[Ethical aspects of overdiagnosis: Between the utilitarianism and the ethics of responsibility]. / Aspectos éticos del sobrediagnóstico: entre el utilitarismo y la ética de la responsabilidad.
Aten Primaria
; 50 Suppl 2: 13-19, 2018 11.
Article
em Es
| MEDLINE
| ID: mdl-30563622
ABSTRACT
Overdiagnosis is an emerging and unexpected phenomenon in medicine with multiple causes social, cognitive and technical. The most prevalent ethical assessment is the utilitarian one in medicine it is not ethical to carry out any intervention with a negative benefit risk balance. However, there are non-utilitarian moral criteria, based on principles or individual rights, and personal utilities that must also be considered in the decision-making processes. The ethical approach of overdiagnosis has to be carried out from an ethics of responsibility that contemplates principles and consequences assuming that the decisions of managers, clinicians and citizens will introduce different moral perspectives. The solutions go through training and research; have a reliable biomedical knowledge; avoid conflicts of interest, both business and organizational, and improve shared decision-making in the public, clinical and individual spheres.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Teoria Ética
/
Ética Médica
/
Uso Excessivo dos Serviços de Saúde
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Aspecto:
Ethics
Limite:
Humans
Idioma:
Es
Revista:
Aten Primaria
Ano de publicação:
2018
Tipo de documento:
Article