Patient autonomy and choice in healthcare: self-testing devices as a case in point
| Autor: | Anna-Marie Greaney, P. Anne Scott, Dónal P. O’Mathúna |
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| Rok vydání: | 2011 |
| Předmět: |
Freedom
Health (social science) Patients media_common.quotation_subject Context (language use) Medical law 0603 philosophy ethics and religion Choice Behavior Education Paternalism 03 medical and health sciences Professional Role 0302 clinical medicine Humans Medicine Interpersonal Relations Professional Autonomy 030212 general & internal medicine Physician's Role media_common Physician-Patient Relations Social Responsibility business.industry Health Policy 06 humanities and the arts Self Care Philosophy of medicine Personal Autonomy Premise Engineering ethics 060301 applied ethics Ethical Theory business Delivery of Health Care Social psychology Social responsibility Ethical Analysis Medical ethics Autonomy |
| Zdroj: | Medicine, Health Care and Philosophy. 15:383-395 |
| ISSN: | 1572-8633 1386-7423 |
| Popis: | This paper aims to critique the phenomenon of advanced patient autonomy and choice in healthcare within the specific context of self-testing devices. A growing number of self-testing medical devices are currently available for home use. The premise underpinning many of these devices is that they assist individuals to be more autonomous in the assessment and management of their health. Increased patient autonomy is assumed to be a good thing. We take issue with this assumption and argue that self-testing provides a specific example how increased patient autonomy and choice within healthcare might not best serve the patient population. We propose that current interpretations of autonomy in healthcare are based on negative accounts of liberty to the detriment of a more relational understanding. We also propose that Kantian philosophy is often applied to the healthcare arena in an inappropriate manner. We draw on the philosophical literature and examples from the self-testing process to support these claims. We conclude by offering an alternative account of autonomy based on the interrelated concepts of relationality, care and responsibility. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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