Deferring to expertise whilst maintaining autonomy

This paper will consider the extent to which patients' dependence on clinical expertise when making medical decisions threatens patient autonomy. I start by discussing whether or not dependence on experts is prima facie troubling for autonomy and suggest that it is not. I then go on to consider...

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Autor principal: Brown, RCH
Format: Journal article
Idioma:English
Publicat: Cambridge University Press 2024
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author Brown, RCH
author_facet Brown, RCH
author_sort Brown, RCH
collection OXFORD
description This paper will consider the extent to which patients' dependence on clinical expertise when making medical decisions threatens patient autonomy. I start by discussing whether or not dependence on experts is prima facie troubling for autonomy and suggest that it is not. I then go on to consider doctors' and other healthcare professionals' status as ‘medical experts’ of the relevant sort and highlight a number of ways in which their expertise is likely to be deficient. I then consider how this revised picture of medical expertise should lead us to view the potential threat to patient autonomy that results from depending on such ‘experts’. I argue that, whether or not patients are aware of the limitations of medical expertise, in practice it is difficult to do other than defer to medical advice, and this presents a threat to patient autonomy that should be addressed. I conclude by suggesting some ways in which this threat to autonomy might be mitigated.
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spelling oxford-uuid:a6d9bdd9-87d4-4e9c-8c3e-dc1f4eec70982024-06-11T10:15:28ZDeferring to expertise whilst maintaining autonomyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a6d9bdd9-87d4-4e9c-8c3e-dc1f4eec7098EnglishSymplectic ElementsCambridge University Press2024Brown, RCHThis paper will consider the extent to which patients' dependence on clinical expertise when making medical decisions threatens patient autonomy. I start by discussing whether or not dependence on experts is prima facie troubling for autonomy and suggest that it is not. I then go on to consider doctors' and other healthcare professionals' status as ‘medical experts’ of the relevant sort and highlight a number of ways in which their expertise is likely to be deficient. I then consider how this revised picture of medical expertise should lead us to view the potential threat to patient autonomy that results from depending on such ‘experts’. I argue that, whether or not patients are aware of the limitations of medical expertise, in practice it is difficult to do other than defer to medical advice, and this presents a threat to patient autonomy that should be addressed. I conclude by suggesting some ways in which this threat to autonomy might be mitigated.
spellingShingle Brown, RCH
Deferring to expertise whilst maintaining autonomy
title Deferring to expertise whilst maintaining autonomy
title_full Deferring to expertise whilst maintaining autonomy
title_fullStr Deferring to expertise whilst maintaining autonomy
title_full_unstemmed Deferring to expertise whilst maintaining autonomy
title_short Deferring to expertise whilst maintaining autonomy
title_sort deferring to expertise whilst maintaining autonomy
work_keys_str_mv AT brownrch deferringtoexpertisewhilstmaintainingautonomy