This button displays the currently selected search type. The foregoing are just a sample of the ethical approaches a healthcare professional may adopt in practice and it may be argued that there are three main moral theories from which these approaches may, in part, spring, namely virtue ethics, deontology and consequentialism. Some consequentialists even argue that alienation is necessary for social progress. Forbes. Bias. Epub 2022 Apr 9. According to consequentialism, you should always strive to bring about good consequences, rather than simply obeying an arbitrary set of ethical rules. So by treating the individual as merely a means to an end, consequentialism may turn out to be self-defeating. One doctor speaking to the Business Insider claimed: "If you had, let's say, an ICU that was overwhelmed, you're probably going to try and give some extra attention to healthcare workers because you need them to deliver care," he said. Biom Technol Today. In this example: A hospital has limited capacity to deal with Covid-19 patients and is having to decide between admitting a 20 year old patient, who is fit and well, and a 75 year old patient, who has a history of heart disease, to their last available ventilator. January 9, 2017. https://www.wired.com/2017/01/computers-can-tell-glance-youve-got-genetic-disorders/. According to non-consequentialism, the rightness of an action is not solely determined by its consequences. A consequence of consequentialism, however, is that it fails to respect the integrity of the individuals involved. December 9, 2017. https://www.medicalnewstoday.com/articles/320316.php. Whenever we are faced with a decision, an act consequentialist will expect us to ask that question. . One of the consequences of a breach of confidentiality could be that the patient will lose trust in And it gives this general guidance on how to live: People should live so as to maximise good consequences. Guidance regarding methods for de-identification of protected health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. He believed it was too difficult for a society to run if it had to consider the specific costs/benefits of every single action. Consequentialism is a rival to such moral theories as deontology, contractualism, and virtue ethics. 2018;12:300. Should Watson Be Consulted for a Second Opinion? Bethesda, MD 20894, Web Policies Philosophy Now 2023. According to consequentialism, the right act is that act which has the best consequences. Instead, it is being driven by patients, who are increasingly turning into consumers. Finally, Mill also claims that happiness is the only thing that is desirable in itself as an end. This is a worldview without tragedy or realism. Ethics Med Public Health. 2. Some statutes that protect health information might not apply to FRT. Complex and expensive treatment options have increased the frequency and emphasis of ethical decision-making in healthcare. The consequentialism theory supports the decision because it has more benefits than harm. Protecting your patients interests in the era of big data, artificial intelligence, and predictive analytics. FOIA By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Epub 2011 Dec 6. MeSH 2022 Jan 6;10(1):12. doi: 10.3390/pharmacy10010012. The more good consequences an act produces, the better or more right that act. Q: Roe v. Wade may soon be overturned by the Supreme Court, while at the same time other countries are loosening restrictions around abortion rights. The most famous version of this theory is utilitarianism. Ghaemi SN, Goodwin FK. A study of nurses' ethical climate perceptions: Compromising in an uncompromising environment. Activate your 30 day free trialto continue reading. Consumerism in healthcare is not merely about supporting hospitals, insurance companies and other businesses. and hey presto! Accessibility Basel-Vanagaite L, Wolf L, Orin M, et al. Shakya S, Sharma S, Basnet A. In other words, the morally right action is the one that produces the greatest amount of happiness or welfare. FRT tools that assist with identification, monitoring, and diagnosis are expected to play a prominent role in the future of health care.6,18 Some applications have already been implemented.13,19 As FRT is increasingly utilized in health care settings, informed consent will need to be obtained not only for collecting and storing patients images but also for the specific purposes for which those images might be analyzed by FRT systems.20 In particular, patients might not be aware that their images could be used to generate additionally clinically relevant information. Human behavior prediction using facial expression analysis. PHI 204 - Ethical Issues in Health Care: Consequentialism, Deontology, Physical Education and Health Education Faculty. Maximizing Consequentialism = moral rightness depends only on which consequences are best (as opposed to satisfactory or an improvement over the status quo). If Jim refuses to kill anyone then he is therefore responsible for the deaths of the others. Williams example shows that consequentialism disregards the agents own personal commitments and allows for negative responsibility. The same could be said for Jim who by doing nothing is responsible for the lives of the twenty Indians. Washington Post. Decision-making; ethics of care; interprofessional working; moral dissonance; moral distress; nursepatient relationships; professional ethics; qualitative research; virtue ethics. (Cf. As the saga unfolds we are to monitor, measure and maximise the consequences for the greater good of the larger number. Given the exhaustion of most, if not all, negotiation and compromise within a diplomatic and political framework, the minority have two options: 1) rebellion till death; 2) subjugation till death. Development of a computer-aided tool for the pattern recognition of facial features in diagnosing Turner syndrome: comparison of diagnostic accuracy with clinical workers. Epub 2014 Sep 24. Many utilitarians take a hedonistic approach, saying that utility equates to happiness, so we should act to produce the greatest happiness, and to minimize pain and unhappiness. 2005 Oct;25(5):312-27. Our duty to others can be illustrated using another example, one used by contemporary utilitarian philosopher Peter Singer. And this is the central problem; that Jims values are seen as unimportant when it comes to deciding how he should act in the given situation. To demonstrate this I will use an adapted version of John Harris Survival Lottery thought experiment (this thought experiment is a theoretical example used to highlight the objection and is not to be taken literally): Let us imagine we have five patients who require organ transplants. Healthcare workers often face a problem of decision - making. Molteni M. Thanks to AI, computers can now see your health problems. He said, she said: Investigating the Christian Porter Case. As Peter Railton says: The alienation of some individuals or groups from their milieu may at times be necessary for fundamental social criticism or cultural innovation (Alienation, Consequentialism and the Demands of Morality, Philosophy and Public Affairs 1984). Consequentialism is based on two principles: Whether an act is right or wrong depends only on the results of that act The more good consequences an act produces, the better or more right that act. Accessed July 31, 2018. Among the most prominent approaches to ethics within philosophy is a highly influential position known as consequentialism. Particularly in Italy, where the death toll and strain on hospitals has reached a critical point, there is a policy now to prioritise treating younger patients and healthcare workers. All rights reserved. Face recognition methods and applications. From a consequentialist point of view it doesnt matter who commits the murder, merely the amount of lives lost in the end, so Jim would be just as responsible for the deaths as the captain is surely an absurd outcome. Perhaps it can in some way be quantified, so that if carrying out some act would damage the integrity of the individual so grievously that the maximum utility could be reached only if they failed to act, then not acting would be the right thing to do. Baum S. Using facial recognition and AI to confirm medication adherence, AiCure raises $12.25M. This document is part of a series of papers intended to introduce MeSH If the outcome is good, how one achieved the outcome is not that important. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Consequentialism plays a huge role in this scenario as in both cases results of the decision made can be either positive or negative. LinkedIn and 3rd parties use essential and non-essential cookies to provide, secure, analyze and improve our Services, and (except on the iOS app) to show you relevant ads (including professional and job ads) on and off LinkedIn. Copyright 2023 American Medical Association. The first ethical theory we will look at more closely is consequentialism. April 11, 2017. https://www.technologyreview.com/s/604087/the-dark-secret-at-the-heart-of-ai/. The lack of respect for the integrity of the individual is raised by Bernard Williams famous Jim and the Indians thought experiment, quoted above. To do so, lets look at a current example of limited resources, such as ventilators, in hospitals during the Covid-19 outbreak and how we may decide which patients should be allocated these resources. 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