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  1. Article ; Online: When the frameworks don't work: data protection, trust and artificial intelligence.

    Fritz, Zoë

    Journal of medical ethics

    2022  Volume 48, Issue 4, Page(s) 213–214

    MeSH term(s) Artificial Intelligence ; Computer Security ; Humans ; Trust
    Language English
    Publishing date 2022-03-20
    Publishing country England
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/medethics-2022-108263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Advance and future care planning.

    Hyson, Lara / Fritz, Zoë

    BMJ (Clinical research ed.)

    2024  Volume 384, Page(s) e074797

    Language English
    Publishing date 2024-03-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2023-074797
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Solidarity, sustainability and medical ethics.

    Fritz, Zoë

    Journal of medical ethics

    2021  Volume 47, Issue 2, Page(s) 63–64

    MeSH term(s) Delivery of Health Care ; Ethics, Medical ; Humans ; Resource Allocation
    Language English
    Publishing date 2021-01-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/medethics-2021-107221
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Acute medicine

    Haydock, Stephen / Whitehead, Duncan / Fritz, Zoë

    a symptom-based approach

    (Cambridge medicine)

    2015  

    Author's details ed. by Stephen Haydock ; Duncan Whitehead ; Zoë Fritz
    Series title Cambridge medicine
    Keywords Emergency Service, Hospital ; Emergency Treatment / methods ; Acute Disease ; Diagnosis, Differential ; Great Britain
    Language English
    Size XX, 507 S. : Ill., graph. Darst.
    Publisher Cambridge Univ. Press
    Publishing place Cambridge
    Publishing country Great Britain
    Document type Book
    Note Includes bibliographical references and index
    HBZ-ID HT018523857
    ISBN 978-1-107-63357-5 ; 1-107-63357-5
    Database Catalogue ZB MED Medicine, Health

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  5. Article ; Online: What is in the toolkit (and what are the tools)? How to approach the study of doctor-patient communication.

    Cox, Caitríona / Fritz, Zoë

    Postgraduate medical journal

    2023  Volume 99, Issue 1172, Page(s) 631–638

    Abstract: Doctor-patient communication is important, but is challenging to study, in part because it is multifaceted. Communication can be considered in terms of both the aspects of the communication itself, and its measurable effects. These effects are themselves ...

    Abstract Doctor-patient communication is important, but is challenging to study, in part because it is multifaceted. Communication can be considered in terms of both the aspects of the communication itself, and its measurable effects. These effects are themselves varied: they can be proximal or distal, and can focus on subjective measures (how patients feel about communication), or objective measures (exploring more concrete health outcomes or behaviours). The wide range of methodologies available has resulted in a heterogeneous literature which can be difficult to compare and analyse. Here, we provide a conceptual approach to studying doctor-patient communication, examining both variables which can controlled and different outcomes which can be measured. We present methodologies which can be used (questionnaires, semistructured interviews, vignette studies, simulated patient studies and observations of real interactions), with particular emphasis on their respective logistical advantages/disadvantages and scientific merits/limitations. To study doctor-patient communication more effectively, two or more different study designs could be used in combination. We have provided a concise and practically relevant review of the methodologies available to study doctor-patient communication to give researchers an objective view of the toolkit available to them: both to understand current research, and to conduct robust and relevant studies in the future.
    MeSH term(s) Humans ; Physician-Patient Relations ; Communication ; Emotions ; Surveys and Questionnaires
    Language English
    Publishing date 2023-06-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/postgradmedj-2021-140663
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Role of Shared Decision Making in the Management of Abdominal Aortic Aneurysm.

    La Torre, Guglielmo / Fritz, Zoe

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 67, Issue 4, Page(s) 693–694

    MeSH term(s) Humans ; Decision Making, Shared ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Risk Factors
    Language English
    Publishing date 2023-12-22
    Publishing country England
    Document type Letter
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.11.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Presenting complaint: use of language that disempowers patients.

    Cox, Caitríona / Fritz, Zoë

    BMJ (Clinical research ed.)

    2022  Volume 377, Page(s) e066720

    MeSH term(s) Humans ; Language
    Language English
    Publishing date 2022-04-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2021-066720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Creating and administering video vignettes for a study examining the communication of diagnostic uncertainty

    Caitríona Cox / Thea Hatfield / Jordan Moxey / Zoë Fritz

    BMC Medical Research Methodology, Vol 23, Iss 1, Pp 1-

    methodological insights to improve accessibility for researchers and participants

    2023  Volume 14

    Abstract: Abstract Background Studying clinician-patient communication can be challenging, particularly when research seeks to explore cause-and-effect relationships. Video vignettes – hypothetical yet realistic scenarios – offer advantages to traditional ... ...

    Abstract Abstract Background Studying clinician-patient communication can be challenging, particularly when research seeks to explore cause-and-effect relationships. Video vignettes – hypothetical yet realistic scenarios – offer advantages to traditional observational approaches by enabling standardisation and manipulation of a clinician-patient encounter for assessment by participants. While published guidelines outline stages to create valid video vignette studies, constructing high quality vignettes which are accessible to a wide range of participants and feasible to produce within time and budget restraints remains challenging. Here, we outline our methods in creating valid video vignettes to study the communication of diagnostic uncertainty. We aim to provide practically useful recommendations for future researchers, and to prompt further reflection on accessibility issues in video vignette methodology. Methods We produced four video vignettes for use in an online study examining the communication of diagnostic uncertainty. We followed established guidelines for vignette production, with specific consideration of how these might be applied pragmatically to save time and resources. Scripts were pilot-tested with 15 laypeople, and videos with 14 laypeople; pilot-testing involved both quantitative and qualitative analysis. Results and discussion We demonstrate the usefulness of existing guidelines, while also determining that vignette production need not necessarily be expensive or time-consuming to be valid. Our vignettes were filmed using an iPhone camera, and featured a physician rather than a professional actor; nonetheless, pilot-testing found them to be internally and externally valid for experimental use. We thus propose that if care is taken in initial script development and if pragmatic choices are made regarding filming techniques and pilot-testing, researchers can produce valid vignettes within reasonable time and budget restraints. We also suggest that existing research fails to critically examine the ...
    Keywords Video-vignette ; Analogue patients ; Methodology ; Diagnostic uncertainty ; Medicine (General) ; R5-920
    Subject code 410
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Creating and administering video vignettes for a study examining the communication of diagnostic uncertainty: methodological insights to improve accessibility for researchers and participants.

    Cox, Caitríona / Hatfield, Thea / Moxey, Jordan / Fritz, Zoë

    BMC medical research methodology

    2023  Volume 23, Issue 1, Page(s) 296

    Abstract: Background: Studying clinician-patient communication can be challenging, particularly when research seeks to explore cause-and-effect relationships. Video vignettes - hypothetical yet realistic scenarios - offer advantages to traditional observational ... ...

    Abstract Background: Studying clinician-patient communication can be challenging, particularly when research seeks to explore cause-and-effect relationships. Video vignettes - hypothetical yet realistic scenarios - offer advantages to traditional observational approaches by enabling standardisation and manipulation of a clinician-patient encounter for assessment by participants. While published guidelines outline stages to create valid video vignette studies, constructing high quality vignettes which are accessible to a wide range of participants and feasible to produce within time and budget restraints remains challenging. Here, we outline our methods in creating valid video vignettes to study the communication of diagnostic uncertainty. We aim to provide practically useful recommendations for future researchers, and to prompt further reflection on accessibility issues in video vignette methodology.
    Methods: We produced four video vignettes for use in an online study examining the communication of diagnostic uncertainty. We followed established guidelines for vignette production, with specific consideration of how these might be applied pragmatically to save time and resources. Scripts were pilot-tested with 15 laypeople, and videos with 14 laypeople; pilot-testing involved both quantitative and qualitative analysis.
    Results and discussion: We demonstrate the usefulness of existing guidelines, while also determining that vignette production need not necessarily be expensive or time-consuming to be valid. Our vignettes were filmed using an iPhone camera, and featured a physician rather than a professional actor; nonetheless, pilot-testing found them to be internally and externally valid for experimental use. We thus propose that if care is taken in initial script development and if pragmatic choices are made regarding filming techniques and pilot-testing, researchers can produce valid vignettes within reasonable time and budget restraints. We also suggest that existing research fails to critically examine the potential benefits and harms of online video vignette methodology, and propose that further research should consider how it can be adapted to be inclusive of those from underserved backgrounds.
    Conclusions: Researchers creating video vignette studies can adapt the video vignette development process to suit time and budget constraints, and to make best use of available technology. Online methods may be harnessed to increase participant accessibility, but future research should explore more inclusive vignette design.
    MeSH term(s) Humans ; Uncertainty ; Communication ; Surveys and Questionnaires ; Physicians ; Video Recording
    Language English
    Publishing date 2023-12-15
    Publishing country England
    Document type Video-Audio Media ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041362-2
    ISSN 1471-2288 ; 1471-2288
    ISSN (online) 1471-2288
    ISSN 1471-2288
    DOI 10.1186/s12874-023-02072-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: In defence of our model for just healthcare systems: why an explicit philosophy is needed in addition to the law, and how Scanlon helps derive just policies.

    Cox, Caitríona L / Fritz, Zoë

    Journal of medical ethics

    2021  Volume 48, Issue 6, Page(s) 416–418

    Abstract: In a recent response to our paper on developing a philosophical framework to guide the design and delivery of a just health service, Sarela raises several objections. We feel that although Sarela makes points which are worthy of discussion, his critique ... ...

    Abstract In a recent response to our paper on developing a philosophical framework to guide the design and delivery of a just health service, Sarela raises several objections. We feel that although Sarela makes points which are worthy of discussion, his critique does not undermine either the need for, or the worth of, our proposed model. First, the law does not negate the need for ethics in determining just healthcare policy. Reliance on legal processes can drive inappropriate focus on ensuring policies avoid judicial review, as opposed to ensuring they are truly just; the law affords protection against unjust policies but does not put a commitment to avoiding them at the heart of policy-making. We defend the need for Scanlonian supplementation by emphasising the practical value of adding a step based on reasonable rejection, particularly in ensuring that the views of vulnerable stakeholders are robustly considered. We discuss the similarities and differences between the work of Daniels and Sen in considering the relationship between health and opportunity, concluding that Sen's capability approach is both valuable and compatible with our proposed model. Finally, the practical use of our model requires consideration of what constitutes a reasonable person. Our model is explicitly intended to help develop a healthcare system which is just to all its users. With this in mind, we suggest that those involved in decision-making should meet Scanlon's definition of reasonable: they should be motivated to justify their actions to, and seek agreement with, others.
    MeSH term(s) Delivery of Health Care ; Health Policy ; Humans ; Philosophy ; Policy Making
    Language English
    Publishing date 2021-09-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/medethics-2021-107633
    Database MEDical Literature Analysis and Retrieval System OnLINE

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