Patients' ethical obligation for their health.

Abstract:

:In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine because it fails to appreciate that medicine's basis as a moral enterprise is oriented towards health values. A naturalistic model for medical ethics is proposed which builds upon biological and medical values. This perspective clarifies ethical obligations to ourselves and to others for life and health. It provides a normative framework for the doctor-patient relationship within which to formulate medical advice and by which to evaluate patient choice. :The authors believe that too little attention has been paid to the proposition that individuals have an ethical obligation for their health, and to how best to characterize the nature and moral force of this obligation. While Samuel Gorovitz and others argue against a primary obligation to oneself for health, Sider and Clements defend the view that such an obligation is a fundamental constituent of human morality. They claim that health is a responsibility owed to oneself and to others, particularly family members, and one that determines the nature of the physician patient relationship. Acknowledging that their position runs counter to most of contemporary medical ethics and its preoccupation with patients' rights, truth telling, and contracts, the authors argue that health is a basic human good, and that maintaining health is a moral duty.

journal_name

J Med Ethics

authors

Sider RC,Clements CD

doi

10.1136/jme.10.3.138

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

138-42

issue

3

eissn

0306-6800

issn

1473-4257

journal_volume

10

pub_type

杂志文章
  • Moral distress and moral residue experienced by transplant coordinators.

    abstract::Transplant coordinators play a pivotal role in the process of obtaining consent for live or dead donation of organs. The objective of the project is to unveil emotional experiences and ethical conduct of transplant coordinators using a qualitative research methodology. Ten transplant coordinators who have worked for m...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2019-105593

    authors: Tarabeih M,Bokek-Cohen Y

    更新日期:2020-07-28 00:00:00

  • Multidisciplinary teaching in a formal medical ethics course for clinical students.

    abstract::A successful feature of the 4th-year curriculum in the Medical Faculty of the Queen's University, Belfast has been the development of interdisciplinary teaching in a three-week joint course to which several clinical departments contribute...Co-ordinated teaching of topics of common interest in small groups included, u...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:

    authors: Irwin WG,McClelland RJ,Stout RW,Stchedroff M

    更新日期:1988-09-01 00:00:00

  • The routinisation of genomics and genetics: implications for ethical practices.

    abstract::Among bioethicists and members of the public, genetics is often regarded as unique in its ethical challenges. As medical researchers and clinicians increasingly combine genetic information with a range of non-genetic information in the study and clinical management of patients with common diseases, the unique ethical ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2005.013532

    authors: Foster MW,Royal CD,Sharp RR

    更新日期:2006-11-01 00:00:00

  • Professional ethics.

    abstract::Downie comments on Sieghart's article, "Professions as the conscience of society" (Journal of Medical Ethics 1985 Sep; 11(3): 117-122). He charges that Sieghart is blurring empirical, conceptual, and moral claims when he contends that the professional relationship is unique in that "altruism is paramount and self-int...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.12.2.64

    authors: Downie RS

    更新日期:1986-06-01 00:00:00

  • Procedural safeguards cannot disentangle MAiD from organ donation decisions.

    abstract::In the past, a vast majority of medical assistance in dying (MAiD) patients were elderly patients with cancer who are not suitable for organ donation, making organ donation from such patients a rare event. However, more expansive criteria for MAiD combined with an increased participation of MAiD patients in organ dona...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106456

    authors: Buturovic Z

    更新日期:2020-12-10 00:00:00

  • Women's preferences for information and complication seriousness ratings related to elective medical procedures.

    abstract:OBJECTIVE:To study the preferences of patients for information related to elective procedures. METHODS:A survey was carried out using a sample of 187 women. The majority of whom were on a low-income, who obtained obstetric or gynaecological services at St Joseph Regional Medical Center in Milwaukee, Wisconsin, while t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2005.014274

    authors: Coleman PK,Reardon DC,Lee MB

    更新日期:2006-08-01 00:00:00

  • Ethics and evidence based surgery.

    abstract::Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. "Evidence based medicine" (EBM) emerged in the 1980s an...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2003.007054

    authors: Stirrat GM

    更新日期:2004-04-01 00:00:00

  • The retention of forensic DNA samples: a socio-ethical evaluation of current practices in the EU.

    abstract::Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2007.022012

    authors: Van Camp N,Dierickx K

    更新日期:2008-08-01 00:00:00

  • Does it matter that organ donors are not dead? Ethical and policy implications.

    abstract::The "standard position" on organ donation is that the donor must be dead in order for vital organs to be removed, a position with which we agree. Recently, Robert Truog and Walter Robinson have argued that (1) brain death is not death, and (2) even though "brain dead" patients are not dead, it is morally acceptable to...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2004.010298

    authors: Potts M,Evans DW

    更新日期:2005-07-01 00:00:00

  • Comprehension of a simplified assent form in a vaccine trial for adolescents.

    abstract:INTRODUCTION:Future HIV vaccine efficacy trials with adolescents will need to ensure that participants comprehend study concepts in order to confer true informed assent. A Hepatitis B vaccine trial with adolescents offers valuable opportunity to test youth understanding of vaccine trial requirements in general. METHOD...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-101286

    authors: Lee S,Kapogiannis BG,Flynn PM,Rudy BJ,Bethel J,Ahmad S,Tucker D,Abdalian SE,Hoffman D,Wilson CM,Cunningham CK,Adolescent Medicine Trials Network for HIV\/AIDS Interventions.

    更新日期:2013-06-01 00:00:00

  • The secret art of managing healthcare expenses: investigating implicit rationing and autonomy in public healthcare systems.

    abstract::Rationing healthcare is a difficult task, which includes preventing patients from accessing potentially beneficial treatments. Proponents of implicit rationing argue that politicians cannot resist pressure from strong patient groups for treatments and conclude that physicians should ration without informing patients o...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018523

    authors: Lauridsen SM,Norup MS,Rossel PJ

    更新日期:2007-12-01 00:00:00

  • Participation in biomedical research is an imperfect moral duty: a response to John Harris.

    abstract::In his paper "Scientific research is a moral duty", John Harris argues that individuals have a moral duty to participate in biomedical research by volunteering as research subjects. He supports his claim with reference to what he calls the principle of beneficence as embodied in the "rule of rescue" (the moral obligat...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.2006.017384

    authors: Shapshay S,Pimple KD

    更新日期:2007-07-01 00:00:00

  • The premature breech: caesarean section or trial of labour?

    abstract::Obstetricians face difficult decisions when the interests of fetus and mother conflict. An example is the problem of choosing the delivery method when labour begins prematurely and the fetus is breech. Vaginal delivery involves risks for the breech fetus of brain damage or death caused by umbilical cord compression an...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.14.1.18

    authors: Anderson G,Strong C

    更新日期:1988-03-01 00:00:00

  • Psychotropic drugs and paediatrics: a critical need for more clinical trials.

    abstract::Many children in the USA are prescribed psychotropic drugs that have not been fully investigated in paediatric clinical trials. The common practice of prescribing psychotropic drugs off-label poses unknown and potentially serious short- and long-term consequences for these children. This paper briefly reviews the fact...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/medethics-2011-100003

    authors: Tishler CL,Reiss NS

    更新日期:2012-04-01 00:00:00

  • Medicine as an essentially contested concept.

    abstract::W B Gallie's notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.29.4.261

    authors: McKnight C

    更新日期:2003-08-01 00:00:00

  • Device representatives in hospitals: are commercial imperatives driving clinical decision-making?

    abstract::Despite concerns about the relationships between health professionals and the medical device industry, the issue has received relatively little attention. Prevalence data are lacking; however, qualitative and survey research suggest device industry representatives, who are commonly present in clinical settings, play a...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2018-104804

    authors: Grundy Q,Hutchison K,Johnson J,Blakely B,Clay-Wlliams R,Richards B,Rogers WA

    更新日期:2018-09-01 00:00:00

  • Tobacco regulation: autonomy up in smoke?

    abstract::Over the past few decades, "Big Tobacco" has spread its tentacles across the developing world with devastating results. The global incidence of smoking has increased exponentially in Africa, Asia and South America and it is leading to an equally rapid increase in the incidence of smoking-induced morbidity and mortalit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.027847

    authors: Hooper CR,Agule C

    更新日期:2009-06-01 00:00:00

  • Sex selection and regulated hatred.

    abstract::This paper argues that the HFEA's recent report on sex selection abdicates its responsibility to give its own authentic advice on the matters within its remit, that it accepts arguments and conclusions that are implausible on the face of it and where they depend on empirical claims, produces no empirical evidence what...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.007526

    authors: Harris J

    更新日期:2005-05-01 00:00:00

  • Fear of a female planet: how John Harris came to endorse eugenic social engineering.

    abstract::In this paper, I respond to criticisms by John Harris, contained in a commentary on my article "Harris, harmed states, and sexed bodies", which appeared in the Journal of Medical Ethics, volume 37, number 5. I argue that Harris's response to my criticisms exposes the strong eugenic tendencies in his own thought, when ...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.2011.045021

    authors: Sparrow R

    更新日期:2012-01-01 00:00:00

  • The White Bull effect: abusive coauthorship and publication parasitism.

    abstract::Junior researchers can be abused and bullied by unscrupulous senior collaborators. This article describes the profile of a type of serial abuser, the White Bull, who uses his academic seniority to distort authorship credit and who disguises his parasitism with carefully premeditated deception. Further research into th...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2004.010553

    authors: Kwok LS

    更新日期:2005-09-01 00:00:00

  • Results of a self-assessment tool to assess the operational characteristics of research ethics committees in low- and middle-income countries.

    abstract:PURPOSE:Many research ethics committees (RECs) have been established in low- and middle-income countries (LMICs) in response to increased research in these countries. How well these RECs are functioning remains largely unknown. Our objective was to assess the usefulness of a self-assessment tool in obtaining benchmarki...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101587

    authors: Silverman H,Sleem H,Moodley K,Kumar N,Naidoo S,Subramanian T,Jaafar R,Moni M

    更新日期:2015-04-01 00:00:00

  • When enough is enough; terminating life-sustaining treatment at the patient's request: a survey of attitudes among Swedish physicians and the general public.

    abstract:OBJECTIVES:To explore attitudes and reasoning among Swedish physicians and the general public regarding the withdrawal of life-sustaining treatment at a competent patient's request. DESIGN:A vignette-based postal questionnaire including 1202 randomly selected individuals in the county of Stockholm and 1200 randomly se...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.034967

    authors: Lindblad A,Juth N,Fürst CJ,Lynöe N

    更新日期:2010-05-01 00:00:00

  • What is the role of clinical ethics support in the era of e-medicine?

    abstract::The internet is becoming increasingly important in health care practice. The number of health-related web sites is rising exponentially as people seek health-related information and services to supplement traditional sources, such as their local doctor, friends, or family. The development of e-medicine poses important...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.27.suppl_1.i33

    authors: Parker M,Gray JA

    更新日期:2001-04-01 00:00:00

  • Psychopharmacology and memory.

    abstract::Psychotropic and other drugs can alter brain mechanisms regulating the formation, storage, and retrieval of different types of memory. These include "off label" uses of existing drugs and new drugs designed specifically to target the neural bases of memory. This paper discusses the use of beta-adrenergic antagonists t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2005.012575

    authors: Glannon W

    更新日期:2006-02-01 00:00:00

  • Can the Catholic Church agree to condom use by HIV-discordant couples?

    abstract::Does the position of the Roman Catholic Church on contraception also imply that the usage of condoms by HIV-discordant couples is illicit? A standard argument is to appeal to the doctrine of double effect to condone such usage, but this meets with the objection that there exists an alternative action that brings about...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.030767

    authors: Bovens L

    更新日期:2009-12-01 00:00:00

  • Confidentiality and the law.

    abstract::Codes of medical ethics issued by professional organizations typically contain statements affirming the importance of confidentiality between patients and health-care practitioners. Seldom, however, is the confidentiality obligation depicted as absolute. Instead, exceptions are noted, the most common of which is that ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.20.1.47

    authors: McConnell T

    更新日期:1994-03-01 00:00:00

  • Assessing risk/benefit for trials using preclinical evidence: a proposal.

    abstract::Moral evaluation of risk/benefit in early phase studies requires assessing the clinical promise of a candidate intervention using preclinical evidence. Yet, there is little to guide ethics committees, investigators, sponsors or other stakeholders morally charged with making these assessments ('evaluators'). In what fo...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-102882

    authors: Kimmelman J,Henderson V

    更新日期:2016-01-01 00:00:00

  • Teaching medical ethics to medical students and GP trainees.

    abstract::This paper relates two experiences of teaching medical ethics, the first to a small group of clinical medical students, the second to a larger group of GP trainees. :Boyd, a theologian who is Scottish Director of the Institute of Medical Ethics, comments on a day he spent teaching two ethics sessions, one to a group ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.13.3.132

    authors: Boyd K

    更新日期:1987-09-01 00:00:00

  • Doctors and torture: the police surgeon.

    abstract::Much has been written by many distinguished persons about the philosophical, religious and ethical considerations of doctors and their involvement with torture. What follows will not have the erudition or authority of the likes of St Augustine, Mahatma Gandi, Schopenhauer or Thomas Paine. It represents the views of a ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.6.3.120

    authors: Burges SH

    更新日期:1980-09-01 00:00:00

  • The teaching of medical ethics: University College, Cork, Ireland.

    abstract::Dolores Dooley Clarke describes how the course in medical ethics at University College, Cork is structured, how it has changed and how it is likely to change as time goes on. Originally, the students seemed to view it as an intrusion 'to be tolerated' in their programme of 'strictly medical' studies. However, having m...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.4.1.36

    authors: Clarke DD

    更新日期:1978-03-01 00:00:00