Conscientious Objection
& End-of-Life Ethics
Ethical, clinical and regulatory perspectives on conscientious objection in healthcare.
Relational Autonomy
& Care Ethics
Autonomy, relationships,
vulnerability and
the ethics of care.
Global Health, Africa
& Medical Education
Medical education, healthcare
and public health in
resource-limited settings.
The disciplinary, epistemological
and methodological foundations
of bioethics.
Conscientious objection in euthanasia and assisted suicide: A systematic review
Gomez-Virseda, C. & Gastmans, C. · PLOS ONE · 2025
This systematic review examines the ethical literature on conscientious objection to euthanasia and assisted suicide, identifying the main concepts, ethical positions and arguments underlying the debate.
https://doi.org/10.1371/journal.pone.0326142
Conscientious objection to euthanasia: A qualitative study of palliative care physicians’ perceptions
Gomez-Virseda, C., Real de Asúa, D. & Gastmans, C. · BMC Palliative Care · 2026
Based on interviews with Belgian palliative care physicians, this study explores how healthcare professionals understand conscientious objection to euthanasia and how they navigate it in clinical practice.
https://doi.org/10.1186/s12904-026-02366-9
Lived experiences of conscientious objection to euthanasia: A constructivist grounded theory study among palliative care physicians
Gomez-Virseda, C., Real de Asúa, D. & Gastmans, C. · Palliative Medicine · Accepted for publication
This constructivist grounded theory study explores how Belgian palliative care physicians experience and navigate conscientious objection to euthanasia. It identifies six distinct lived positions, showing how conscientious objection is shaped by personal values, institutional dynamics and clinical contexts.
https://doi.org/10.1177/02692163261504915
John Keown: Euthanasia, Ethics, and Public Policy: An Argument Against Legalization (2nd ed.)
Gomez-Virseda, C. · Theoretical Medicine and Bioethics · 2020
This book review examines John Keown’s arguments against the legalisation of euthanasia, discussing the ethical, legal and public policy considerations developed in his book.
https://doi.org/10.1007/s11017-020-09518-9
Relational autonomy: What does it mean and how is it used in end-of-life care? A systematic review of argument-based ethics literature
Gomez-Virseda, C., De Maeseneer, Y. & Gastmans, C. · BMC Medical Ethics · 2019
This systematic review examines how relational autonomy is conceptualised and applied in ethical discussions on end-of-life care. It identifies the main arguments and interpretations of relational autonomy.
https://doi.org/10.1186/s12910-019-0417-3
Relational autonomy in end-of-life care ethics: A contextualized approach to real-life complexities
Gomez-Virseda, C., De Maeseneer, Y. & Gastmans, C. · BMC Medical Ethics · 2020
This article develops a contextualised account of relational autonomy in end-of-life care ethics. It explores how autonomy is shaped by interpersonal relationships, vulnerability and the specific circumstances of clinical practice.
https://doi.org/10.1186/s12910-020-00495-1
Euthanasia in persons with advanced dementia: A dignity-enhancing care approach
Gomez-Virseda, C. & Gastmans, C. · Journal of Medical Ethics · 2022
This article examines the ethical challenges surrounding euthanasia in persons with advanced dementia through the lens of dignity-enhancing care. It proposes a care-oriented approach that takes seriously the person's dignity, vulnerability and need for relational support.
https://doi.org/10.1136/medethics-2021-107308
Relational autonomy: Lessons from COVID-19 and twentieth-century philosophy
Gomez-Virseda, C. & Usanos, R. A. · Medicine, Health Care and Philosophy · 2021
This article explores the relevance of relational autonomy in light of the ethical challenges raised by the COVID-19 pandemic. Drawing on twentieth-century philosophical thought, it examines how individual autonomy is embedded in social relationships and mutual responsibilities.
https://doi.org/10.1007/s11019-021-10035-2
Beyond good intentions: A justice-based critique of short-term medical missions
Gomez-Virseda, C. & Lopez Barreda, R. · Journal of Religion and Health · 2026
This article critically examines short-term medical missions through the lens of justice, questioning their ethical assumptions and implications for local healthcare systems and communities.
https://doi.org/10.1007/s10943-025-02544-8
Strengthening pedagogical, clinical, digital, and ethical competencies among health educators: A descriptive report of the University Pedagogy Seminar at the University Hospital Complex “Le Bon Samaritain,” N’Djamena, Chad
Yamti, S. N., Gomez-Virseda, C., Mezzana, D., Dafogo, A. D., Soumbatingar, N. S., Dezoumbe, K., Njoya, E. C., Djiogue, S., Rimtebaye, K. & Colizzi, V. · Sahelian Journal of Responsible One Health · 2026
This report describes a university pedagogy seminar in Chad aimed at strengthening health educators’ pedagogical, clinical, digital and ethical competencies.
https://doi.org/10.4081/sjroh.667
Understanding COVID-19 vaccination intention among healthcare workers in N’Djamena, Chad: Insights for enhanced immunization strategies in Africa
Takoudjou Dzomo, G. R., López Barreda, R., Bernales, M., Djarma, O., Edmond, M., Soumbatingar, N. S., Madengar, M. S., Mennechet, F. J. D. & Gomez-Virseda, C. · Sahelian Journal of Responsible One Health · 2025
This study examines COVID-19 vaccination intentions among healthcare workers in N’Djamena, identifying factors relevant to the development of more effective immunization strategies in Africa.
https://doi.org/10.4081/sjroh.597
Predictors of COVID-19 vaccine hesitancy in Chad: A cross-sectional study
Takoudjou Dzomo, G. R., Mbario, E., Djarma, O., Soumbatingar, N. S., Madengar, M. S., Djimera, N., Djindimadje, A., Nguemadjita, C., Nassaringar, G., Bernales, M., Nangerngar, T., Naissem, D., Paningar, E., Gomez-Virseda, C., Lopez Barreda, R., Robbins, I., Cournil, A., Visier, L., Tuaillon, E. & Mennechet, F. J. D. · Frontiers in Public Health · 2023
This cross-sectional study investigates factors associated with COVID-19 vaccine hesitancy in Chad, providing insights into the social and demographic determinants of vaccination attitudes.
https://doi.org/10.3389/fpubh.2022.1063954
Educational level, gender and health practices regarding COVID-19 in N’Djamena, Chad: A cross-sectional study
Takoudjou Dzomo, G. R., Bernales, M., Gomez-Virseda, C., Deassal, F. & Lopez Barreda, R. · Journal of Public Health in Africa · 2022
This cross-sectional study examines how educational level and gender relate to health practices during the COVID-19 pandemic in N’Djamena, Chad.
https://doi.org/10.4081/jphia.2022.1948
Knowledge, attitudes and practices regarding COVID-19 in N’Djamena, Chad
Takoudjou Dzomo, G. R., Bernales, M., Lopez, R., Djofang Kamga, Y., Kila Roskem, J. P., Deassal Mondjimbaye, F., et al. · Journal of Community Health · 2021
This article investigates knowledge, attitudes and practices related to COVID-19 among the population of N’Djamena, Chad, providing an overview of local responses to the pandemic.
https://doi.org/10.1007/s10900-021-00963-8
Bioethics beyond methodologism: A response to Hofmann
Gomez-Virseda, C., Andreoli, L. & Jegan, R. · Medicine, Health Care and Philosophy · 2026
This article responds to Hofmann’s critique of bioethics, arguing against reducing the discipline to methodological approaches and highlighting the importance of its broader intellectual and normative foundations.
https://doi.org/10.1007/s11019-026-10419-2
Is bioethics a discipline? Beyond methodological reductionism
Gomez-Virseda, C., Andreoli, L. & Jegan, R. · Medicine, Health Care and Philosophy · 2026
This article examines the disciplinary identity of bioethics and challenges the reduction of its work to methodological frameworks. It argues for a broader understanding of bioethics that recognises its conceptual, philosophical and normative dimensions.