Title |
Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
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Published in |
Philosophy, Ethics, and Humanities in Medicine, January 2010
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DOI | 10.1186/1747-5341-5-1 |
Pubmed ID | |
Authors |
Jacquineau Azétsop, Stuart Rennie |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 50% |
Spain | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 2 | 1% |
Australia | 1 | <1% |
Unknown | 145 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 32 | 22% |
Student > Bachelor | 23 | 16% |
Student > Ph. D. Student | 19 | 13% |
Student > Postgraduate | 12 | 8% |
Researcher | 11 | 7% |
Other | 28 | 19% |
Unknown | 23 | 16% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 38 | 26% |
Nursing and Health Professions | 31 | 21% |
Social Sciences | 20 | 14% |
Philosophy | 8 | 5% |
Arts and Humanities | 8 | 5% |
Other | 19 | 13% |
Unknown | 24 | 16% |