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dc.contributor.authorAgledahl, Kari Milch
dc.contributor.authorFørde, Reidun
dc.contributor.authorWifstad, Åge
dc.date.accessioned2023-09-14T12:42:01Z
dc.date.available2023-09-14T12:42:01Z
dc.date.issued2011-03-17
dc.description.abstractThe principle of respect for autonomy has shaped much of the bioethics' discourse over the last 50 years, and is now most commonly used in the meaning of respecting autonomous choice. This is probably related to the influential concept of informed consent, which originated in research ethics and was soon also applied to the field of clinical medicine. But while available choices in medical research are well defined, this is rarely the case in healthcare. Consideration of ordinary medical practice reveals that the focus on patient choice does not properly grasp the moral aspects involved in healthcare. Medical decisions are often portrayed as if doctors and patients in confidence confront specific decisions about examinations or treatment, yet the reality often involves many different participants, with decisions being made over time and space. Indeed, most of the decisions are never even presented to patients, as it would be unethical to suggest something that is not medically justifiable. The options patients do confront are somewhat arbitrarily constructed within the narrow framework of both what is deemed to be medically appropriate and how the healthcare system is organised practically. While the autonomy discourse has proven valuable, a failure to distinguish between the fields of medical research and clinical medicine has generated a focus on patient choice that does not reflect what is really at stake in healthcare settings. This is alarming, because the current discourse misrepresents medical practice in a way that actually contributes to bioethical self-delusion.en_US
dc.identifier.citationAgledahl KM, Førde R, Wifstad Å. Choice is not the issue. The misrepresentation of healthcare in bioethical discourse. Journal of Medical Ethics. 2011;37(4):212-215en_US
dc.identifier.cristinIDFRIDAID 798606
dc.identifier.doi10.1136/jme.2010.039172
dc.identifier.issn0306-6800
dc.identifier.issn1473-4257
dc.identifier.urihttps://hdl.handle.net/10037/30997
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalJournal of Medical Ethics
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2011 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/2.0en_US
dc.rightsAttribution-NonCommercial 2.0 International (CC BY-NC 2.0)en_US
dc.titleChoice is not the issue. The misrepresentation of healthcare in bioethical discourseen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 2.0 International (CC BY-NC 2.0)
Except where otherwise noted, this item's license is described as Attribution-NonCommercial 2.0 International (CC BY-NC 2.0)