Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
Philosophy, Ethics, and Humanities in Medicine 5 (1):1-10 (2010)
|Abstract||Through its adoption of the biomedical model of disease which promotes medical individualism and its reliance on the individual-based anthropology, mainstream bioethics has predominantly focused on respect for autonomy in the clinical setting and respect for person in the research site, emphasizing self-determination and freedom of choice. However, the emphasis on the individual has often led to moral vacuum, exaggeration of human agency, and a thin (liberal?) conception of justice. Applied to resource-poor countries and communities within developed countries, autonomy-based bioethics fails to address the root causes of diseases and public health crises with which individuals or communities are confronted. A sociological explanation of disease causation is needed to broaden principles of biomedical ethics and provides a renewed understanding of disease, freedom, medical practice, patient-physician relationship, risk and benefit of research and treatment, research priorities, and health policy|
|Keywords||No keywords specified (fix it)|
|Through your library||Configure|
Similar books and articles
Craig Blinderman (2009). Palliative Care, Public Health and Justice: Setting Priorities in Resource Poor Countries. Developing World Bioethics 9 (3):105-110.
Jacquineau Azetsop (2011). New Directions in African Bioethics: Ways of Including Public Health Concerns in the Bioethics Agenda. Developing World Bioethics 11 (1):4-15.
Bridget Pratt & Bebe Loff (2013). A Framework to Link International Clinical Research to the Promotion of Justice in Global Health. Bioethics 27 (3).
Patricia A. Marshall (2005). Human Rights,Cultural Pluralism, and International Health Research. Theoretical Medicine and Bioethics 26 (6):529-557.
Bridget Pratt & Bebe Loff (2013). Linking International Research to Global Health Equity: The Limited Contribution of Bioethics. Bioethics 27 (4):208-214.
D. S. Goldberg (2012). Social Justice, Health Inequalities and Methodological Individualism in US Health Promotion. Public Health Ethics 5 (2):104-115.
Edmund D. Pellegrino (1984). Autonomy and Coercion in Disease Prevention and Health Promotion. Theoretical Medicine and Bioethics 5 (1).
Angus Dawson (ed.) (2011). Public Health Ethics: Key Concepts and Issues in Policy and Practice. Cambridge University Press.
Madison Powers & Ruth Faden (2008). Social Justice: The Moral Foundations of Public Health and Health Policy. OUP USA.
T. M. Wilkinson (2010). Community, Public Health and Resource Allocation. Public Health Ethics 3 (3):267-271.
Javier Hidalgo (2012). Why Restrictions on the Immigration of Health Workers Are Unjust. Developing World Bioethics 12 (3).
James Dwyer (2007). What's Wrong with the Global Migration of Health Care Professionals? Individual Rights and International Justice. Hastings Center Report 37 (5):36-43.
Nancy S. Jecker (2008). A Broader View of Justice. American Journal of Bioethics 8 (10):2 – 10.
Nicole Hassoun (2012). Global Health Impact: A Basis for Labeling and Licensing Campaigns? Developing World Bioethics 12 (3):121-134.
Added to index2010-08-24
Total downloads12 ( #93,475 of 549,766 )
Recent downloads (6 months)1 ( #63,425 of 549,766 )
How can I increase my downloads?