By the mid-1980s, a movement had begun to establish institutional ethics committees in healthcare facilities, especially in hospitals. In 1982, only 1 percent of all U.S. hospitals had diet ethics committees; by 1987, over 60 percent
did (Fleetwood et al.). Ethics committees were endorsed in this period by leading professional groups, including the
American Medical Association, the American Hospital Association, the American Academy of Pediatrics, and the American Academy of Neurologists. Growth in the number of institutional ethics committees continued into the 1990s
and spread to nursing homes and hospices (Glaser). It is likely that the number and influence of these committees
will grow as the length of stay in hospitals continues to decline and more patient days are spent outside hospitals.
Moreover, with the shift of many kinds of care to alternative sites, it is likely that other institutional ethics committees
will develop and spread—in home-healthcare agencies and managed-care networks, for example. Hospital ethics committees remain, however, the most common institutional ethics committees and the most closely analyzed in bioethics literature.
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