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Göteborgs universitets publikationer

Person centredness and shared decision-making in forensic care, social services and public health

Författare och institution:
Christian Munthe (Institutionen för filosofi, lingvistik och vetenskapsteori & Centrum för etik, juridik och mental hälsa); Lars Sandman (-); Pia Nykänen (Institutionen för pedagogik, kommunikation och lärande & Institutionen för filosofi, lingvistik och vetenskapsteori); Leila El Alti (Institutionen för filosofi, lingvistik och vetenskapsteori & Centrum för etik, juridik och mental hälsa)
Publicerad i:
30th European Conference of the Philosophy of Medicine and Healthcare, Zagreb, August 17-20, 2016,
Publikationstyp:
Konferensbidrag - refereegranskat abstract
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk (lokalt arkiv):
Sammanfattning (abstract):
Shared decision-making and person centred care (PCC/SDM) are increasingly embraced framework conceptions on how to organise health care's interaction with patients. Although underlying ethical motivation may vary, PCC/SDM holds ideals of a greater adaption of health care to individual circumstances, and of recognising patients as collaborators in clinical decision-making. The PCC/SDM notion has migrated quickly across many areas where it is less clear how it applies, due to patients being in non-standard conditions with regard to personal capacities or care context, and detected to offer a number of peculiar ethical and practical challenges. But the migration has also reached areas with even less similarity to the original PCC/SDM landscape of somatic hospital care. In this presentation, we describe – based on comissioned and work in a Swedish context and ongoing research studies – three examples of this expansion and survey these for extra ethical complications: forensic care, social services and public health (outside of health care institutions). Each area offers peculiar extra ethical challenges for PCC/SDM, as they depart extensively from standard assumptions by, in various ways, embracing goals not built on the standard individualist assumptions of health care ethics. It is possible to implement adapted forms of PCC/SDM to these areas, but these cannot be assumed to serve ideals of emancipating, empowering or recognising individuals as persons. Rather, they have to be viewed though a lens of public goods aimed for in the respective areas. Clients and patients are entitled to be made aware of this fact, but regardless of this, the mentioned perspective-shift will pose particular challenges for health professionals. At the same time, PCC/SDM strategies may also open up for approaches to resolving these tensions and meet typical challenges that would otherwise have remained out of reach.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin ->
Psykiatri
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Omvårdnad
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Medicinsk etik
SAMHÄLLSVETENSKAP ->
Sociologi ->
Socialt arbete
HUMANIORA ->
Filosofi, etik och religion ->
Filosofi ->
Praktisk filosofi
HUMANIORA ->
Filosofi, etik och religion ->
Etik
Nyckelord:
antibioetic resistance, patient centred care, ethics, values
Postens nummer:
240606
Posten skapad:
2016-08-22 16:24
Posten ändrad:
2016-08-22 16:25

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