Provider Choice: Essential To Autonomy or Advertising Gimmick?

Nursing Ethics 3 (2):108-117 (1996)

Free choice of provider is heralded as a right of autonomy, but the goals of autonomy are better served in today's health care environment when there is informed choice of the care delivery system. The principle of liberty is distinguished from respect for auton omy. Free choice of provider would be demanded only by liberty, except that allocation of health care resources does not meet criteria for the application of liberty. Patients attempting to choose the best practitioner do not have data to support the decision. If data were available, access to these superior practitioners would become an allocation problem. A mythology of the wise practitioner fosters the concept of provider choice as a personal judgement about clinical knowledge. The emerging trends of collaborative care, standardization of practice guidelines and diversity of delivery systems among reimbursers create a situation where a patient's autonomy to choose goals for treatment is respected through the choice of delivery sys tem
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1177/096973309600300203
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 47,229
Through your library

References found in this work BETA

Add more references

Citations of this work BETA

Editorial Comment.D. P. Olsen - 2011 - Nursing Ethics 18 (5):626-628.

Add more citations

Similar books and articles

Persuasive Advertising, Autonomy, and the Creation of Desire.Roger Crisp - 1987 - Journal of Business Ethics 6 (5):413 - 418.
The Autonomy of the Health Care Provider: Advertising by Health Professionals.Linda S. Scheirton - 2001 - In H. Ten Have & Bert Gordijn (eds.), Bioethics in a European Perspective. Kluwer Academic Publishers. pp. 93--109.
The Relative Importance of Undesirable Truths.Lisa Bortolotti - 2012 - Medicine Healthcare and Philosophy (4):683-690.
Advertising and Deep Autonomy.Andrew Sneddon - 2001 - Journal of Business Ethics 33 (1):15 - 28.
Shared Decision-Making and Patient Autonomy.Lars Sandman & Christian Munthe - 2009 - Theoretical Medicine and Bioethics 30 (4):289-310.
Free Choice, Equity, and Care: The Moral Foundations of Health Care.Chan Ho-mun - 1999 - Journal of Medicine and Philosophy 24 (6):624 – 637.
Intention, Autonomy, and Brain Events.Grant Gillett - 2009 - Bioethics 23 (6):330-339.


Added to PP index

Total views
21 ( #449,590 of 2,289,862 )

Recent downloads (6 months)
1 ( #837,039 of 2,289,862 )

How can I increase my downloads?


My notes

Sign in to use this feature