| Patient autonomy and choice in healthcare: self-testing devices as a case in point. | |
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MedLine Citation:
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PMID: 22038653 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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This paper aims to critique the phenomenon of advanced patient autonomy and choice in healthcare within the specific context of self-testing devices. A growing number of self-testing medical devices are currently available for home use. The premise underpinning many of these devices is that they assist individuals to be more autonomous in the assessment and management of their health. Increased patient autonomy is assumed to be a good thing. We take issue with this assumption and argue that self-testing provides a specific example how increased patient autonomy and choice within healthcare might not best serve the patient population. We propose that current interpretations of autonomy in healthcare are based on negative accounts of liberty to the detriment of a more relational understanding. We also propose that Kantian philosophy is often applied to the healthcare arena in an inappropriate manner. We draw on the philosophical literature and examples from the self-testing process to support these claims. We conclude by offering an alternative account of autonomy based on the interrelated concepts of relationality, care and responsibility. |
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Authors:
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Anna-Marie Greaney; Dónal P O'Mathúna; P Anne Scott |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-26 |
Journal Detail:
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Title: Medicine, health care, and philosophy Volume: - ISSN: 1572-8633 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815900 Medline TA: Med Health Care Philos Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Nursing and Healthcare Studies, Institute of Technology, Tralee, Co. Kerry, Ireland, Anna.Marie.Greaney@staff.ittralee.ie. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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