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

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dc.contributor.authorAzetsop, Jacquineauen_ZA
dc.contributor.authorRennie, Stuarten_ZA
dc.date.accessioned2015-11-11T11:58:09Z
dc.date.available2015-11-11T11:58:09Z
dc.date.issued2010en_ZA
dc.description.abstractThrough 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.en_ZA
dc.identifier.apacitationAzetsop, J., & Rennie, S. (2010). Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?. <i>Philosophy, Ethics, and Humanities in Medicine</i>, http://hdl.handle.net/11427/14881en_ZA
dc.identifier.chicagocitationAzetsop, Jacquineau, and Stuart Rennie "Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?." <i>Philosophy, Ethics, and Humanities in Medicine</i> (2010) http://hdl.handle.net/11427/14881en_ZA
dc.identifier.citationAzétsop, J., & Rennie, S. (2010). Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health. Philosophy, Ethics, and Humanities in Medicine, 5(1), 1-10.en_ZA
dc.identifier.ris TY - Journal Article AU - Azetsop, Jacquineau AU - Rennie, Stuart AB - 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. DA - 2010 DB - OpenUCT DO - 10.1186/1747-5341-5-1 DP - University of Cape Town J1 - Philosophy, Ethics, and Humanities in Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health? TI - Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health? UR - http://hdl.handle.net/11427/14881 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14881
dc.identifier.urihttp://dx.doi.org/10.1186/1747-5341-5-1
dc.identifier.vancouvercitationAzetsop J, Rennie S. Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?. Philosophy, Ethics, and Humanities in Medicine. 2010; http://hdl.handle.net/11427/14881.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Philosophyen_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2010 Azétsop and Rennie; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourcePhilosophy, Ethics, and Humanities in Medicineen_ZA
dc.source.urihttp://www.peh-med.com/en_ZA
dc.subject.otherHealth Justiceen_ZA
dc.subject.otherRelational Autonomyen_ZA
dc.subject.otherKantian Autonomyen_ZA
dc.subject.otherMoral Decision Makingen_ZA
dc.subject.otherSocial Justiceen_ZA
dc.subject.otherGlobal Bioethicen_ZA
dc.subject.otherMoral Agenten_ZA
dc.subject.otherPsychosocial Risk Factoren_ZA
dc.subject.otherDistributive Justiceen_ZA
dc.subject.otherIncome Inequalityen_ZA
dc.subject.otherHIV Preveen_ZA
dc.titlePrinciplism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?en_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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