Healthcare bioethics: a new proposal of ethics for clinical practice  

作　　者：Aline Albuquerque Cintia Tanure 

机构地区：[1]Post Graduate Programme of Bioethics,University of Brasília,Campus Universitário Darcy Ribeiro 70910-900,Brazil [2]Post Graduate Programme of Nursing,University of Brazil,Campus Universitário Darcy Ribeiro 70910-900,Brazil

出　　处：《History & Philosophy of Medicine》2023年第2期20-25,共6页医学史与医学哲学

摘　　要：The expression“patient revolution”is the social,educational,cultural,and political movement initiated at the end of the twentieth century and beginning of the twenty-first century,which sustains the protagonism of the patients in their care as the primary decision maker and holder of human rights.The patient revolution comprises varied approaches and references,such as Patient-Centered Care,Shared Decision-Making,Patient Participation,and Patients’Rights,which combine to uphold that the patient is a moral agent and anchor healthcare in the biopsychosocial model.In this sense,this movement is a new proposal of ethics for clinical practice.This theoretical research primary goal is to develop theoretical contributions that support this new Bioethics dimension,emphasizing the context in healthcare that calls for new ethics in clinical practice,characterized as a patient revolution movement.We concluded that the patient revolution had driven a new paradigm in healthcare based on Patient-Centricity,SDM,and Patients’Rights.Despite this critical change in the health sphere,the patient revolution appears to have reverberated in clinical bioethics.Thus,theoretical contributions must be developed for new ethics in the clinic,a task undertaken in this article through the proposal of Healthcare Bioethics as an adequate frame of reference to be adopted at all levels of clinical care.Thus,it is concluded that having Bioethics Healthcare as a beacon of ethics in clinical encounters can contribute to the quality of care and its ethical provision,confronting practices that violate Patients’Rights.It is imperative to change paternalistic theoretical frameworks that mitigate the Patients’Right to participate in every decision regarding their health.Only with the adoption of new approaches and an insight into the patient’s role in clinical interaction can a new culture in Patient-Centered healthcare take shape.

关 键 词：PATIENT BIOETHICS healthcare Patients’Rights 

分 类 号：B82[哲学宗教—伦理学]