
Achieving Proper Partiality in Healthcare through Care Ethics Perspective
Exploring the necessity of a care ethics perspective for achieving proper partiality in healthcare, this content delves into the concept of proper partiality, critiques and responses, and the challenges of balancing justice with obligations within care ethics. The discussion navigates through the intricacies of impartiality, the role of relationships in ethics, and the scopes of partiality in healthcare decision-making.
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Presentation Transcript
Is a care ethics perspective necessary to achieve proper partiality in health care? S ren Holm Manchester & Oslo & Aalborg
Overview Proper partiality An initial critique of proper partiality and a response A care ethics perspective on proper partiality Other ways of reaching a justification for proper partiality Conclusion
Proper partiality 1 Proper partiality the idea that: Weak account: It is not wrong (i.e. persmissible) for a health care professional to show some preference for her own patients, e.g. in relation to advocacy either for individual patients or for the group of patients Strong account: A health care professional ought to show some preference for her own patients
Proper partiality 2 How much partiality to allow / require is a matter of contention, and may require concrete judgement Possible relevant factors: Legal constraints The specific nature of the relationship Relationship with other claimants for the same ressource / service The degree of partiality shown by other HCPs
Initial critique and response Impartiality is an important, perhaps even foundational non- negotiable norm: HCPs should be impartial The public health care system should be impartial Initial response: Yes, but formal impartiality is consistent with certain forms of partiality (e.g. we do not find it particularly strange or morally problematic that a teacher teaches the pupils in her class, and not other pupils) Yes, but all plausible ethical theories must make some room for partiality
Care and partiality Many strands of care ethics I take the relevant constitutive features of a care ethics to be: A rejection of an abstract formalisation of ethics (e.g. as a set of rules or principles, or as a purely formal conception of justice) A commitment to The grounding of ethics in relations between persons Seeing the concept / activity of care in such relations as central to ethics Seems to imply partiality, since I (can (?)) only have relations with some other agents My care must, necessarily (?) be directed towards those other agents
Challenges for a care ethics approach to proper partiality The general challenge of accounting for justice and/or for obligations to agents outside of my circle of relationships Defining the proper scope of partiality Exploring similarities and differences between personal and professional care
Other paths to proper partiality 1. Necessary for establishing / maintaining optimal patient HCP relationship, i.e. partiality as a role responsibility 2. Necessary for optimal ressource allocation in a semi-adversarial allocation system
Conclusion Care ethics provides support for (strong) proper partiality in health care But, so does other considerations based on considerations of the role of HCPs in public health care systems Care ethics may be the Royal Road to partiality, but it is not the only path leading to the top of the mountain
References / Readings Holm, S ren. "Can Giving Preference to My Patients be Explained as a Role Related Duty in Public Health Care Systems?." Health Care Analysis 19, no. 1 (2011): 89-97. This issue of Health Care Analysis is a thematic issue about partiality Holm, S ren. "The phenomenological ethics of KE L gstrup a resource for health care ethics and philosophy?." Nursing Philosophy 2, no. 1 (2001): 26-33.