Historical analysis of personal autonomy for prospective healthcare

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Published: Jul 13, 2016
DOI: https://doi.org/10.5750/ijpcm.v6i2.542
Keywords:
Patient-centred care Patient autonomy Autonomy in health care Paternalism Freedom Free market

Main Article Content

Dennis Moeke
Jeroen van Andel

Abstract

Background: Today most healthcare providers have embraced the principle of personal autonomy as central to their strategic aims and objectives. However, amongst healthcare providers there exist many different views on what personal autonomy is and how it should be facilitated. Objectives: This study aims to explore how personal autonomy and related concepts such as individual liberty and individualism have been interpreted over theages, what this means for our current understanding of personal autonomy in healthcare and how this may aid current policy discussions.Methods: Qualitative investigation of historical views related to this topic. Results: Three major traditions can be identified, each of which defines preconditions for autonomous behavior. These preconditions are: (1) rationality and rational faculties, (2) individual rights and legislation and (3) free property rights, free market and free trade. It was found that the three historical traditions still play a key role in current discussions on personal autonomy in healthcare. Conclusions: A thorough understanding of these traditions may be quite helpful for health stakeholders in planning health services and policies.

Article Details

Issue
Vol. 6 No. 2 (2016)
Section
Regular Articles

References

Proot IM, Crebolder HF, Abu-Saad HH, Meulen RH. Autonomy in the rehabilitation of stroke patients in nursing homes. A concept analysis. Scandinavian Journal of Caring Sciences. 1998; 12(3):139–145.

Greaney AM, OMathuna DP, Scott PA. Patient autonomy and choice in healthcare: self-testing devices as a case in point. Medicine, Health Care and Philosophy. 2012; 15(4):383–395

Beauchamp TL, Childress JF. Principles of biomedical ethics. 6th ed. New York: Oxford University Press, 2009.

Entwistle VA, Carter SM, Cribb A, McCaffery K. Supporting patient autonomy: the importance of clinician-patient relationships. Journal of General Internal Medicine. 2010; 25(7):741–745.

Oshana M. How much should we value autonomy? Social Philosophy and Policy. 2003; 20(2):99–126.

Goff BE. Citizen Bacchea: women’s ritual practice in ancient Greece. Berkeley, CA: University of California Press, 2004.

Aristotle. Nichomachean Ethics. Mineola, New York: Dover Publications., 1998.

Plato. Republic. Oxford: Oxford University Press, 1998.

Epictetus. Of human freedom. New York: Penguin Books, 2010.

Augustine S. Confessions. Translated by Henry Chadwick. Oxford: Oxford University Press, 1991.

Kant I. An answer to the question: ’What is enlightenment?’. London: Penguin Books; 2010.

Rousseau JJ. Rousseau: ’The Social Contract’ and Other Later Political Writings. Cambridge: Cambridge University Press; 1997.

Isreal JI. Democratic enlightenment. Philosophy, revolution, and human rights 1750-1790. Oxford: Oxford University Press; 2011.

Mill JS. On Liberty. New York: Penguin Books; 2010.

Berlin I. In: Two concepts of liberty. In Isaiah Berlin (1969) Four essays on liberty. Oxford: Oxford University Press; 1958. p. 118–172.

Friedman M. Why government is the problem. Stanford, CA: Hoover Institution Press Publication; 1993.

Friedman M. Capitalism and freedom. Chicago: University of Chicago press; 2009.

Will JF. A brief historical and theoretical perspective on patient autonomy and medical decision making: part I: the beneficence model. CHEST Journal. 2011; 139(3):669–673.

Vollmann J, Winau R. Informed consent in human experimentation before the Nuremberg code. BMJ: British Medical Journal. 1996; 313(7070):1445–1449.

Olsen JP. In: Campbell CSJ, Peters BG, editors. Administrative reform and theories of organization. Pittsburgh, PA: University of Pittsburgh Press, 1988. p. 233–254.

Pollitt C. Justification by works or by faith? Evaluating the new public management. Evaluation. 1995; 1(2):133–154.

Calnan M. Consumerism and the provision of health care. British Journal of Healthcare Management. 2010; 16(1):37–39.

Severt D, Aiello T, Elswick S, Cyr C. Hospitality in hospitals? International Journal of Contemporary Hospitality Management. 2008; 20(6):664–678.

Aiello T, Severt D, Rompf P, Breiter D. A fundamental exploration of administrative views of hospital hospitality and service excellence. Advances in Hospitality and Leisure. 2010; 6:185–211.

Wu Z, Hollis B, Tanner LK. The Application of Hospitality Elements in Hospitals/Practitioner application. Journal of Healthcare Management. 2013; 58(1):47.

Abusalem S, Myer JA, Aljeesh Y. Patient satisfaction in home health care. Journal of Clinical Nursing. 2013; 22(17-18):2426–2435.

Barr JK, Giannotti TE, Sofaer S, Duquette CE, Waters WJ, Petrillo MK. Using public reports of patient satisfaction for hospital quality improvement. Health Services Research. 2006; 41(3, part 1):663–682.