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[A correct and an augmented medical act]

M S Marques1

  • 1Departamento de Hematologia, Instituto Português de Oncologia Francisco Gentil, Lisboa.

Acta Medica Portuguesa
|October 17, 1998
PubMed
Summary

This study revisits Hippocrates and Aristotle to explore the foundations of clinical medicine and individual responsibility in medical procedures. It compares casuistic and fact-based models, emphasizing the significance of personal accountability in healthcare.

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Area of Science:

  • Medical Ethics
  • History of Medicine
  • Philosophy of Medicine

Background:

  • Clinical deliberation involves formal and material conditions.
  • Historical medical practices offer insights into modern medicine.
  • Understanding the evolution of medicine is crucial for contemporary practice.

Purpose of the Study:

  • To analyze the principles and practices that shaped clinical medicine.
  • To compare the casuistic model with the fact-based model of medical procedures.
  • To clarify the importance of individual responsibility in medicine.

Main Methods:

  • Review of historical medical and philosophical texts (Hippocrates, Aristotle).
  • Comparative analysis of different medical procedure models (casuistic vs. fact-based).
  • Examination of the conditions and bases of clinical deliberation.

Main Results:

  • Rereading foundational texts reveals the humanistic origins of clinical medicine.
  • The casuistic model highlights the significance of individual cases and physician judgment.
  • Fact-based medicine offers a different approach to clinical decision-making.

Conclusions:

  • Individual responsibility is a cornerstone of ethical medical practice.
  • Historical perspectives enrich our understanding of clinical deliberation.
  • A nuanced approach considering both historical principles and modern evidence is valuable.

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