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Philos Ethics Humanit Med. 2010 Jan 18;5:1. doi: 10.1186/1747-5341-5-1.

Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?

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1
Faculté de Médécine Teilhard de Chardin, Complexe Médical le Bon Samaritain, N'djaména, BP 456, Chad. maishaze@yahoo.com

Abstract

Through its adoption of the biomedical model of disease which promotes medical individualism and its reliance on the individual-based anthropology, mainstream bioethics has predominantly focused on respect for autonomy in the clinical setting and respect for person in the research site, emphasizing self-determination and freedom of choice. However, the emphasis on the individual has often led to moral vacuum, exaggeration of human agency, and a thin (liberal?) conception of justice. Applied to resource-poor countries and communities within developed countries, autonomy-based bioethics fails to address the root causes of diseases and public health crises with which individuals or communities are confronted. A sociological explanation of disease causation is needed to broaden principles of biomedical ethics and provides a renewed understanding of disease, freedom, medical practice, patient-physician relationship, risk and benefit of research and treatment, research priorities, and health policy.

PMID:
20082703
PMCID:
PMC2828974
DOI:
10.1186/1747-5341-5-1
[Indexed for MEDLINE]
Free PMC Article
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