impact of consequentialism in healthcare

According to consequentialism, the right act is that act which has the best consequences. First, as it is the general performance of all people that is collectively coordinated to promote the overall good, rule-consequentialism may distribute a fair share of the burden to all participants in society (Mulgan 2001, p. 54). Conclusion: Consequentialism teaches that people should do whatever produces the greatest amount of good consequences. For consequentialism this is not a problem, as the individual is just a mechanism for maximising overall happiness; they are instrumental. Our Biometric Future: Facial Recognition Technology and the Culture of Surveillance. Disregarding our integrity and alienating ourselves from our values and social ideas is likely to result in a life of unhappiness. He believed it was too difficult for a society to run if it had to consider the specific costs/benefits of every single action. If you dont, you should be held partly responsible for the childs death. A few states, such as Illinois, have regulations that limit uses for which consumer biometric data can be collected.36 The Health Insurance Portability and Accountability Act (HIPAA) governs handling of patients health records and personal health information and includes privacy protections for personally identifiable information. FRT tools that assist with identification, monitoring, and diagnosis are expected to play a prominent role in the future of health care.6,18 Some applications have already been implemented.13,19 As FRT is increasingly utilized in health care settings, informed consent will need to be obtained not only for collecting and storing patients images but also for the specific purposes for which those images might be analyzed by FRT systems.20 In particular, patients might not be aware that their images could be used to generate additionally clinically relevant information. Nurses' experiences of providing ethical care to the patients with COVID-19: A phenomenological study. As with any clinical innovation, FRT tools should be expected to demonstrate accuracy for specific uses and to demonstrate that overall benefits outweigh risks.26 Detecting and evaluating bias in data and results should also receive close ethical scrutiny.27 In machine learning, the quality of the results reflects the quality of data input to the system28an issue sometimes referred to as garbage in, garbage out. For example, when images used to train software are not drawn from a pool that is sufficiently racially diverse, the system may produce racially biased results.29 If this happens, FRT diagnostics might not work as well for some racial or ethnic groups as others. Nurses experiences of ethical dilemmas: A review. Being such a controversial topic some might argue that abortion should be considered murder, while others simply see it as a way to get rid of a problem. Applications of facial recognition technology (FRT) in health care settings have been developed to identify and monitor patients as well as to diagnose genetic, medical, and behavioral conditions. Brostoff G. 3D facial recognition gives healthcare data a new look. (Though, most versions of non-consequentialism allow some ethical relevance of consequences). Wellcome TrustFunded Monographs and Book Chapters. Now, if the foreign power does intervene on the basis of humanitarian concerns to liberate the minority from the reign of terror that subjects to such misery and death, war becomes a necessary and moral objective on part of the foreign power to liberate the minority people. We will discuss three common ethical theories and how it handle the case of truth telling in medical practice as an example. 13 Advantages and Disadvantages of Utilitarianism Theory - Green Garage (Feiser) Consequentialism says that the consequences of an action are all that matter when taking an ethical decision to act. This chapter discusses consequentialism. Changes in the Earth's climate can affect public health, agriculture, water supplies, energy production and use, land use and development, and recreation. Consequentialism's definition merely. Balthazar P, Harri P, Prater A, Safdar NM. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). For instance, most people would agree that lying is wrong. Understanding the Ethical Theories in Medical Practice The most famous form of consequentialist ethics is utilitarianism which was first proposed by Jeremy Bentham and then furthered by John Stuart Mill in the 19th century. Consequentialism is a normative ethics theory whereby the ends justify the means; in other words, the consequence of an action justifies the moral acceptability of an action of the means taken to reach that end. Healthcare workers often face a problem of decision - making. Submit a manuscript for peer review consideration. It appears that you have an ad-blocker running. PDF Utilitarianism in public health - NCCHPP P2. This document is part of a series of papers intended to introduce But as previously stated, war and the strife and chaos that comes with it are undesirable; however, in this particular circumstance something that may be bad as war can be said to be a for a good cause. In one moment Jim goes from being a tourist in a foreign country to becoming a murderer for the sake of morality. Also, it is advantageous because there is no guesswork; the physician does not have to predictconsequences because while . Consequentialism claims that whether an action is right or wrong depends on the consequences that it brings about. Never kill an innocent person or never lie are examples of such rules. 1-2.) According to consequentialism, the right act is that act which has the best consequences. Moral distress was also evident in the literature and findings, with moral dissonance recognised and articulated by more experienced nurses. Ghaemi SN, Goodwin FK. National Human Genome Research Institute, National Institutes of Health. January 12, 2016. https://medcitynews.com/2016/01/aicure-fundraise/. It is a problem that consequentialism forces us to take an impersonal, objective view of situations and override some of our most cherished beliefs because of its requirement that we focus exclusively on the final result. Utilitarianism in this instance appears to give the morally incorrect answer. Hughes N. Google takes aim at controversial, stringent Illinois biometric privacy law. The oppressor, obviously, retaliates with ever more repressive measures to crush the minority by force. One recent example that gained notoriety was an FRT system used to identify gay men from a set of photos that may have simply identified the kind of grooming and dress habits stereotypically associated with gay men.30 The developers of this FRT system did not intend it to be used for a clinical purpose but rather to illustrate how bias can influence FRT findings.30, Thankfully, potential solutions for addressing bias in FRT systems exist. Consequentialism entails that we can be held morally responsible for a lack of action, and whilst the case of the drowning child shows that it is possible to be indirectly responsible by not acting, in cases like Jims it involves going further than can be reasonably expected. Undark. As the saga unfolds we are to monitor, measure and maximise the consequences for the greater good of the larger number. 1828 Words8 Pages. Facial shape analysis identifies valid cues to aspects of physiological health in Caucasian, Asian, and African populations. If happiness was the experience of pleasure without pain, the most ethical actions were ones that caused the most possible happiness and the least possible pain. Disclaimer. Using the example of Jim and the Indians, Williams successfully illustrates that consequentialism fails to respect the integrity of the individual because in deciding what is wrong or right what really matters is not the action but the outcome of it. Furthermore, whilst the consequentialist can agree that the individual agents integrity should not be ignored, as Williams explains, (h)is own substantial projects and commitments come into it, but only as one lot among others. (Ethics, 1994) As our integrity is one among many others and consequentialism expects us all to take an impersonal standpoint, it would follow that everyone would need to disregard their personal commitments, which is likely to lead in turn to overall unhappiness, a problem for a moral theory with hedonistic tendencies. 2007;2(1):26. government site. The theory is also impartial. Abbasinia M, Norouzadeh R, Adib-Hajbaghery M, Nasiri MA, Sharifipour E, Koohpaei A, Eskandari N, Aghaie B. Deontology: Deontology : Advantages: This moral theory is very useful in making impartial decisions. Accessed July 17, 2018. Public health ethics only began to gain prominence as a distinct field within bioethics around the year 2000 and its proponents have had the task of defining it as distinct from medical ethics due to the distinct nature of public health (e.g., Childress et al., 2002, p. 170; Dawson, 2011, p. 1; Upshur, 2002, p. 101). December 13, 2021Ana Langer is professor of the practice of public health and coordinator of the Women and Health Initiative at Harvard T.H. December 9, 2017. https://www.medicalnewstoday.com/articles/320316.php. Haahr A, Norlyk A, Martinsen B, Dreyer P. Nurs Ethics. https://oneworldidentity.com/google-takes-aim-controversial-stringent-illinois-biometric-privacy-law/. Please enable it to take advantage of the complete set of features! Utilitarianism judges consequences by a greatest good for the greatest number standard. These include efforts to create AI systems that explain the rationale behind the results generated.31 Clinicians can also be trained to consider and respond to limitations and biases of FRT systems.32 In addition, organizations such as the National Human Genome Research Institute have sought to diversify the range of people whose images are included in their image databases.33. A heavy man in a sweat-stained khaki shirt turns out to be the captain in charge and, after a good deal of questioning of Jim which establishes that he got there by accident while on a botanical expedition, explains that the Indians are a random group of the inhabitants who, after recent acts of protest against the government, are just about to be killed to remind other possible protestors of the advantages of not protesting. According to non-consequentialism, the rightness of an action is not solely determined by its consequences. Daniel Schiff, MS and Jason Borenstein, PhD, Confidentiality/Duty to protect confidential information, https://www.medicalnewstoday.com/articles/320316.php, https://www.wired.com/2017/01/computers-can-tell-glance-youve-got-genetic-disorders/, http://www.mobihealthnews.com/content/fdna-launches-app-based-tool-clinicians-using-facial-recognition-ai-and-genetic-big-data, https://www.washingtonpost.com/national/health-science/can-your-face-reveal-how-long-youll-live-new-technology-may-provide-the-answer/2014/07/02/640bacb4-f748-11e3-a606-946fd632f9f1_story.html, https://medcitynews.com/2016/01/aicure-fundraise/, https://mhealthintelligence.com/news/ehr-provider-touts-mhealth-access-by-apples-facial-recognition-app, https://medium.com/ibm-watson-data-lab/keeping-your-machine-learning-models-up-to-date-f1ead546591b, https://www.forbes.com/sites/quora/2017/09/06/ten-things-everyone-should-know-about-machine-learning, https://undark.org/article/facial-recognition-technology-biased-understudied/, https://medium.com/@blaisea/do-algorithms-reveal-sexual-orientation-or-just-expose-our-stereotypes-d998fafdf477, https://www.technologyreview.com/s/604087/the-dark-secret-at-the-heart-of-ai/, http://www.clinicalinformaticsnews.com/2017/10/06/3d-facial-recognition-gives-healthcare-data-a-new-look.aspx, https://oneworldidentity.com/google-takes-aim-controversial-stringent-illinois-biometric-privacy-law/, https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html. The author(s) had no conflicts of interest to disclose. Utilitarianism and Consequentialism - The GM Bailout Consequentialism. 8600 Rockville Pike Background: Complex and expensive treatment options have increased the frequency and emphasis of ethical decision-making in healthcare. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. sharing sensitive information, make sure youre on a federal Ethics Med Public Health. The pros and cons of utilitarianism show us that there is a time and place where these principles offer a potential benefit to society. Keywords: Bahrampour T. Can your face reveal how long youll live? The site is secure. The other concern people express is the tendency of consequentialism to use ends justify the means logic. FRT in health care also raises ethical questions about privacy and data protection, potential bias in the data or analysis, and potential negative implications for the therapeutic alliance in patient-clinician relationships. Consequentialism is the theory in moral philosophy that says our actions should aim at producing the best consequences. Background: Applying Utilitarianism in Business. PHI 204 - Ethical Issues in Health Care: Consequentialism, Deontology, Physical Education and Health Education Faculty. This will take a team effort and true representation of humility and togetherness. Information. Clipping is a handy way to collect important slides you want to go back to later. Stephen ID, Hiew V, Coetzee V, Tiddeman BP, Perrett DI. In other words, the morally right action is the one that produces the greatest amount of happiness or welfare. Some of the moral philosophers associated with this theory include Jeremy Bentham, David Hume, Henry Sidgwick and many others. In this way, consequentialism ethics provide criteria for the moral evaluation of actions, while also recommending rules or decision-making criteria for future actions. This was his theory of rule utilitarianism. Utilitarianism in Public Health January 2016 . This is because all things being equal they will live longer and may contribute more to society over a longer period of time. In: Proceedings of the 2015 IEEE 28th Canadian Conference on Electrical and Computer Engineering (CCECE); May 3-6, 2015; Halifax, Canada:1199-1202. Principlism (synonym: principle-based ethics) is an approach to applied ethics based on (1) a framework of prima-facie (i.e., nonabsolute) moral principles, (2) specification as a method for bringing moral norms to bear on concrete cases and issues, (3) analyzing problems of applied ethics in terms of their underlying conflicts of norms, (4 . Viewed from a consequentialist perspective, one of the primary purposes of an organizational ethics program is to ensure that the organization is not penalized for the actions of its individual employees and to avoid the bad consequences that might result from such actions (e.g., fines, lawsuits, etc). Consequentialism - Ethics Unwrapped It presents Utilitarianism as characterised by the following five features: (1) consequentialism, (2) welfarism, (3) equality of moral status and impartiality, (4) maximisation, (5) aggregation. This is the basis of duty based ethics, also known as deontology, which we will turn our attention to in the next post. An introduction to ethical theory for healthcare assistants The most famous version of non-consequentialism is deontology, which holds that one has an absolute duty to obey certain rules. Clearly it is an abhorrent thought that an individual would be sacrificed simply to promote overall welfare in complete disregard for their life. When deciding on questions of what is ethically right or wrong utilitarians want to maximise the overall amount of happiness or welfare. consequentialism, In ethics, the doctrine that actions should be judged right or wrong on the basis of their consequences. Consequentialism Consequentialism is a type of teleological theory -- consequentialist theories suggest that the moral value, the moral rightness or wrongness of an act, is entirely a function of the consequences, or the results of that act. Protecting your patients interests in the era of big data, artificial intelligence, and predictive analytics. Chen S, Pan ZX, Zhu HJ, et al. Some consequentialists even argue that alienation is necessary for social progress. But if telling a lie. Consequentialism In Medical Ethics - 1281 Words | Cram Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. sharing sensitive information, make sure youre on a federal Cloud-assisted speech and face recognition framework for health monitoring. An example of consequentialism is utilitarianism. Her research focuses on neuroethics as well as the ethics of digital health technology and machine learning with a focus on mental health issues and special populations. Before 2017;8:1883. One doctor speaking to the Business Insider claimed: "If you had, let's say, an ICU that was overwhelmed, you're probably going to try and give some extra attention to healthcare workers because you need them to deliver care," he said. Human behavior prediction using facial expression analysis. But Jim has to actively kill someone unlike the duck feeder for whom the only bad consequences are that he will get wet and muddy. Looks like youve clipped this slide to already. We will describe some examples of the influence of consequentialism over current medical law. Accessed October 26, 2018. Face recognition methods and applications. Forbes. Consequentialism in scenario. Select Accept to consent or Reject to decline non-essential cookies for this use. Principlism is a commonly used ethical approach in healthcare and biomedical sciences. According to consequentialism, the right act is that act which has the best consequences. Bethesda, MD 20894, Web Policies An official website of the United States government. The effects of a person's actions judge if it was right or wrong. 2. A consequence of consequentialism, however, is that it fails to respect the integrity of the individuals involved. The most famous version of this theory is utilitarianism. It is therefore important to weigh the relative benefits and burdens of specific FRT uses in health care and to conduct research into how patients perceive its use. P1, P2, P3, P4, P5, M1, M2, M3, M4, D1, D2 helpsheet 2020 Feb;27(1):258-272. doi: 10.1177/0969733019832941. Christianity is one form of deontology and the Ten Commandments represent one set of rules. Provide a clear and easy-to-understand guidelines. iEthics: An Interprofessional Ethics Curriculum. (b). For a theory often touted as promoting happiness, this is a problem. Virtue ethics: focusing on the moral character, or . The https:// ensures that you are connecting to the The consequentialism theory supports the decision because it has more benefits than harm. 124). Privacy and data protections are key to advancing FRT and making it helpful. PART 1 . "The rationale isn't that they're more worthy; it's that they can contribute in the longer run to saving more lives.". So, if Oliver had a wide network of adoring cat lovers because of his friendly, playful nature, unlike Benjy who prefers a life of peaceful solitude I should save Oliver as this would cause the least pain and produce the most pleasure for the people that know him. A requirement to uphold the confidentiality of information shared in the physician-patient relationship is a central tenet of medical professionalism that, while at risk and undermined in various ways in modern medicine [1], has been consistently endorsed from the time of Hippocrates. For instance, most people would agree that lying is wrong. As considered here, numerous applications of FRT in health care settings suggest the ethical, clinical, and legal importance of informed consent, data input and analysis quality, effective communication about incidental findings, and potential influence on patient-clinician relationships. MIT Technology Review. HHS Vulnerability Disclosure, Help Wired. Utilitarians claim that actions are right in proportion as they tend to promote happiness; wrong as they tend to produce the reverse of happiness and that what is desirable is pleasure and the freedom from pain. Baum S. Using facial recognition and AI to confirm medication adherence, AiCure raises $12.25M. Automatic face classification of Cushings syndrome in womena novel screening approach. By asking us to maximise benefit for the largest number of people (or, for Peter Singer and other preference utilitarians, creatures who have preferences), we set aside our personal biases and self-interest to benefit others. Ethics in Health and Social Care - Why Are Ethics Essential for - UKCBC Click here to review the details. What matters in this example is saving the highest number of lives, and how this is attained is unimportant. Beneficence and non-maleficence to weigh out the benefits and the duty of doing no harm to subsequently consider what is in the patient's best interest. Deontology - an overview | ScienceDirect Topics Front Psychol. This helps prevent a surge of infected patients in the existing healthcare facilities. Accessed October 26, 2018. To demonstrate this I will use an adapted version of John Harris Survival Lottery thought experiment (this thought experiment is a theoretical example used to highlight the objection and is not to be taken literally): Let us imagine we have five patients who require organ transplants. Accessed April 8, 2017. Epub 2015 Jan 6. 110-233, 122 Stat 881. On the other, FRT medication adherence monitoring might not be sufficiently effective in improving adherence to outweigh the risk of undermining trust in the patient-physician relationship.42. Clipboard, Search History, and several other advanced features are temporarily unavailable. Pros & Cons of Ethical Theories - Synonym You must recall and relate knowledge of how the professionals in the case studies promote equality and diversity and the skills and attributes needed to do this.. 25 (4). He even developed a calculator to work out which actions were better or worse the felicific calculus. 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The best-known consequentialist ethical theory is utilitarianism, which says that the wrongness or rightness of an action depends on the amount of overall good or utility that is produced. Utilitarianism: Strengths & Weaknesses - VIVA Open Publishing By saying that Jim should shoot the one Indian the consequentialist fails to take into account the impact that this would have on Jims life. What is hedonism and how does it affect your health? - The Conversation We will have to remember as a society that, of all the things a person might do at any given moment, the morally right action is the one with the best overall consequences. The principle of utilitarianism invites us to consider the immediate and the less immediate consequences of our actions. PDF Advantages & Disadvantages of Consequential Ethics As consequentialism only looks at the consequences it allows for negative responsibility; that is, being held morally accountable not for some action, but for failing to act to prevent bad things happening. But if telling a lie would help save a person's life, consequentialism says it's the right thing to do. However, since Jim is an honoured visitor from another land, the captain is happy to offer him a guests privilege of killing one of the Indians himself. Bookshelf Accessed July 24, 2018. Americans with Disabilities Act of 1990, Pub L No. 2022 Jun;22:100717. doi: 10.1016/j.jemep.2021.100717. Consequentialism And Abortion. Participants were recruited from all settings working with patients of any age and any diagnosis. Nicole Martinez-Martin, JD, PhD is a postdoctoral fellow at the Stanford Center for Biomedical Ethics in Stanford, California. Philos Ethics Humanit Med. The Ethical Theory. LinkedIn and 3rd parties use essential and non-essential cookies to provide, secure, analyze and improve our Services, and (except on the iOS app) to show you relevant ads (including professional and job ads) on and off LinkedIn. March 2018. https://medium.com/ibm-watson-data-lab/keeping-your-machine-learning-models-up-to-date-f1ead546591b. Impact on Human Health Due to Ghaggar Water Pollution What matters is not so much the horrific act in itself but the outcome of that act. Core values versus common sense: consequentialist views appear less rooted in morality. Surgical nurses' perceptions of ethical dilemmas, moral distress and quality of care. Non-consequentialism, the person as an end-in-itself, and the significance of status. Equality is certainly one of the key principles behind Utilitarian philosophy. One of the consequences of a breach of confidentiality could be that the patient will lose trust in Although there are references to this idea in the works of ancient philosopherEpicurus, its closely associated with English philosopherJeremy Bentham. Disclaimer. This site uses cookies to recognize users and allow us to analyse site usage. Stud Health Technol Inform. What Are Important Ethical Implications of Using Facial Recognition Technology in Health Care? It is one of the main causes of preventable blindness in young children from developing countries. Nurses' tension-based ethical decision making in rural acute care settings. Biom Technol Today. Nurs Ethics. McCullom R. Facial recognition technology is both biased and understudied. John Stuart Mill, one of the foremost Utilitarian moral theorists, sums up Utilitarianism as follows: "actions are right in proportion as they tend to promote happiness, wrong as they tend to produce the reverse of happiness." 80 Any account of Utilitarianism will have two central tenets. Now we will look at an example of how utilitarianism may be used in a medical context. Bookshelf The meaning of CONSEQUENTIALISM is the theory that the value and especially the moral value of an act should be judged by the value of its consequences. January 11, 2018. https://medium.com/@blaisea/do-algorithms-reveal-sexual-orientation-or-just-expose-our-stereotypes-d998fafdf477. For example, if I have the choice between saving one of my two cats, Benjy and Oliver, from a house fire, I should save the cat that would produce the most utility over the other one. Published November 9, 2017. The .gov means its official. According to this theory, it would be unethical for you to speed on an empty street at two oclock in the morning. UKCEN: Ethical Issues: Confidentiality Free access to premium services like Tuneln, Mubi and more. Bias. https://research.nhgri.nih.gov/atlas/. PDF 4 Specific ethical considerations for genetic issues in healthcare - UKCEN Accessed March 28, 2017. US Department of Health and Human Services. Is it ethical to allow some people to suffer so more people can live well? Also, in certain situations, consequentialism can lead to decisions that are objectionable, even though the consequences are arguably good. A person should do whatever leads to the best consequence. Does the pain that Jim would feel not need to be taken into account when looking at the best overall outcome? Williams example shows that consequentialism disregards the agents own personal commitments and allows for negative responsibility.