Bioethics-Autonomy and Informed Consent
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Legally based ethics concentrate on minimum requirements.
How does this relate to the three-tiered system of obligations?
What do you feel is the greatest threat to physician
autonomy? Why? Defend your answer.
Practice guidelines are often perceived as a threat to
physician autonomy. However, the true challenge to physician autonomy is the
rising costs of health care, which in turn is the result of continued progress
in medical research. Since, inevitably, choices must be made about how our
limited resources are expended, an increasing number of physicians are
concluding that health care providers should assume financial risk for
providing care – so that providers can make the decisions about which
interventions are used for which patients. In this context, groups of
physicians are adopting practice guidelines as an important strategy for
providing high quality and efficient care under capitation. At least in some
areas, practice guidelines are emerging as a critical tool for physicians to
assume financial risk, and thereby protect professional autonomy.
“many writers in bioethics believe that all intentional
suppression of pertinent information violates a patient’s autonomy rights and
violates the fundamental duties of the health professional.” Do you agree
or disagree with this statement? Why?
Why do you suppose that informed consent came into being?
What are the drawbacks to informed consent?
What special problems are encountered with the duty to tell
the truth when the patient is a child or an adolescent?
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