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Related Experiment Video

Updated: May 1, 2026

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[Re]considering Respect for Persons in a Globalizing World.

Aasim I Padela, Aisha Y Malik, Farr Curlin

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    Summary
    This summary is machine-generated.

    Principlism, a cornerstone of clinical ethics, faces challenges in diverse cultural contexts. Culture-specific respect for persons may better guide global medical ethics.

    Keywords:
    Cultural DiversityGlobal BioethicsInformed ConsentMedical Decision-MakingRespect for Persons

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    Area of Science:

    • Medical Ethics
    • Bioethics
    • Global Health Ethics

    Background:

    • Principlism, based on four core principles, dominates clinical ethics globally.
    • These principles (autonomy, nonmaleficence, beneficence, justice) are considered universally applicable.
    • Globalization necessitates examining the sufficiency of principlism across diverse cultures.

    Purpose of the Study:

    • To analyze challenges in applying the four-principle model to surrogate decision-making in different cultural contexts.
    • To highlight limitations of principlism in cross-cultural medical practice.
    • To propose an alternative ethical framework for globalized medical ethics.

    Main Methods:

    • Analysis of two surrogate decision-making cases from developed and developing regions.
    • Application of the four-principle model to these cases.
    • Examination of cultural expectations influencing patient and clinician behavior.

    Main Results:

    • The four-principle model presents challenges in assessing ethical behavior in diverse cultural settings.
    • Clinician-centered decision-making was observed in both analyzed cases.
    • Cultural norms significantly impact patient and clinician roles in decision-making.

    Conclusions:

    • The universal application of principlism in surrogate decision-making requires critical evaluation.
    • Culture-specific understandings of personhood are crucial for ethical medical practice.
    • Respect for persons, informed by cultural context, offers a more robust ethical framework for globalized medicine.