Individually based preventive medical recommendations - are they sustainable and responsible? A call for ethical reflection

2.50
Hdl Handle:
http://hdl.handle.net/2336/13462
Title:
Individually based preventive medical recommendations - are they sustainable and responsible? A call for ethical reflection
Authors:
Getz, Linn; Kirkengen, Anna Luise; Hetlevik, Irene; Sigurdsson, Johann A
Citation:
Scand J Prim Health Care 2005, 23(2):65-7
Issue Date:
1-Jun-2005
Abstract:
Ultimately, medicine is a moral enterprise. In mainstream medical ethics courses, doctors learn to consider clinical practice in light of the four principles respect for autonomy, nonmaleficence, beneficence, and justice. This "principlistic" approach [1] was developed to ensure the welfare and will of vulnerable patients in the context of curative medical care. It is first and foremost a tool for analysing ethical questions in the clinical encounter. The principlistic paradigm is not meant as a tool for remote planning, goal setting, prioritizing, and overall coordination of medical care. Things have changed since the four principles were launched around 1979. A "risk epidemic" has occurred in biomedical research and publishing [2]. Clinical practice has become characterized by a strong emphasis on prevention of future disease among currently asymptomatic people. As opposed to well-established, comprehensive community-oriented preventive programmes involving, for example, sanitation and immunizations, individually oriented preventive medicine is characterized by fragmentation, biological monitoring, and technological interventions for which there is often limited evidence of effectiveness [3,4]. There has been little debate about "downstream" effects of this development, in terms of consequences for the individual, the healthcare system, and society at large.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.informaworld.com/10.1080/02813430510018518

Full metadata record

DC FieldValue Language
dc.contributor.authorGetz, Linn-
dc.contributor.authorKirkengen, Anna Luise-
dc.contributor.authorHetlevik, Irene-
dc.contributor.authorSigurdsson, Johann A-
dc.date.accessioned2007-09-03T12:31:15Z-
dc.date.available2007-09-03T12:31:15Z-
dc.date.issued2005-06-01-
dc.date.submitted2007-09-03-
dc.identifier.citationScand J Prim Health Care 2005, 23(2):65-7en
dc.identifier.issn0281-3432-
dc.identifier.pmid16036543-
dc.identifier.doi10.1080/02813430510018518-
dc.identifier.urihttp://hdl.handle.net/2336/13462-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractUltimately, medicine is a moral enterprise. In mainstream medical ethics courses, doctors learn to consider clinical practice in light of the four principles respect for autonomy, nonmaleficence, beneficence, and justice. This "principlistic" approach [1] was developed to ensure the welfare and will of vulnerable patients in the context of curative medical care. It is first and foremost a tool for analysing ethical questions in the clinical encounter. The principlistic paradigm is not meant as a tool for remote planning, goal setting, prioritizing, and overall coordination of medical care. Things have changed since the four principles were launched around 1979. A "risk epidemic" has occurred in biomedical research and publishing [2]. Clinical practice has become characterized by a strong emphasis on prevention of future disease among currently asymptomatic people. As opposed to well-established, comprehensive community-oriented preventive programmes involving, for example, sanitation and immunizations, individually oriented preventive medicine is characterized by fragmentation, biological monitoring, and technological interventions for which there is often limited evidence of effectiveness [3,4]. There has been little debate about "downstream" effects of this development, in terms of consequences for the individual, the healthcare system, and society at large.en
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttp://www.informaworld.com/10.1080/02813430510018518en
dc.subject.meshHealth Promotionen
dc.subject.meshPractice Guidelinesen
dc.subject.meshPreventive Health Servicesen
dc.subject.meshPreventive Medicineen
dc.subject.meshPrimary Preventionen
dc.titleIndividually based preventive medical recommendations - are they sustainable and responsible? A call for ethical reflectionen
dc.typeArticleen
dc.identifier.journalScandinavian journal of primary health careen
dc.format.digYES-
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