Patient autonomy and choice in healthcare: self-testing devices as a case in point

@article{Greaney2012PatientAA,
  title={Patient autonomy and choice in healthcare: self-testing devices as a case in point},
  author={A. Greaney and D. O'Math{\'u}na and P. A. Scott},
  journal={Medicine, Health Care and Philosophy},
  year={2012},
  volume={15},
  pages={383-395}
}
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… Expand

Topics from this paper

Patient Autonomy in Nursing and Healthcare Contexts
Autonomy, and associated respect for patient autonomy, have gained increased prominence in nursing and healthcare practice in recent years. There is a growing understanding that patients have a rightExpand
Autonomy as lived: an empirical-ethical analysis of patient autonomy in the clinical context of individuals engaged with self-testing technology
Aim/Background: This study examines the meaning of patient autonomy in healthcare in the clinical context of individuals engaged with self-testing technology. Patient autonomy has gained increasedExpand
Historical analysis of personal autonomy for prospective healthcare
TLDR
It was found that the three historical traditions still play a key role in current discussions on personal autonomy in health care, and may be quite helpful for health stakeholders in planning health services and policies. Expand
Self-care as care left undone? The ethics of the self-care agenda in contemporary healthcare policy.
  • A. Greaney, S. Flaherty
  • Medicine, Psychology
  • Nursing philosophy : an international journal for healthcare professionals
  • 2020
TLDR
This paper explores arguments through a contemporary ethical analysis of the self-care agenda through the context of healthcare policy, whereby self-management is understood as a point in the widerSelf-care continuum. Expand
‘The interface between evidence-based maternity care clinical practice guidelines and the pregnant woman’s autonomy’.
TLDR
It is a paradox that the recommendation professionals should follow guidelines and be non-directive may result in the unintended consequence of women exercising their autonomy by in part reinstating authority to professional carers. Expand
Truth-telling, decision-making, and ethics among cancer patients in nursing practice in China
TLDR
Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Expand
The Use of Patient Self-Testing in Low- and Middle-Income Countries: A Systematic Scoping Review
Background Improving access to health through use of innovative health technologies such as points-of-care testing is 1 global health priority. Patient self-testing (PST) is one of the point-of-careExpand
Ethical implications of HIV self-testing
TLDR
It is concluded that there are no strong ethical objections to self-testing being made widely available in the UK, and self- testing has the potential to increase early diagnosis of HIV infection and thus improve prognosis and reduce ongoing transmission. Expand
Rapid Home HIV Testing
This article examines the home rapid HIV test as a new practice of US biocitizenship. Via an analysis of discourse surrounding self-diagnostics, I conclude that while home HIV tests appear to expandExpand
Unsupervised Self-testing as Part Public Health Screening for HIV in Resource-Poor Environments: Some Ethical Considerations
TLDR
It is not ethically appropriate to incorporate unsupervised HIV self-testing as part of a public health screening program in resource-poor environments, on the basis of the principles of utility and respect for autonomy. Expand
...
1
2
3
...

References

SHOWING 1-10 OF 105 REFERENCES
Operationalizing autonomy: solutions for mental health nursing practice.
TLDR
The authors conclude that a broader, more contextualized perspective on autonomy would more suitably inform mental health nursing and suggest an alternative framework within which to operationalize patient autonomy. Expand
Diagnostic Self-Testing: Autonomous Choices and Relational Responsibilities
TLDR
It is argued that the development of diagnostic tools, especially for home use, will heighten a number of ethical challenges, and the ethical implications of home-based self-testing diagnostic devices for the autonomous and relational dimensions of the person are explored. Expand
Autonomy, privacy and informed consent 3: elderly care perspective.
TLDR
There is indication of a clear need for further empirical studies exploring issues of patient autonomy, privacy and informed consent in the day-to-day nursing care of older people. Expand
Moral principles and medical practice: the role of patient autonomy in the extensive use of radiological services
TLDR
A literature review reveals how patient autonomy is acknowledged in radiology, and how it is used both to explain and to justify the increase in radiological examinations, and shows how the premises favouring patients’ exercise of their autonomy are not always present. Expand
Autonomy and autonomy competencies: a practical and relational approach.
  • K. Atkins
  • Psychology, Medicine
  • Nursing philosophy : an international journal for healthcare professionals
  • 2006
This essay will address a general philosophical concern about autonomy, namely, that a conception of autonomy focused on freedom of the will alone is inadequate, once we consider the effects ofExpand
Health and autonomy
  • J. Varelius
  • Psychology, Medicine
  • Medicine, health care, and philosophy
  • 2005
TLDR
This article sketches an objective conception of health that is able to respect individual autonomy. Expand
Autonomy, privacy and informed consent 1: concepts and definitions.
TLDR
An overview of the concepts of patient autonomy, privacy and informed consent in the context of the provision of nursing care is provided, and some of the difficulties with definitions are considered. Expand
Autonomy and Trust in Bioethics
TLDR
The supposed triumph of individual autonomy over other principles in bioethics is an unsustainable illusion, and an ethic grounded on principled autonomy may be made the basis of fostering trustworthiness. Expand
A concept analysis of autonomy
TLDR
A concept analysis of autonomy is undertaken, each step illustrated with examples taken from clinical practice, with the ultimate aim of offering an operational definition of autonomy. Expand
The Origins and Consequences of Patient Autonomy: A 25-Year Retrospective
  • D. Rothman
  • Sociology, Medicine
  • Health Care Analysis
  • 2004
TLDR
This essay explores the evolution of the tension between the principles of autonomy and beneficence in American health care over the past several decades, finding that consumers have extended their influence over a wide range of treatment decisions. Expand
...
1
2
3
4
5
...