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?
Reference29 articles.
1. De Vries G., Voorspellende geneeskunde. Ethische en politiek-filosofische problemen rond een nieuw paradigma, Ethische perspectieven, 1999, 9, 183–197
2. King J.S., Moulton B.W., Rethinking Informed Consent: The Case for Shared Medical Decision-Making, American Journal of Law & Medicine, 2006, 32, 429–502
3. Hedayat K.M., The possibility of a universal declaration of biomedical ethics, Journal of Medical Ethics, 2007, 33, 17–20
4. Beauchamp C., Principles of biomedical ethics, Oxford, Oxford University Press, 2001, 454; Huibers A.K. and Spijker A., The autonomy paradox: predictive genetic testing and autonomy: three essential problems, Patient Education and Counseling, 1998, 35, 53–62
5. Oliffe J., Thorne S., Hislop T., Gregory Msc, Armstrong E.A., ’Truth Telling’ and Cultural Assumptions in an Era of Informed Consent, Family & Community Health, 2007, 30, 5–15
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