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Related Experiment Video

Updated: Jul 5, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Choice and responsibility in the NHS.

Robin Downie¹, Fiona Randall

¹Department of Philosophy, Glasgow University. R.Downie@philosophy.arts.gla.ac.uk

Clinical Medicine (London, England)

|May 16, 2008

Summary

Patient choice in healthcare is shifting from informed consent to consumerism. This change impacts the doctor-patient relationship and responsibility within publicly funded health systems.

Area of Science:

Health policy
Medical ethics
Healthcare systems

Background:

Patient choice is a central tenet of modern health policy.
The concept of 'choice' in healthcare is often ambiguous and debated.
Traditional patient consent is being influenced by a consumerist model.

Purpose of the Study:

To analyze the evolving meaning of patient choice in healthcare.
To contrast the doctrine of patient consent with consumerist choice.
To examine the implications of consumerism on healthcare policy and professional responsibility.

Main Methods:

Conceptual analysis of 'patient choice' in health policy.
Ethical examination of the shift from consent to consumerism.
Discussion of the impact on publicly funded healthcare services.

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Main Results:

The traditional model of patient consent, where doctors choose treatments and patients consent, is being replaced.
Consumerist choice in healthcare is incompatible with publicly funded systems.
Consumerism shifts responsibility from clinicians to patients, potentially altering professional roles.

Conclusions:

The rise of consumerist choice in healthcare presents significant challenges to established ethical and policy frameworks.
Publicly funded healthcare systems must carefully consider the implications of adopting a consumer model.
The definition and implementation of patient choice require clear ethical and practical guidelines.