Open access
PARTNER, CLIENT OR PATIENT? AUTONOMY OF PATIENT AND PHYSICIAN AND MODELS OF MEDICINE
Filip BARDZIŃSKI1
New Relations and Approaches in Mecical Care
Publication language: Polish
Journal article
Transformations No. 1-2 (92-93) 2017, Publication date: 28 May 2017
Keywords: paternalistic model, symmetry of relations, applications, consequences, medical ethics, model reevaluation
Abstract In this paper, I will argue in favor of a dire need to re-evaluate the classic model of physician-patient relation, based on the notion of paternalism. By observing negative and unwanted consequences, coming from both the theoretical attempts to develop more symmetrical models of such relations, as well as their practical applications (such as the growing mercantile dimension of medical care; the overestimation of the notion of patients rationality, which then affects hers/his autonomy, etc.) , I will argue that it is possible to apply the – generally discarded – concept of medical paternalism to the modern concepts of medical deontology and patient rights to information and autonomy. I will present thus the notion of medical ethics based on the ethics of care limited by justice, developed by Kazmierz Szewczyk, and broaden it with some remarks on physician-patiens relation made by Andrzej Szczeklik and Ryszard Fenigsen in order to develop a solid background for a re-evaluated model of paternalism.
Instytut Filozofii, Uniwersytet Adama Mickiewicza w Poznaniu
E-mail: fmbardzinski@gmail.com