vulnerability; ethics; bioethics; health services; priority setting
Hurst SA (2015), Clarifying vulnerability: the case of children, in Asian Bioethics Review
, 7(2), 126-138.
Makrythanasis Periklis, Hamamy Hanan, Antonarakis Stylianos E, Mauron Alex, Hurst Samia A (2014), Analysis of the Born in Bradford birth cohort., in Lancet
, 383(9912), 123-123.
Eyal N, Hurst SA, Norheim O, Wikler D (2013), Inequalities in health: concepts, measures, and ethics
, Oxford University Press, Oxford.
Ilic Nathalie, Auchlin Antoine, Hadengue Antoine, Wenger Alexandre, Hurst Samia (2013), Informed consent forms in oncology research: linguistic tools identify recurrent pitfalls, in AJOB Empirical Bioethics
, 4(4), 39-54.
Heritier Barras Anne-Chantal, Adler Dan, Iancu Ferfoglia Ruxandra, Ricou Bara, Gasche Yvan, Leuchter Igor, Hurst Samia, Escher Monica, Pollak Pierre, Janssens Jean-Paul, CeSLA group (2013), Is tracheostomy still an option in amyotrophic lateral sclerosis? Reflections of a multidisciplinary work group., in Swiss medical weekly
, 143, 13830-13830.
Hurst Samia (2013), La qualité de la vie et la question du bien, in Bioethica Forum
, 6(2), 72-74.
Hurst Samia (2013), L'éthique du monde en développement?, in Bioethica Forum
, 6(1), 18-20.
Tilburt Jon C, Wynia Matthew K, Sheeler Robert D, Thorsteinsdottir Bjorg, James Katherine M, Egginton Jason S, Liebow Mark, Hurst Samia, Danis Marion, Goold Susan Dorr (2013), Views of US physicians about controlling health care costs., in JAMA : the journal of the American Medical Association
, 310(4), 380-8.
Martin Angela (2012), In favor of PGD – the Moral Duty to Avoid Harm Argument, in American Journal of Bioethics
, 12(4), 12-13.
Hurst Samia A (2012), Interventions and persons., in The American journal of bioethics : AJOB
, 12(1), 10-1.
Martin Angela (2012), Tierversuche sind nützlich. Also sind sie ethisch gerechtfertigt.‘ Gedanken zu einem oft vorgebrachten Argument, in Bioethica Forum
, 5(1), 22-24.
Hurst Samia A (2012), What if medical graduates are right?, in The American journal of bioethics : AJOB
, 12(5), 37-8.
Tavaglione Nicolas, Hurst Samia (2012), Why physicians ought to lie for their patients, in American Journal of Bioethics
, 12(3), 4-12.
Becerra M, Hurst SA, Junod Perron N, Cochet S, Elger B (2011), ”Do not attempt resuscitation” and ”Cardio-pulmonary resuscitation” in an inpatient setting: factors influencing physicians’ decisions in Switzerland, in Gerontology
, 57(5), 414-421.
Hurst Samia A (2011), A step toward pluralist fairness., in The American journal of bioethics : AJOB
, 11(12), 46-7.
Martin Angela K, Mauron Alex, Hurst Samia A (2011), Assisted suicide is compatible with medical ethos., in The American journal of bioethics : AJOB
, 11(6), 55-7.
Perret-Guillaume C, Genet C, Allali D, Herrmann F, Hurst SA., Benetos A (2011), Attitudes and approaches to decision-making about anti-hypertensive treatment in elderly patients, in J. Am Med Dir Assoc
, 12(2), 121-128.
Hurst Samia A (2011), Ethics and non biomedical research with human subjects., in Swiss medical weekly
, 141, 13285-13285.
Hurst Samia A, Borisch Bettina, Mauron Alex (2011), Public health: how much evidence is needed to support our policies?, in Journal of public health policy
, 32(1), 135-41.
Eyal Nir, Hurst Samia A (2011), Scaling up changes in doctors' education for rural retention: a comment on World Health Organization recommendations., in Bulletin of the World Health Organization
, 89(2), 83-83.
Hurst Samia A, Mauron Alex (2011), Trustworthiness in conflict of interest., in The American journal of bioethics : AJOB
, 11(1), 40-1.
Hurst Samia A (2010), Clinical indication as an ethical appraisal: the example of imaging before middle ear surgery., in ORL; journal for oto-rhino-laryngology and its related specialties
, 72(3), 138-138.
Strech D, Hurst SA, Danis M (2010), The role of ethics committees and ethics consultation in allocation decisions. A four-stage process, in Medical Care
, 48(9), 821-826.
Strech Daniel, Hurst Samia, Danis Marion (2010), The role of ethics committees and ethics consultation in allocation decisions: a 4-stage process., in Medical care
, 48(9), 821-6.
Hurst Samia (2010), What 'empirical turn in bioethics'?, in Bioethics
, 24(8), 439-44.
Ford Nathan, Calmy Alexandra, Hurst Samia (2010), When to start antiretroviral therapy in resource-limited settings: a human rights analysis., in BMC International Health and Human Rights
, 10(6), online-online.
Ford Nathan, Calmy Alexandra, Hurst Samia (2010), When to start antiretroviral therapy in resource-limited settings: a human rights analysis., in BMC international health and human rights
, 10, 6-6.
Hurst Samia A, Mauron Alex (2009), Articulating the balance of interests between humans and other animals., in The American journal of bioethics : AJOB
, 9(5), 17-9.
Hurst S A (2009), Just care: should doctors give priority to patients of low socioeconomic status?, in Journal of medical ethics
, 35(1), 7-11.
Preynat-Seauve Olivier, Burkhard Pierre R, Villard Jean, Zingg Walter, Ginovart Nathalie, Feki Anis, Dubois-Dauphin Michel, Hurst Samia A, Mauron Alex, Jaconi Marisa, Krause Karl-Heinz (2009), Pluripotent stem cells as new drugs? The example of Parkinson's disease., in International journal of pharmaceutics
, 381(2), 113-21.
Hurst Samia A, Ethique et santé publique, in Ateliers de l'éthique
Tavaglione Nicolas, Martin Angela, Mezger Nathalie, Durieux-Paillard Sophie, François Anne, Jackson Yves, Hurst Samia, Fleshing out vulnerability, in Bioethics
, In Press.
Hurst Samia A, Becerra Maria, Perrier Arnaud, Junod Perron Noëlle, Elger Bernice, Including patients in resuscitation decisions in Switzerland: from doing more to doing better, in Journal of Medical Ethics
Gilbert Frédéric, Vranic Andrea, Hurst Samia A, Involuntary & Voluntary Invasive Brain Surgery: Ethical Issues Related to Acquired Aggressiveness, in Neuroethics
Hurst Samia A, Protéger les personnes vulnérables : une exigence éthique à clarifier, in Revue médicale suisse
Martin Angela, Tavaglione Nicolas, Hurst Samia, Resolving the conflict: clarifying ‘vulnerability’ in health care ethics, in Kennedy Institute of Ethics Journal
, In Press.
Hurst Samia, Simplicity as progress : implications for fairness in research with human participants, in American Journal of Bioethics
, In Press.
Layat Burn Carine, Hurst Samia, Ummel Marinette, Cerutti Bernard, Baroffio Anne, Telling the truth : medical students’ progress with an ethical skill., in Medical Teacher
, e-pub ahead of print.
Danis Marion, Hurst Samia, Fleck Leonard, Forde Reidun, Slowther Anne-Marie, Toward Fair Rationing at the Bedside.
, Oxford University Press, Oxford.
Although we agree that vulnerable persons should be afforded some kind of special attention, or protection, applying this to clinical care is challenging for both practical and theoretical reasons. In discussions regarding equity-based considerations in health care, protecting vulnerability could offer some minimal criterion, enabling us to distinguish between “nice to have” aspirational equity and “need to have” equity which should be a real goal in clinical practice. Exploring this possibility through the angle of vulnerability as a claim to special protection seems a promising way to account for such a minimal criterion. However, making this distinction is not easy, as vulnerability is itself a multiple concept, based on different sources and types of fragility, and on different sorts of claims in regard to which a person can be vulnerable. The present project aims to apply tools of analytic moral and political philosophy, as well as sociology, and findings from the neurosciences, to the development of decision processes aimed to target protection of vulnerable persons at the micro-level of health care. More precisely, we will outline how vulnerability in health care can be defined analytically, what characteristics are likely to make individuals more or less vulnerable, and conduct normative analysis of how resource allocation could be conducted more fairly when the claims of different vulnerable persons must be balanced against each other. Three stages are planned. Through interdisciplinary collaborations, we will: A) outline how vulnerability in health care can be defined analytically, define sources of claims for protection of the vulnerable, how convincing they are, and what effect their validity may have on fairness in resource allocation decisions; B) explore whether, and how, claims for protection can be weighed against one another in situations of resource allocation, starting from scenarios of deep scarcity such as those encountered in humanitarian medicine or the uninsured in industrialized countries; C) describe characteristics identified by moral psychology and the neurosciences which may have an impact on vulnerability in clinical care, and identify which patients are indeed described as vulnerable by clinicians in examples of situations where they face scarce resources and allocation decision. A special focus will be placed on outlining the possible application of findings to decisions in clinical practice and health policy. We propose to articulate two conceptual, and one empirical sub-project. Subproject A - conceptual analysis: In this phase, we plan to outline how vulnerability in health care can be defined analytically using tools of moral philosophy and confronting conclusions with clinical cases. These issues will be explored by a doctoral student in philosophy, under co-supervision by the candidate and a philosopher.Subproject B - normative exploration: In this phase, we plan to explore whether, and how, claims for protection can be weighed against one another in situations of scarce resources. These issues will be analysed under the candidate’s supervision in an interdisciplinary group composed of a post-doctoral fellow in political philosophy, the candidate, and a research group including practitioners in international health, humanitarian medicine, and caring for uninsured populations and addicted patients in an industrialized setting.Subproject C - description of obstacles: In this phase, we plan to 1) identify which patients are indeed described as vulnerable by clinicians, based on a secondary analysis of available interview transcripts, and 2) describe characteristics identified by moral psychology and the neurosciences which may have an impact on vulnerability in clinical care, through a commented review of the literature. The first part will be conducted by an assistant in sociology, under co-supervision by the candidate and a sociologist. The second part will be conducted by a post-doctoral fellow in psychology or neuroethics, under the candidate’s supervision and with feedback from an expert in the neurosciences. This project follows on work done by the candidate in the areas of resource allocation, bedside rationing, vulnerability, ethical issues in humanitarian medicine, and neuroethics. The research team will include the SNSF professor, a post-doc in political philosophy, a post-doc in neuroethics or psychology, a doctoral candidate in philosophy, and a research assistant in sociology. The research group will include collaborations with members of the WHO unit in Ethics, Trade and Human Rights, Médecins Sans Frontières, the International Committee of the Red Cross, the Geneva University Hospital unit for international health, and community care mobile unit, as well as with the Centre for cognitive neurosciences, Departments of sociology and political sciences, and the Department of philosophy. Members of the research team will attend relevant meetings of the Centre for Affective Sciences at the University of Geneva. The project thus takes advantage of Geneva’s position on the international stage, which also has also resulted in a focus on international health and a particular development of services for vulnerable populations in the Geneva University Hospitals.