Under-explored 'third dimension' of medical ethics.

Child Ethics, Medical Humans Moral Obligations Resource Allocation Trust
EcoHealth One Health Planetary Health biodiversity climate change ethics

Journal

Journal of paediatrics and child health
ISSN: 1440-1754
Titre abrégé: J Paediatr Child Health
Pays: Australia
ID NLM: 9005421

Informations de publication

Date de publication:
Nov 2021
Historique:
revised: 26 07 2021
received: 12 07 2021
accepted: 26 07 2021
entrez: 18 11 2021
pubmed: 19 11 2021
medline: 27 1 2022
Statut: ppublish

Résumé

In this paper, we nominally propose three dimensions of medical ethics, using the term medical ethics rather than clinical ethics to focus on the professional obligation of paediatricians in and beyond the ward and clinic. We argue there exists a duty to children along the continuum of all three dimensions. In this taxonomy, the first dimension is the obligation of paediatricians to serve the best interests of their individual patients. The second dimension involves public health aspects and communitarian concerns with a focus on utilitarian principles, such as cost-effectiveness and just resource allocation. The third dimension of medical ethics is the obligation we hold in trust to support and respect the well-being of future generations. As our ecological footprint, characterised by climate change and biodiversity collapse, will adversely affect the health of today's children and those yet unborn, paediatricians have a contemporaneous moral obligation to speak out and act as both advocates and activists.

Identifiants

DOI: 10.1111/jpc.15682 PMID: 34792237
pubmed: 34792237
doi: 10.1111/jpc.15682
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1792-1794

Informations de copyright

© 2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

Références

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Auteurs

Ben J Marais (BJ)

Clinical School, The Children's Hospital at Westmead and Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
Sydney Institute for Infectious Diseases and Sydney Health Ethics, The University of Sydney, Sydney, New South Wales, Australia.
ORCID: 0000-0003-3404-2690

Anne Preisz (A)

Clinical School, The Children's Hospital at Westmead and Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
Sydney Institute for Infectious Diseases and Sydney Health Ethics, The University of Sydney, Sydney, New South Wales, Australia.
Bioethics Department, University of Notre Dame, Fremantle, Western Australia, Australia.
ORCID: 0000-0003-4331-1434

David Isaacs (D)

Clinical School, The Children's Hospital at Westmead and Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
Sydney Institute for Infectious Diseases and Sydney Health Ethics, The University of Sydney, Sydney, New South Wales, Australia.
ORCID: 0000-0002-9593-7378

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Under-explored 'third dimension' of medical ethics.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Éthique › Déontologie › Éthique clinique › Déontologie médicale › Under-explored 'third dimension' of medical ethics.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Under-explored 'third dimension' of medical ethics.
questionsmedicales.fr › Sciences humaines › Philosophie › Sens moral › Responsabilité sociale › Obligations morales › Under-explored 'third dimension' of medical ethics.
questionsmedicales.fr › Sciences sociales › Allocation des ressources › Under-explored 'third dimension' of medical ethics.
questionsmedicales.fr › Comportement et mécanismes comportementaux › Relations interpersonnelles › Confiance › Under-explored 'third dimension' of medical ethics.