Peter Glusker, MD, PhD
To the Editor: Niemira's article (1) on ethics committees at rural hospitals is interesting, but I fear that she misses a deeper issue. She appears to assume that the committee's role in a large institution is similar to that in a small one, although she alludes to the possibility that their functions may be different. I agree strongly with the latter point from my experience as chairman of the ethics committee of our local 54-bed district hospital for the last 5 years. Its central role is resolving
conflict among the patient (or family), the physician, nurses, or, rarely, administrators. A
Glusker P. Ethical Decisions in Small Hospitals. Ann Intern Med. ;110:413. doi: 10.7326/0003-4819-110-5-413
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Published: Ann Intern Med. 1989;110(5):413.
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