An open future? The principle of autonomy within medical ‘codes of conduct’ versus the heteronomy effects of predictive medicine

Author:

Devisch Ignaas1

Affiliation:

1. 1Rehabilitation Sciences and Physiotherapy Ghent, Campus Heymans (UZ) 3B3, De Pintelaan 185, BE-Ghent, Belgium

Abstract

AbstractTraditionally, the average code of conduct within Western health care starts from the autonomy of the patient. In addition, medicine today is ‘evidence based’ and the patient is an ‘informed consent’. Yet, the individual autonomy of the patient in health care is not simply enhancing today. Quite a few fundamental changes have and are currently at work within health care, which I will summarize here with the paradigm of predictive medicine. One of the characteristics of this paradigm is the increase of medical consults which are not autonomously chosen by an individual. For reasons of public health and diminishing of health risks or for reasons of prevention, on one hand we are dealing with ethical codes centered around the autonomy of patients and the face-to-face relations with health care workers, on the other, we are dealing with a society that takes an increasingly greater medical initiatives. Therefore, the question arises if predictive medicine confronts us with the limits of an ethical code as we know it today. Is there not an urgent need for a political code of conduct in health care?

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Saving Deaf Children? Screening for Hearing loss as a Public-interest Case;Journal of Bioethical Inquiry;2016-10-19

2. Het lichaam in beweging: een te disciplineren machine?;Tijdschrift voor gezondheidswetenschappen;2011-04

3. Oughtonomy in healthcare. A deconstructive reading of Kantian autonomy;Medicine, Health Care and Philosophy;2010-06-24

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