David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 21 (5):425-439 (2000)
The Belgian health care system has a few features that may havecontributed to the rising costs of health care: patients' freechoice of physicians, large clinical freedom of physicians, essentiallya fee-for-service remuneration for medical specialists in which the feesare agreed between insurance funds and physicians. The increased medicalconsumption and costs have prompted the state and insurance companies totake measures that limit the professional autonomy of the physicians.Access to medical education, free until 1997, is now restricted. Themedical profession is organized in the Order of Physicians that hasestablished a code of professional ethics that has moral but not legalforce. So far, there is no special legislation for thepatient–physician relationship, though laws on specific issueslike organ transplantation contain duties for physicians. In recentyears a debate is taking place on patients' rights, of which informedconsent is central and gaining importance in medico-legal publications.An analysis of (ethical and legal) regulations concerning thewithholding or withdrawal of treatment by physicians demonstrate thatthe profession still enjoys a large clinical autonomy, though duediscussion with the patient has become more explicitly required. Therespect for professional autonomy is not primarily due to any formalpower that the Order of Physicians would have, but is rather grounded inthe generally high quality of the patient–physician relationshipthat in ethical terms is considered essentially as a confidencerelationship rather than a contractual relationship.
|Keywords||professional autonomy medical profession Belgium patient–physician relationship informed consent therapeutic obstinacy end-of-life decision making confidence relationship|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
S. Callens, I. Volbragt & H. Nys (2006). Impact of Cost Containment Measures on Medical Liability. Journal of Evaluation in Clinical Practice 12 (6):595-600.
Similar books and articles
Franklin G. Miller (1993). The Concept of Medically Indicated Treatment. Journal of Medicine and Philosophy 18 (1):91-98.
J. Stuart Horner (2000). Autonomy in the Medical Profession in the United Kingdom – an Historical Perspective. Theoretical Medicine and Bioethics 21 (5):409-423.
Howard Zonana (2010). Physicians Must Honor Refusal of Treatment to Restore Competency by Non-Dangerous Inmates on Death Row. Journal of Law, Medicine & Ethics 38 (4):764-773.
Beverly Woodward (2001). Confidentiality, Consent and Autonomy in the Physician-Patient Relationship. Health Care Analysis 9 (3):337-351.
Amy M. Bovi (2003). Ethical Guidelines for Use of Electronic Mail Between Patients and Physicians. American Journal of Bioethics 3 (3):43-47.
David T. Ozar (1984). Patients' Autonomy: Three Models of the Professional-Lay Relationship in Medicine. Theoretical Medicine and Bioethics 5 (1).
Jan Hoogland & Henk Jochemsen (2000). Professional Autonomy and the Normative Structure of Medical Practice. Theoretical Medicine and Bioethics 21 (5):457-475.
Gene H. Stollerman (1984). Promoting Patient Autonomy: Looking Back. Theoretical Medicine and Bioethics 5 (1).
J. Warren Salmon, William White & Joe Feinglass (1990). The Futures of Physicians: Agency and Autonomy Reconsidered. Theoretical Medicine and Bioethics 11 (4).
H. M. Dupuis (2000). Professional Autonomy: A Stumbling Block for Good Medical Practice. An Analysis and Interpretation. Theoretical Medicine and Bioethics 21 (5):493-502.
Added to index2009-01-28
Total downloads13 ( #253,471 of 1,789,795 )
Recent downloads (6 months)10 ( #82,722 of 1,789,795 )
How can I increase my downloads?