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Göteborgs universitets publikationer

Individual responsibility as ground for priority setting in shared decision-making

Författare och institution:
Lars Sandman (-); Erik Gustavsson (-); Christian Munthe (Institutionen för filosofi, lingvistik och vetenskapsteori & Centrum för etik, juridik och mental hälsa)
Publicerad i:
Journal of Medical Ethics, Epub ahead of print
ISSN:
0306-6800
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Fulltextlänk (lokalt arkiv):
Sammanfattning (abstract):
Introduction Given healthcare resource constraints, voices are being raised to hold patients responsible for their health choices. In parallel, there is a growing trend towards shared decision-making, aiming to empower patients and give them more control over healthcare decisions. More power and control over decisions is usually taken to mean more responsibility for them. The trend of shared decision-making would therefore seem to strengthen the case for invoking individual responsibility in the healthcare priority setting. Objective To analyse whether the implementation of shared decision-making would strengthen the argument for invoking individual responsibility in the healthcare priority setting using normative analysis. Results and conclusions Shared decision-making does not constitute an independent argument in favour of employing individual responsibility since these notions rest on different underlying values. However, if a health system employs shared decision-making, individual responsibility may be used to limit resource implications of accommodating patient preferences outside professional standards and goals. If a healthcare system employs individual responsibility, high level dynamic shared decision-making implying a joint deliberation resulting in a decision where both parties are willing to revise initial standpoints may disarm common objections to the applicability of individual responsibility by virtue of making patients more likely to exercise adequate control of their own actions. However, if communication strategies applied in the shared decision-making are misaligned to the patient's initial capacities, arguments against individual responsibility might, on the other hand, gain strength.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Medicinsk etik
HUMANIORA ->
Filosofi, etik och religion ->
Filosofi ->
Praktisk filosofi
HUMANIORA ->
Filosofi, etik och religion ->
Etik
Nyckelord:
Rationing, Person centred care, Justice, Luck egalitarianism, Bioethics
Postens nummer:
239944
Posten skapad:
2016-08-08 13:03
Posten ändrad:
2016-09-02 14:29

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