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Sander P. K. Welie [4]Sander Welie [2]
  1.  33
    Is incompetence the exception or the rule?Jos V. M. Welie & Sander P. K. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):125-126.
    In the literature three mechanisms are commonly distinguished to make decisions about the care of incompetent patients: A living will, a substituted judgment by a surrogate, and a best interest judgment. Almost universally, the third mechanism is deemed the worst possible of the three, to be invoked only when the former two are unavailable. In this article, I argue in favor of best interest judgments. The evermore common aversion of best interest judgments entails a risk that health care providers withdraw (...)
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  2.  12
    Defensa de los pacientes psiquiátricos en los Países Bajos.Sander P. K. Welie - 2020 - Medicina y Ética 31 (4):987-901.
    En los Países Bajos, tanto los pacientes psiquiátricos involuntarios como los voluntarios tienen derecho a recibir apoyo individual de un abogado del paciente. Desde 1982, el apoyo de los defensores de los pacientes ha sido organizado y facilitado por la Fundación Nacional Holandesa para los Defensores de los Pacientes en la Atención de la Salud Mental. La forma en que los defensores tienen que llevar a cabo sus tareas jurídicas se ha traducido en normas de conducta elaboradas por la mencionada (...)
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  3.  10
    Patient incompetence in the practice of old age psychiatry : the significance of empirical research for the law.Sander Welie - 2008 - In Guy Widdershoven, Empirical ethics in psychiatry. New York: Oxford University Press. pp. 231--47.
  4.  52
    Criteria for patient decision making (in)competence: A review of and commentary on some empirical approaches. [REVIEW]Sander P. K. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):139-151.
    The principle of autonomy presupposes Patient Decision Making Competence (PDMC). For a few decades a considerable amount of empirical research has been done into PDMC. In this contribution that research is explored. After a short exposition on four qualities involved in PDMC, different approaches to assess PDMC are distinguished, namely a negative and a positive one. In the negative approach the focus is on identifying psychopathologic conditions that impair sound decision making; the positive one attempts to assess whether a patient (...)
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  5.  93
    Patient decision making competence: Outlines of a conceptual analysis. [REVIEW]Jos V. M. Welie & Sander P. K. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):127-138.
    In order to protect patients against medical paternalism, patients have been granted the right to respect of their autonomy. This right is operationalized first and foremost through the phenomenon of informed consent. If the patient withholds consent, medical treatment, including life-saving treatment, may not be provided. However, there is one proviso: The patient must be competent to realize his autonomy and reach a decision about his own care that reflects that autonomy. Since one of the most important patient rights hinges (...)
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  6.  32
    Patient Capacity in Mental Health Care: Legal Overview. [REVIEW]Herman Nys, Sander Welie, Tina Garanis-Papadatos & Dimitris Ploumpidis - 2004 - Health Care Analysis 12 (4):329-337.
    The discriminatory effects of categorizing psychiatric patients into competent and incompetent, have urged lawyers, philosophers and health care professionals to seek a functional approach to capacity assessment. Dutch and English law have produced some guidelines concerning this issue. So far, most legal systems under investigation have concentrated on alternatives for informed consent by the patient in case of mental incapacity, notably substitute decision-making, intervention of a judge and advance directives. It is hard to judge the way in which the law (...)
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