interest</subject><subject>Conflict of interests (Agency)</subject><subject>Conflicts of interest</subject><subject>Decision Making - ethics</subject><subject>Ethical aspects</subject><subject>Ethics, Medical</subject><subject>Experts</subject><subject>Families & family life</subject><subject>Family Health</subject><subject>Family Practice - ethics</subject><subject>General practice</subject><subject>General practitioners</subject><subject>Human relations</subject><subject>Humans</subject><subject>Infant</subject><subject>Law, ethics and medicine</subject><subject>Legal aspects</subject><subject>Management</subject><subject>newborns and minors</subject><subject>Parents</subject><subject>Physician's Role</subject><subject>Physicians (General practice)</subject><subject>professional–professional relationship</subject><subject>Society</subject><subject>Youths at risk</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AVQMV</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUFv1DAQRiMEokvhzAkUiUMlpGyd2I7tYxVBQVq1HCgHLpbXmaQOjr3YjkT_PV5SCuKCL5Y1b0bP8xXFyxpt6xq359MM2wYhsUWYEM4fFZuaMFyRhrLHxQZh1FYtR-ikeBbjhPJpuHhanDSIYIFxvSnCjeshxKRcb9xYjuAgKFsegtLJJOPzM56V2rvBGp1i6YfSuAQBYn7kpjLdQnlQQc1-cUnf5U7jtDlYyFwZ1QDjosKv2frW2D6Ae148GZSN8OL-Pi1u3r_73H2odteXH7uLXbUnlKWqVwxTUI3eg1aiRkqDoFwgNjRK95oNLfQIeEs1UYNmeNC4xioTmrUD4QSfFmfr3EPw35csLGcTNVirHPglSoYxFVhwnsk3_5CTX4LLcrJmvEaCEXakqpUalQWZf-nzIn4k7a2FEWR2767lRdMwQWhDUObPV14HH2OAQebdzCrcyRrJY3oypyeP6ck1vdzx-t5j2c_QP_C_48rAqxWYYvLhT522QrT0L0UTs9pDXYVvsmWYUXn1pZOX3dUngelXucv825Xfz9N_7X4CoYe9MQ</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Wainwright, Paul</creator><creator>Gallagher, Ann</creator><general>BMJ Publishing Group Ltd and Institute of Medical Ethics</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201005</creationdate><title>Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children</title><author>Wainwright, Paul ; Gallagher, Ann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b457t-da735ea2cbeca910ace958907f2acdc7f6ed0e865c4afc73fc313a589c76f4843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Attitude of Health Personnel</topic><topic>Bioethics</topic><topic>Child</topic><topic>Child abuse</topic><topic>Child molestation</topic><topic>Child neglect</topic><topic>Child welfare</topic><topic>Child Welfare - ethics</topic><topic>Child Welfare - legislation & jurisprudence</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Childrens rights</topic><topic>Company business management</topic><topic>Conflict of Interest</topic><topic>Conflict of interests (Agency)</topic><topic>Conflicts of interest</topic><topic>Decision Making - ethics</topic><topic>Ethical aspects</topic><topic>Ethics, Medical</topic><topic>Experts</topic><topic>Families & family life</topic><topic>Family Health</topic><topic>Family Practice - ethics</topic><topic>General practice</topic><topic>General practitioners</topic><topic>Human relations</topic><topic>Humans</topic><topic>Infant</topic><topic>Law, ethics and medicine</topic><topic>Legal aspects</topic><topic>Management</topic><topic>newborns and minors</topic><topic>Parents</topic><topic>Physician's Role</topic><topic>Physicians (General practice)</topic><topic>professional–professional relationship</topic><topic>Society</topic><topic>Youths at risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wainwright, Paul</creatorcontrib><creatorcontrib>Gallagher, Ann</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>Philosophy Collection</collection><collection>Philosophy Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Arts Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Art, Design & Architecture Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Arts & Humanities Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wainwright, Paul</au><au>Gallagher, Ann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children</atitle><jtitle>Journal of medical ethics</jtitle><addtitle>J Med Ethics</addtitle><date>2010-05</date><risdate>2010</risdate><volume>36</volume><issue>5</issue><spage>302</spage><epage>305</epage><pages>302-305</pages><issn>0306-6800</issn><eissn>1473-4257</eissn><coden>JMETDR</coden><abstract>As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the interests of the child, but in family practice many other interests may be at stake. The authors argue that uncritical adoption of the paramountcy principle is too simplistic and can lead, paradoxically, to greater harm. They argue for a more subtle and nuanced view of interests and of conflicts of interest in safeguarding children.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Institute of Medical Ethics</pub><pmid>20439331</pmid><doi>10.1136/jme.2009.034488</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0306-6800 |
| ispartof | Journal of medical ethics, 2010-05, Vol.36 (5), p.302-305 |
| issn | 0306-6800 1473-4257 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733593988 |
| source | MEDLINE; BMJ Journals - NESLi2; JSTOR |
| subjects | Adolescent Attitude of Health Personnel Bioethics Child Child abuse Child molestation Child neglect Child welfare Child Welfare - ethics Child Welfare - legislation & jurisprudence Child, Preschool Children Children & youth Childrens rights Company business management Conflict of Interest Conflict of interests (Agency) Conflicts of interest Decision Making - ethics Ethical aspects Ethics, Medical Experts Families & family life Family Health Family Practice - ethics General practice General practitioners Human relations Humans Infant Law, ethics and medicine Legal aspects Management newborns and minors Parents Physician's Role Physicians (General practice) professional–professional relationship Society Youths at risk |
| title | Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-17T12%3A57%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Understanding%20general%20practitioners'%20conflicts%20of%20interests%20and%20the%20paramountcy%20principle%20in%20safeguarding%20children&rft.jtitle=Journal%20of%20medical%20ethics&rft.au=Wainwright,%20Paul&rft.date=2010-05&rft.volume=36&rft.issue=5&rft.spage=302&rft.epage=305&rft.pages=302-305&rft.issn=0306-6800&rft.eissn=1473-4257&rft.coden=JMETDR&rft_id=info:doi/10.1136/jme.2009.034488&rft_dat=%3Cgale_proqu%3EA227945240%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1781097478&rft_id=info:pmid/20439331&rft_galeid=A227945240&rft_jstor_id=25699658&rfr_iscdi=true |