ArticlePhilosophy, ethics, and humanities in medicine : PEHM2010
The ethics of everyday practice in primary medical care: responding to social health inequities.
Article in Philosophy, ethics, and humanities in medicine : PEHM, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Virtue Ethics among Physicians who serve Individuals with Chronic Spinal Cord Injury in Indonesia.Asian bioethics review · 2023Article
- Primary care physicians' perceptions of social determinants of health recommendations: a qualitative study.BJGP open · 2023Article
- Revisiting the need for virtue in medical practice: a reflection upon the teaching of Edmund Pellegrino.Philosophy, ethics, and humanities in medicine : PEHM · 2018Article
- The Absent Interpreter in Administrative Detention Center Medical Units.Health care analysis : HCA : journal of health philosophy and policy · 2017Article
- The Critical Role of Clerks in the Patient-Centered Medical Home.Annals of family medicine · 2016Article
- Dutch Masters and social determinants.Canadian family physician Medecin de famille canadien · 2016Article
- Ethical behaviour in clinical practice: a multidimensional Rasch analysis from a survey of primary health care professionals of Barcelona (Catalonia, Spain).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014Article
- Respice...prospice: philosophy, ethics and medical care- past, present, and future.Philosophy, ethics, and humanities in medicine : PEHM · 2010Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial and structural inequities shape health and illness; they are an everyday presence within the doctor-patient encounter yet, there is limited ethical guidance on what individual physicians should do. This paper draws on a study that explored how doctors and their professional associations ought to respond to the issue of social health inequities.
resultsSome see doctors as bound by a notion of care that is blind to a patient's social position, while others respond to this issue through invoking notions of justice and human rights where access to care is a prime focus. Both care and justice orientations however conceal important tensions linked to the presence of bioethical principles underpinning these. Other normative ethical theories like deontology, virtue ethics and utilitarianism do not provide adequate guidance on the problem of social health inequities either.
conclusionThis paper explores if Bauman's notion of "forms of togetherness" provides the basis of a relational ethical theory that can help to develop a response to social health inequities of relevance to individual physicians. This theory goes beyond silence on the influence of social position of health and avoids amoral regulatory approaches to monitoring equity of care provision.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.