Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?

<p>Abstract</p> <p>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 pers...

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Main Authors: Rennie Stuart, Azétsop Jacquineau
Format: Article
Language:English
Published: BMC 2010-01-01
Series:Philosophy, Ethics, and Humanities in Medicine
Online Access:http://www.peh-med.com/content/5/1/1
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author Rennie Stuart
Azétsop Jacquineau
author_facet Rennie Stuart
Azétsop Jacquineau
author_sort Rennie Stuart
collection DOAJ
description <p>Abstract</p> <p>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.</p>
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spelling doaj.art-fbe9bde61f1f4e52bff80708db0088ae2022-12-22T02:48:48ZengBMCPhilosophy, Ethics, and Humanities in Medicine1747-53412010-01-0151110.1186/1747-5341-5-1Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?Rennie StuartAzétsop Jacquineau<p>Abstract</p> <p>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.</p>http://www.peh-med.com/content/5/1/1
spellingShingle Rennie Stuart
Azétsop Jacquineau
Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
Philosophy, Ethics, and Humanities in Medicine
title Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
title_full Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
title_fullStr Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
title_full_unstemmed Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
title_short Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?
title_sort principlism medical individualism and health promotion in resource poor countries can autonomy based bioethics promote social justice and population health
url http://www.peh-med.com/content/5/1/1
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