PMID- 10474312 OWN - NLM STAT- MEDLINE DCOM- 19990921 LR - 20191103 IS - 1386-7415 (Print) IS - 1386-7415 (Linking) VI - 20 IP - 3 DP - 1999 Jun TI - The dream of consensus: finding common ground in a bioethical context. PG - 261-73 AB - Consensus is the holy grail of bioethics, the lynch pin of the assumption that well informed, well intentioned people may reach generally acceptable positions on ethically contentious issues. It has been especially important in bioethics, where advancing technology has assured an increasing field of complex medical dilemmas. This paper results on the use of a multicriterion decision making system (MCDM) analyzing group process in an attempt to better define hospital policy. In a pilot program at The Hospital for Sick Children, Toronto, a series of small scale focus groups was constituted to examine criteria defining organ transplant eligibility. Criteria were organized hierarchically using the Analytic Hierarchy Process, an MCDM approach, and the resulting data was analyzed using Expert Choice 9.0, software designed to facilitate AHP analysis. Qualitative and quantitative analysis map barriers to practical consensus in a way not previously possible. FAU - Koch, T AU - Koch T AD - Hospital for Sick Children, Department of Bioethics, Toronto, Ontario, Canada. FAU - Rowell, M AU - Rowell M LA - eng PT - Journal Article PL - Netherlands TA - Theor Med Bioeth JT - Theoretical medicine and bioethics JID - 9805378 SB - IM MH - Child MH - *Consensus MH - *Decision Making, Organizational MH - Decision Support Techniques MH - *Eligibility Determination MH - *Ethics, Medical MH - Focus Groups MH - *Health Care Rationing MH - Humans MH - Ontario MH - *Organ Transplantation MH - *Patient Selection MH - Pilot Projects MH - Resource Allocation OID - KIE: 63925 OTO - KIE OT - Health Care and Public Health OT - Hospital for Sick Children (Toronto) GN - KIE: KIE BoB Subject Heading: organ and tissue transplantation GN - KIE: KIE BoB Subject Heading: selection for treatment GN - KIE: Full author name: Koch, Tom GN - KIE: Full author name: Rowell, Mary EDAT- 1999/09/04 00:00 MHDA- 1999/09/04 00:01 CRDT- 1999/09/04 00:00 PHST- 1999/09/04 00:00 [pubmed] PHST- 1999/09/04 00:01 [medline] PHST- 1999/09/04 00:00 [entrez] AID - 10.1023/a:1009995919835 [doi] PST - ppublish SO - Theor Med Bioeth. 1999 Jun;20(3):261-73. doi: 10.1023/a:1009995919835.