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[The refusal of care, complex situations].

Grégoire Moutel1, Bertille Suzat2, Guillaume Grandazzi3

  • 1Équipe anticipe Inserm 1086, Université de Caen Normandie, esplanade de la Paix, 14032 Caen cedex 5, France; Service de médecine légale et droit de santé, CHU Caen, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France; Espace régional de réflexion éthique de Normandie, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France.

Revue De L'Infirmiere
|April 25, 2020
PubMed
Summary

Patient involvement in healthcare has grown significantly due to changes in medical care and health systems. This evolution prompts discussions about patient autonomy and the boundaries of their choices in medical decisions.

Keywords:
choicechoixhealth professionalorganisationorganizationpatientprofessionnel de santérefus de soinsrefusal of care

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Area of Science:

  • Healthcare System Evolution
  • Patient-Provider Relationships
  • Medical Ethics

Background:

  • Healthcare systems have undergone significant transformations over the past 30 years.
  • These changes have reshaped interactions among healthcare professionals, patients, and families.
  • There is an increasing emphasis on patient involvement in medical decision-making.

Purpose of the Study:

  • To examine the evolving dynamics between healthcare providers and patients.
  • To explore the growing demand for patient participation in healthcare.
  • To analyze the implications for patient freedom of choice and its limitations.

Main Methods:

  • Review of healthcare system changes over three decades.
  • Analysis of literature on patient-centered care and autonomy.
  • Ethical considerations of patient choice in medical contexts.

Main Results:

  • The relationship between healthcare professionals and patients has fundamentally shifted.
  • Patient participation in healthcare processes is increasingly expected and demanded.
  • Questions arise regarding the extent of patient freedom of choice and areas where it may be restricted.

Conclusions:

  • The evolution of healthcare necessitates a re-evaluation of patient rights and autonomy.
  • Balancing professional medical judgment with patient preferences is a growing challenge.
  • Further discussion is needed on defining the scope of patient choice within the healthcare system.