impact of consequentialism in healthcare

In effect we become moral martyrs, surrendering our integrity (leading to alienation) in order to achieve what they believe is morally right. 2020 Jun;27(4):1032-1043. doi: 10.1177/0969733020906594. Instead, Mill believed we should figure out which set of rules would create the most happiness over an extended period of time and then apply those in every situation. More specifically, it protects the privacy of biometric data, including full-face photographs and any comparable images, which are directly related to an individual.37 Thus, facial images used for FRT health applications would be protected by HIPAA.38 Entities covered by HIPAA, including health care organizations, clinicians, and third-party business associates, would need to comply with HIPAA regulations regarding the use and disclosure of protected health information.38 However, clinicians should advise patients that there may be limited protections for storing and sharing data when using a consumer FRT tool. It is not unreasonable to say that in this example you should pause your duck feeding and jump in to save the child. Should Electronic Health Record-Derived Social and Behavioral Data Be Used in Precision Medicine Research? If all we are concerned with is getting good outcomes, this can seem to justify harming some people in order to benefit others. Katy Baker studied Philosophy at the University of Kent and is now part of the Philosophy Now team. Int J Lang Commun Disord. Development of a computer-aided tool for the pattern recognition of facial features in diagnosing Turner syndrome: comparison of diagnostic accuracy with clinical workers. A novel approach to the detection of acromegaly: accuracy of diagnosis by automatic face classification. As there is a buzz of chatter and activity presently in Trinidad and Tobago's ' gangland' one cannot dismiss the propensity of consequentialism surfacing. Something is then considered "wrong" if it creates the opposite reaction. Certainly, the use of utilitarian ethics in medical contexts is not without controversy and this is something which we shall next by looking at a well-known objection to utilitarianism using a thought experiment: The objection is that by only focusing on objectively promoting the greatest good, utilitarians can permit and indeed claim that certain actions, which appear morally wrong, are in fact the right action. Automated depression diagnosis based on facial dynamic analysis and sparse coding. Immanuel Kant started developing deontology after he was inspired by the movement called the Enlightenment, which emphasized human reason and individual autonomy. And it gives this general guidance on how to live: People should live so as to maximise good consequences. Deontological Ethics. Nurs Ethics. Face recognition methods and applications. We will discuss three common ethical theories and how it handle the case of truth telling in medical practice as an example. Indeed, no one can know the future with certainty. The principle of utilitarianism invites us to consider the immediate and the less immediate consequences of our actions. 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. Disclaimer. consequentialism, In ethics, the doctrine that actions should be judged right or wrong on the basis of their consequences. Federal government websites often end in .gov or .mil. Ethical considerations: Ethical approval was obtained from the local National Research Ethics Committee. Jordan Belfort (played by Leonardo DiCaprio) in The Wolf of Wall Street is probably the popular idea of the . An action that brings about more benefit than harm is good, while an action that causes more harm than benefit is not. Answer (1 of 4): The term 'consequentialism' was coined by the philosopher G E M Anscombe in her 1958 paper, 'Modern Moral Philosophy' (Philosophy 33, No. Never kill an innocent person or never lie are examples of such rules. Reimagining Medical Education in the Age of AI, Steven A. Wartman, MD, PhD and C. Donald Combs, PhD. In: Proceedings of the 2015 IEEE 28th Canadian Conference on Electrical and Computer Engineering (CCECE); May 3-6, 2015; Halifax, Canada:1199-1202. While FRT systems in health care can de-identify data, some experts are skeptical that such data can be truly anonymized21; from clinical and ethical perspectives, informing patients about this kind of risk is critical. Shedding Privacy Along with our Genetic Material: What Constitutes Adequate Legal Protection against Surreptitious Genetic Testing? 1-2.) If such a public health goal (e .g., herd immunity, protecting the most vulnerable, protecting the capacity of the acute health care system) can be achieved with less co ercive -1- COVID-19 and mandatory vaccination: Ethical considerations and caveats Type. Much of medical law is consequentialist in nature. Epub 2021 May 4. Cachn-Prez JM, Gonzalez-Villanueva P, Rodriguez-Garcia M, Oliva-Fernandez O, Garcia-Garcia E, Fernandez-Gonzalo JC. . Rather than taking into account our own attitudes towards an action, by taking an objective standpoint we are able to remove ourselves from our usual social groups and ideologies which affect the way in which we act and look at a situation, and instead we should act without bias. A consequence of consequentialism, however, is that it fails to respect the integrity of the individuals involved. In: Proceedings of the 2016 International Conference on Computing, Communication and Automation (ICCCA); April 29-30, 2016; Noida, India:399-404. Please enable it to take advantage of the complete set of features! FRT systems can store data as a complete facial image or as a facial template.34 Facial templates are considered biometric data and thus personally identifiable information.35 The idea that a photo can reveal private health information is relatively new, and privacy regulations and practices are still catching up. Consequentialism is a type of normative ethical theory which states that the moral quality of an action is completely determined by its consequences, and nothing else. Indeed, society as a whole is more important than any one person in the eyes of a Utilitarian. Utilitarianism (also called consequentialism) is a moral theory developed and refined in the modern world in the writings of Jeremy Bentham (1748-1832) and John Stuart Mill (1806-1873). Federal Privacy Protections: Ethical Foundations, Sources of Confusion in Clinical Medicine, and Controversies in Biomedical Research, Mary Anderlik Majumder, JD, PhD and Christi J. Guerrini, JD. The first ethical theory we will look at more closely is consequentialism. Consequentialism Consequentialism is a type of teleological theory -- consequentialist theories suggest that the moral value, the moral rightness or wrongness of an act, is entirely a function of the consequences, or the results of that act. It emphasises four key ethical principles of autonomy, beneficence, non-maleficence, and justice, which are shared by most ethical theories, and blends these with virtues and practical wisdom. This structure means that the ends often justify the means when seeking to create a specific result. Articles. Nurs Ethics. Ethical decision making in nurses. FOIA There are two broad schools of ethical theory: consequentialism and non-consequentialism. In this case, they would argue that welfare would be maximised by giving the last ventilator to the 20 year old. There will need to be careful thought and study of the broader impact of FRT in health care settings. Philos Ethics Humanit Med. First, as it is the general performance of all people that is collectively coordinated to promote the overall good, rule-consequentialism may distribute a fair share of the burden to all participants in society (Mulgan 2001, p. 54). Forbes. This helps prevent a surge of infected patients in the existing healthcare facilities. Utilitarianism in Public Health January 2016 . Published April 25, 2018. The final result was amazing, and I highly recommend www.HelpWriting.net to anyone in the same mindset as me. Wellcome TrustFunded Monographs and Book Chapters. Front Neurosci. Machine learning and the profession of medicine. Finally, Mill also claims that happiness is the only thing that is desirable in itself as an end. It is one of the main causes of preventable blindness in young children from developing countries. Keeping to those rules ensures that. FOIA March 2018. https://medium.com/ibm-watson-data-lab/keeping-your-machine-learning-models-up-to-date-f1ead546591b. To identify the values, beliefs and contextual influences that inform decision-making. For a theory often touted as promoting happiness, this is a problem. May 17, 2017. https://undark.org/article/facial-recognition-technology-biased-understudied/. Subsequent actions are mediated though ethical decision-making frames of reference including deontology, consequentialism, the ethics of care and virtue ethics. October 6, 2017. http://www.clinicalinformaticsnews.com/2017/10/06/3d-facial-recognition-gives-healthcare-data-a-new-look.aspx. Complex and expensive treatment options have increased the frequency and emphasis of ethical decision-making in healthcare. [4] Consequentialism The most famous version of this theory is utilitarianism. The theory is also impartial. By saying that Jim should shoot the one Indian the consequentialist fails to take into account the impact that this would have on Jims life. One of the consequences of a breach of confidentiality could be that the patient will lose trust in his/her doctor, and perhaps doctors generally, resulting in him/her not accessing healthcare in the future with a detrimental effect on his/her (and others?) Consequentialism requires that the agent should step outside herself, as it were, and assess the consequences not in terms of prior commitments, but just on the results produced. As FRT becomes capable of detecting a wider range of health conditions, such as behavioral24 or developmental disorders,25 health care organizations and software developers will need to decide which types of analyses should be included in a FRT system and the conditions under which patients might need to be informed of incidental findings. health goal (including socioeconomic goals) identified by a legitimate public health authority. Relationships among moral reasoning, coping style, and ethics stress. Copyright 2023 American Medical Association. Use and Significance of Nursing Diagnosis in Hospital Emergencies: A Phenomenological Approach. 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. This site uses cookies to recognize users and allow us to analyse site usage. Nurses require the skills to develop and maintain professional relationships for addressing ethical dilemmas and to engage with political and organisational macro- and micro-decision-making. This basic form of consequentialism holds an action as ethical if and only if it produces more beneficial/pleasure-causing outcomes than negative/pain-causing ones. Utilitarianism would permit a doctor to allow Patient A to die and for their organs to be used to save the lives of the other five patients. One famous way of putting this is 'the greatest good for the greatest number of people'.. Also, in certain situations, consequentialism can lead to decisions that are objectionable, even though the consequences are arguably good. Shakya S, Sharma S, Basnet A. Stud Health Technol Inform. iEthics: An Interprofessional Ethics Curriculum. Consequentialism is the theory in moral philosophy that says our actions should aim at producing the best consequences. March 21, 2017. http://www.mobihealthnews.com/content/fdna-launches-app-based-tool-clinicians-using-facial-recognition-ai-and-genetic-big-data. Nurses use these in contributing to the resolution of these dilemmas. With a little help from Batman, Hank explains the principle of utility, and the d For more information on consequentialism and utilitarianism follow the links below: https://plato.stanford.edu/entries/consequentialism/, https://plato.stanford.edu/entries/utilitarianism-history/, https://plato.stanford.edu/entries/mill-moral-political/, https://ethics.org.au/ethics-explainer-consequentialism/, All Content is the property of Keerut Oberai unless stated otherwise or an external link.Made with Squarespace.

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