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Limits on patient responsibility.

Maureen Kelley1

  • 1Department of Philosophy, University of Alabama at Birmingham, Birmingham, Alabama 35294-1260, USA. mkelley@uab.edu

The Journal of Medicine and Philosophy
|July 20, 2005
PubMed
Summary
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Medical ethics prioritizes physician responsibility over patient responsibility due to moral reasons. This ensures patient rights and limits blame, focusing on prospective accountability in healthcare.

Area of Science:

  • Medical Ethics
  • Bioethics
  • Philosophy of Medicine

Background:

  • Current medical ethics emphasizes physician responsibility more than patient responsibility.
  • This imbalance is rooted in deliberate moral considerations, not oversight.

Purpose of the Study:

  • To explore the ethical underpinnings of the imbalance between physician and patient responsibility.
  • To define the normative limits of patient responsibility in clinical practice.

Main Methods:

  • Ethical analysis of medical responsibility frameworks.
  • Argumentation based on moral principles and clinical realities.

Main Results:

  • Two moral asymmetries justify prioritizing professional over patient responsibility.
Keywords:
Analytical ApproachProfessional Patient Relationship

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  • Patient rights (e.g., refusal of treatment) and anti-paternalism limit expansive patient responsibility.
  • Prospective patient responsibility is favored over retrospective blame due to patient vulnerability and multifactorial disease etiology.

    • Conclusions:

    • A strong emphasis on physician responsibility is ethically justified.
    • Patient responsibility should be encouraged cautiously, focusing on future actions rather than past outcomes.
    • Ethical frameworks must acknowledge patient vulnerability and the complexities of illness.