Autonomy and paternalism in medicine
@article{Pollard1993AutonomyAP, title={Autonomy and paternalism in medicine}, author={Brian J. Pollard}, journal={Medical Journal of Australia}, year={1993}, volume={159} }
The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re‐examined in their applied contexts. As neither autonomy nor paternalism has a current universally accepted meaning, their significance varies in both ethical and clinical discussion. Of the two, autonomy has moved further from its original moral context, to the extent that it often now signifies no more than a person's expressed intention…
13 Citations
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The essay argues through the case of Traditional Chinese Medicine (TCM), and acupuncture in particular, that the current dominant Western school of thought excludes other forms of "alternative" treatment through medical paternalism.
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Paternalism and the Utilization of Advance Care Directives
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Patient Autonomy Investigation Under the Technology-Based Health Care System
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The major finding is that in the area of patient autonomy, it does not matter much whether the “physician decides” or the patient decides in the current “disease care” health system, where most of the doctors focus only on disease treatment using aggressive medical technologies.
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It is suggested that the conventional compromise — compulsory referral — is morally problematic, and the solution to this problem is to regard referral as ‘just another’ controversial medical practice.
How to manage patients who refuse medical treatment? Case report and review of legislative acts on patient autonomy in Poland Jak postępować z chorymi niewyrażającymi zgody na leczenie? Opis przypadku i przegląd aktów prawnych związanych z autonomią pacjenta w Polsce
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- 2011
The following publication describes the case of a female patient who refused consent to surgical intervention, and died shortly thereafter, and the legal aspects concerning patient autonomy in Poland are reviewed.
Communication with Cancer Patients in Culturally Diverse Societies
- MedicineAnnals of the New York Academy of Sciences
- 1997
This chapter attempts to combine a general review of communication in cancer medicine with a consideration of these multicultural issues raised by the management of cancer patients within a multicultural society.
Lay constructions of decision‐making in cancer
- MedicinePsycho-oncology
- 2002
Twenty women with cancer were interviewed via telephone 2 weeks after their first consultation with one of 6 medical oncologists and recruitment continued until informational redundancy was achieved.
Compliance with triage to intensive care recommendations
- MedicineCritical care medicine
- 2001
Recommendations for triage to intensive care are rarely observed, particularly when the unit is full or triage is done over the phone, and these recommendations may need to be redesigned to improve their practicability under real-life conditions.
Patient desire for information and decision making in health care decisions: the Autonomy Preference Index and the Health Opinion Survey.
- Medicine, Political Science
- 1995
OBJECTIVES: To compare results on the Autonomy Preference Index (API) and the Health Opinion Survey (HOS), two instruments that measure patient desire for information and involvement in decision…
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