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Do patients have duties?

H M Evans1

  • 1Centre for Arts and Humanities in Health and Medicine, School House, Hild Lane, Durham. h.m.evans@durham.ac.uk

Journal of Medical Ethics
|December 7, 2007
PubMed
Summary
This summary is machine-generated.

Patients have ethical duties beyond healthcare professionals, including participating in research and promoting recovery. These duties benefit current and future patients by addressing healthcare opportunity costs.

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Public Health Policy

Background:

  • Patient duties are under-explored compared to healthcare professional obligations.
  • Previous work established patient duties in clinical research based on societal debt.
  • Current healthcare systems face opportunity costs, impacting patient treatment.

Purpose of the Study:

  • To propose an expanded framework of patient duties.
  • To ground these duties in the interests of contemporary and future patients.
  • To analyze the moral basis, scope, and enforceability of these duties.

Main Methods:

  • Conceptual analysis of ethical obligations.
  • Development of ten specific patient duties.
  • Testing duties against principled, societal, epistemological, and practical objections.

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Main Results:

  • Ten distinct patient duties were proposed, encompassing participation in healthcare schemes and self-recovery.
  • The proposed duties were found to be robust against various objections.
  • The duties can inform a 'virtuous patient' model within a clinician-patient partnership.

Conclusions:

  • An extended set of patient duties is ethically justifiable and beneficial.
  • These duties address healthcare resource allocation and patient well-being.
  • While potentially adversarial, these duties can constructively contribute to patient-clinician partnerships.