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What makes a medical intervention invasive?

Gabriel De Marco1, Jannieke Simons2, Lisa Forsberg1,3

  • 1Faculty of Philosophy, Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.

Journal of Medical Ethics
|September 18, 2023
PubMed
Summary

The common definition of medical intervention invasiveness is too narrow. This study proposes a revised account, introducing basic and threshold invasiveness to better reflect real-world usage and moral considerations.

Keywords:
Ethics- MedicalPhilosophy- Medical

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Health Policy

Background:

  • The classification of medical interventions as invasive or non-invasive holds significant moral importance.
  • The prevailing definition of invasiveness requires skin incision or object insertion.

Purpose of the Study:

  • To critique the standard definition of medical intervention invasiveness.
  • To propose a revised account that captures a broader range of usage, including degrees of invasiveness and non-physical aspects.

Main Methods:

  • Conceptual analysis of the term 'invasiveness' in medical contexts.
  • Identification of limitations in the standard account.
  • Development of a revised theoretical framework distinguishing 'basic invasiveness' and 'threshold invasiveness'.

Main Results:

  • The standard account fails to encompass the graded nature of invasiveness.
  • It overlooks how invasiveness can be relative to alternative interventions.
  • It neglects non-physical dimensions of invasiveness in medical practice.

Conclusions:

  • A revised understanding of invasiveness is necessary for accurate moral and clinical assessment.
  • The proposed distinction between basic and threshold invasiveness offers a more comprehensive framework.
  • Further development is needed to fully refine the revised account of medical intervention invasiveness.