Introducing clinical ethics consultation service in Malaysia: A SWOT analysis
Document Type
Article
Publication Date
3-1-2019
Identifier
DOI: 10.1177/1477750919839913
Abstract
Clinical ethics consultation service remains undeveloped in developing countries. It is recognised that its introduction poses challenges. Malaysia, a multicultural society with diverse religions, values and perceptions further complicate the introduction of formal clinical ethics consultation service. Clinicians attending a national congress workshop completed a Strengths–Weaknesses–Opportunities–Threats analysis. The aim was to gain insight into clinician’s expectations and promote initiatives leading to the introduction of clinical ethics consultation service. Clinicians agree that clinical ethics consultation service can improve quality of care, reduce healthcare costs and advocate for patients and providers. The analysis highlighted constraints in sufficient critical mass of relevant expertise and restricted opportunities for training. The opportunities lie in education, curriculum development and availability of dedicated proponents. Cultural barriers, limited resources, lack of awareness, differences in opinions, fear of litigation and destructive influence of social media are seen as threats to the introduction of clinical ethics consultation service. This study illustrates the value of involving stakeholders when introducing clinical ethics consultation service formally. The issues identified will inform the strategic directions for the delivery of clinical ethics consultation service at a national level.
Journal Title
Clinical ethics
Volume
14
Issue
1
First Page
26
Last Page
32
Keywords
Bioethics and medical ethics; Clinical ethics; Ethicists and ethics committees; Healthcare quality
Recommended Citation
Khoo EJ, Chua SH, Thong M-K, Zilfalil BA, Lantos J. Introducing clinical ethics consultation service in Malaysia: A SWOT analysis. Clinical Ethics. 2019;14(1):26-32. doi:10.1177/1477750919839913