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Toward a theory of process.

Susan M Wolf

    Law, Medicine & Health Care : a Publication of the American Society of Law & Medicine
    |January 1, 1992
    PubMed
    Summary
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    This study identifies a gap in procedural ethics for ethics committees and courts, proposing patient-centered process values to address bias and define their interrelationship. This framework enhances ethical decision-making in healthcare settings.

    Area of Science:

    • Bioethics
    • Legal Studies
    • Health Policy

    Background:

    • Current debates on ethics committees and courts lack procedural ethics.
    • This deficiency stems from an absence of a theory of process and process values.
    • Ethics committees are a crucial starting point for developing process theory.

    Purpose of the Study:

    • To develop a theory of process values, specifically a patient-centered process.
    • To identify ethically mandatory processes, particularly those addressing gender, racial, and economic bias.
    • To define the interrelationship between ethics committees and courts using the proposed patient-centered process.

    Main Methods:

    • Analysis of existing debates on ethics committees and courts.
    • Development of a theoretical framework for patient-centered process values.
    Keywords:
    Analytical ApproachBioethics and Professional EthicsLegal ApproachProfessional Patient Relationship

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  • Application of the framework to the ethics committee-court relationship.
  • Main Results:

    • A proposed set of patient-centered process values, including substantive and independent values.
    • Identification of specific processes mandated by the need to address bias.
    • A derived model for the interrelationship between ethics committees and courts.

    Conclusions:

    • A robust theory of process is needed to guide ethics committees and their court interactions.
    • Patient-centered process values offer a framework for ethical decision-making and addressing systemic bias.
    • Further development of process theory holds significant theoretical and practical potential for bioethics and legal contexts.