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Patient's autonomy vs doctor's professional integrity

Y Tsukamoto1

  • 1Dept. Neurosurgery, Kantoh Central Hospital, Tokyo, Japan.

Medicine and Law
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Patient autonomy in medical decisions, including life-shortening procedures, is increasingly recognized globally. However, this can conflict with physicians' personal ethics, necessitating the acknowledgment of conscientious refusal rights for doctors.

Area of Science:

  • Medical Ethics
  • Bioethics
  • Patient Rights

Background:

  • Global trend shifting from medical paternalism to patient autonomy.
  • Patient autonomy is legally recognized in some countries for life-shortening procedures like abortion and euthanasia.
  • Physician's personal integrity, often pro-life, can conflict with patient autonomy.

Purpose of the Study:

  • To explore the ethical and legal considerations of patient autonomy in medical decision-making.
  • To examine the conflict between patient autonomy and physician's personal integrity.
  • To discuss the implications of conscientious refusal for physicians in life-shortening procedures.

Main Methods:

  • Review of global trends in medical ethics and patient rights.
  • Analysis of legal precedents and scientific council reports concerning patient autonomy.
Keywords:
Bioethics and Professional EthicsProfessional Patient Relationship

Related Experiment Videos

  • Examination of ethical frameworks related to physician's personal beliefs and professional obligations.

    • Main Results:

    • Patient autonomy is increasingly prioritized over physician paternalism in medical practice.
    • Legal frameworks in some Western countries permit patient autonomy in life-shortening procedures.
    • Japanese reports and legal decisions address "death with dignity" and euthanasia criteria, involving physicians.
    • Conscientious objection by physicians is a critical consideration due to differing views on the sanctity of life.

    Conclusions:

    • While patient autonomy in medical decisions, including end-of-life care, is gaining legal and ethical acceptance, it presents complex challenges.
    • The principle of physician's conscientious refusal must be respected, acknowledging diverse ethical and philosophical beliefs regarding life and death.
    • Balancing patient autonomy with physician integrity requires careful ethical and legal consideration.