Doctors and Patients
BMJ (British Medical Journal). 1986 Feb 15; 292(6518): 466-469.
Gillon outlines some prima facie moral duties of physicians to patients that have emerged from his previous articles in a series on philosophical medical ethics. These duties follow from four general ethical principles--respect for autonomy, beneficence, non-maleficence, and justice--plus the self-imposed supererogatory duty of medical beneficence. From these principles the author derives such duties as providing adequate information and advice on treatment options, encouraging patient participation leading to informed decisions, maintaining competence and exposing incompetence, admitting errors, disclosing personal medico-moral standards, and acknowledging that other interests may occasionally supersede those of the individual patient. Gillon concludes that, where self interest conflicts with medical beneficence, the claim of medicine as a profession requires that the patient's interests take priority. (KIE abstract)
Autonomy; Beneficence; Communication; Competence; Consent; Decision Making; Disclosure; Doctors; Ethics; Informed Consent; Justice; Medical Ethics; Medicine; Misconduct; Moral Obligations; Obligations to Society; Patient Advocacy; Patient Care; Patient Participation; Patients; Physician Patient Relationship; Physicians; Professional Competence; Professional Patient Relationship; Regulation; Standards;
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