Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare

As the rising costs of lifestyle-related diseases place increasing strain on public healthcare systems, the individual's role in disease may be proposed as a healthcare rationing criterion. Literature thus far has largely focused on retrospective responsibility in healthcare. The concept of pro...

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Main Authors: Feng-Gu, E, Everett, J, Brown, RCH, Maslen, H, Oakley, J, Savulescu, J
Format: Journal article
Language:English
Published: Springer 2021
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author Feng-Gu, E
Everett, J
Brown, RCH
Maslen, H
Oakley, J
Savulescu, J
author_facet Feng-Gu, E
Everett, J
Brown, RCH
Maslen, H
Oakley, J
Savulescu, J
author_sort Feng-Gu, E
collection OXFORD
description As the rising costs of lifestyle-related diseases place increasing strain on public healthcare systems, the individual's role in disease may be proposed as a healthcare rationing criterion. Literature thus far has largely focused on retrospective responsibility in healthcare. The concept of prospective responsibility, in the form of a lifestyle contract, warrants further investigation. The responsibilisation in healthcare debate also needs to take into account innovative developments in mobile health technology, such as wearable biometric devices and mobile apps, which may change how we hold others accountable for their lifestyles. Little is known about public attitudes towards lifestyle contracts and the use of mobile health technology to hold people responsible in the context of healthcare. This paper has two components. Firstly, it details empirical findings from a survey of 81 members of the United Kingdom general public on public attitudes towards individual responsibility and rationing healthcare, prospective and retrospective responsibility, and the acceptability of lifestyle contracts in the context of mobile health technology. Secondly, we draw on the empirical findings and propose a model of prospective intention-based lifestyle contracts, which is both more aligned with public intuitions and less ethically objectionable than more traditional, retrospective models of responsibility in healthcare.
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spelling oxford-uuid:0cd85a1d-3ec0-46d2-a342-7b7ad44ab12b2023-06-20T13:17:58ZProspective intention-based lifestyle contracts: mHealth technology and responsibility in healthcareJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0cd85a1d-3ec0-46d2-a342-7b7ad44ab12bEnglishSymplectic ElementsSpringer2021Feng-Gu, EEverett, JBrown, RCHMaslen, HOakley, JSavulescu, JAs the rising costs of lifestyle-related diseases place increasing strain on public healthcare systems, the individual's role in disease may be proposed as a healthcare rationing criterion. Literature thus far has largely focused on retrospective responsibility in healthcare. The concept of prospective responsibility, in the form of a lifestyle contract, warrants further investigation. The responsibilisation in healthcare debate also needs to take into account innovative developments in mobile health technology, such as wearable biometric devices and mobile apps, which may change how we hold others accountable for their lifestyles. Little is known about public attitudes towards lifestyle contracts and the use of mobile health technology to hold people responsible in the context of healthcare. This paper has two components. Firstly, it details empirical findings from a survey of 81 members of the United Kingdom general public on public attitudes towards individual responsibility and rationing healthcare, prospective and retrospective responsibility, and the acceptability of lifestyle contracts in the context of mobile health technology. Secondly, we draw on the empirical findings and propose a model of prospective intention-based lifestyle contracts, which is both more aligned with public intuitions and less ethically objectionable than more traditional, retrospective models of responsibility in healthcare.
spellingShingle Feng-Gu, E
Everett, J
Brown, RCH
Maslen, H
Oakley, J
Savulescu, J
Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare
title Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare
title_full Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare
title_fullStr Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare
title_full_unstemmed Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare
title_short Prospective intention-based lifestyle contracts: mHealth technology and responsibility in healthcare
title_sort prospective intention based lifestyle contracts mhealth technology and responsibility in healthcare
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