| A brief historical and theoretical perspective on patient autonomy and medical decision making: part I: the beneficence model. | |
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MedLine Citation:
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PMID: 21362653 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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As part of a larger series addressing the intersection of law and medicine, this essay is the first of two introductory pieces. This article explores the nature of the physician-patient relationship and of the practice of medicine dating from the Hippocratic tradition to the end of the 19th century, a period during which a beneficence-based medical ethic remained relatively stable. The medical literature dating from the Hippocratic texts to the early codes of the American Medical Association did not include a meaningful role for the patient in the decision-making process. In fact, the practice of benevolent deception-the deliberate withholding of any information thought by the physician to be detrimental to the patient's prognosis-was encouraged. However, as philosophers identified an inherent value in respecting patient self-determination and the law imposed a duty on physicians to obtain informed consent, 2,400 years of relative stability under the beneficence model gave way to the autonomy model. |
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Authors:
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Jonathan F Will |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 139 ISSN: 1931-3543 ISO Abbreviation: Chest Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 669-73 Citation Subset: AIM; IM |
Affiliation:
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JD, MA, Bioethics and Health Law Center, Mississippi College School of Law, 151 E Griffith St, Jackson, MS 39201. will@mc.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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