title: Predictors of Physician Recommendation for Ethically Controversial Medical Procedures: Findings from an Exploratory National Survey of American Muslim Physicians.
abstract: Physician religiosity can influence their ethical attitude toward medical procedures and can thereby impact healthcare delivery. Using a national survey of American Muslim physicians, we explored the association between physician recommendation of three controversial medical procedures--tubal ligation, abortion, and porcine-based vaccine--and their (1) religiosity, (2) utilization of bioethics resources, and (3) perception of whether the procedure was a medical necessity and if the scenario represented a life threat. Generally, multivariate models found that physicians who read the Qur'an more often as well as those who perceived medical necessity and/or life threat had a higher odds recommending the procedures, whereas those who sought Islamic bioethical guidance from Islamic jurists (or juridical councils) more often had a lower odds. These associations suggest that the bioethical framework of Muslim physicians is influenced by their reading of scripture, and the opinions of Islamic jurists and that these influences may, paradoxically, be interpreted to be in opposition over some medical procedures.
authors.affiliation: The Centre for Islam and Medicine, Cambridge, UK.
authors.forename: Sundus
authors.initials: S
authors.lastname: Mahdi
authors.affiliation: The Centre for Islam and Medicine, Cambridge, UK.|Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Obadah
authors.initials: O
authors.lastname: Ghannam
authors.affiliation: Department of Public Health Sciences, The University of Chicago, Chicago, IL, USA.
authors.forename: Sydeaka
authors.initials: S
authors.lastname: Watson
authors.affiliation: Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, IL, USA. apadela@medicine.bsd.uchicago.edu.|Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA. apadela@medicine.bsd.uchicago.edu.|MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA. apadela@medicine.bsd.uchicago.edu.|The Initiative on Islam and Medicine, Section of Emergency Medicine, 5841 South Maryland Ave., MC 5068, Chicago, IL, 60637, USA. apadela@medicine.bsd.uchicago.edu.
authors.forename: Aasim I
authors.initials: AI
authors.lastname: Padela
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001675:Bioethics; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006801:Humans; D007514:Islam; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000941:ethics*; D012068:Religion and Medicine; D014481:United States; D055815:Young Adult
keywords: Islamic bioethics; Physician decision-making; Religiosity; ḍarūrāh