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Self-determination in Health Care - A Property Approach to the Protection of Patients' Rights (Paperback)
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Self-determination in Health Care - A Property Approach to the Protection of Patients' Rights (Paperback)
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It is generally accepted in legal and bioethical discourse that the
patient has a right to self-determination. In practice though, this
is often not the case. Paternalism is waning and it is increasingly
recognised that there are values other than medical factors which
determine the choices that patients make. Unfortunately, these
developments have not resulted in huge advances for patient
self-determination, which is largely because the consent model has
fundamental flaws that constrain its effectiveness. This book sets
out to offer an alternative model to consent. In the property model
proposed here, the patient's bodily integrity is protected from
unauthorised invasion, and their legitimate expectation to be
provided with the relevant information to make an informed decision
is taken to be a proprietary right. It is argued that the property
model potentially overcomes the limitations of the consent model,
including the obstacle caused by the requirement to prove causation
in consent cases. The author proposes that this model could in the
future provide an alternative or complementary approach for the
courts to consider when dealing with cases relating to
self-determination in health care.
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