Historical analysis of personal autonomy for prospective healthcare

the International Journal of Person-Centered Medicine Pub Date : 2016-07-13 DOI:10.5750/IJPCM.V6I2.542

Dennis Moeke, J. V. Andel

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引用次数: 2

Abstract

Background: Today most healthcare providers have embraced the principle of per sonal autonomy as central to their strategic aims and objectives. How ever, 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 the ages, 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 behav ior. These preconditions are: (1) rationality and rational faculties, (2) individual rights and legislation and (3) free property rights, free mar ket and free trade. It was found that the three historical traditions still play a key role in current discussions on personal autonomy in health care. Conclusions: A thorough understanding of these traditions may be quite helpful for health stakeholders in planning health services and policies.

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前瞻性医疗保健中个人自主性的历史分析

背景:今天，大多数医疗保健提供者已经接受了个人自主的原则，作为其战略目标和目标的核心。然而，在医疗保健提供者中，对于什么是个人自主以及如何促进个人自主存在许多不同的观点。目的:本研究旨在探讨个人自主和相关概念，如个人自由和个人主义是如何被解释的，这对我们目前对医疗保健中的个人自主的理解意味着什么，以及这如何有助于当前的政策讨论。方法:对与本课题相关的历史观点进行定性调查。结果:可以确定三种主要的传统，每一种传统都定义了自主行为的先决条件。这些先决条件是:(1)理性和理性能力;(2)个人权利和立法;(3)自由产权、自由市场和自由贸易。研究发现，这三种历史传统在当前关于个人医疗自主权的讨论中仍然发挥着关键作用。结论:彻底了解这些传统可能对卫生利益攸关方规划卫生服务和政策非常有帮助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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the International Journal of Person-Centered Medicine

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