RT Book, Section A1 Jonsen, Albert R. A1 Siegler, Mark A1 Winslade, William J. SR Print(0) ID 1186991592 T1 Contextual Features T2 Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, 9e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781260457544 LK accessmedicine.mhmedical.com/content.aspx?aid=1186991592 RD 2024/04/19 AB This topic contains items that are not usually part of a clinical workup. They are, however, essential to the description and resolution of a case in clinical ethics. Contextual features address the ways in which professional, family, religious, financial, legal, and institutional factors influence clinical decisions. These factors are the context in which the clinical case occurs. Although clinical ethics focuses on the medical indications, patient preferences, and quality of life in a particular case of patient care, medical decisions are not simply individual choices by two autonomous agents (the physician and the patient), but choices that are influenced and constrained by the context in which they take place. In the United States, there are approximately 40 million inpatients per year and about 1.5 billion outpatients per year.