{"title":"Peut-on refuser une immunothérapie orale à un patient allergique alimentaire en 2024 ? La question de la justice","authors":"J.-C. Weber , M. Thiebaut","doi":"10.1016/j.reval.2024.104119","DOIUrl":null,"url":null,"abstract":"<div><p>The development of oral immunotherapy in food allergy calls for ethical reflection. Material norms of justice are expected when individuals are entitled to receive particular goods due to their health condition, while their availability is not total. After outlining how these issues arise in medical literature, this paper draws on Aristotle's philosophy to present the dual face of justice: while it is socially indispensable, it is also an individual virtue. Contemporary doctrines propose competing standards for the allocation of goods, ranging from utilitarianism to procedural justice. For the clinician, torn between the care of the individual patient and collective concerns, the virtue of justice may be the only way to resolve dilemmas that principles alone cannot address.</p></div>","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"64 4","pages":"Article 104119"},"PeriodicalIF":0.3000,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877032024003403/pdfft?md5=d21920003d683af8e6839d89dc313163&pid=1-s2.0-S1877032024003403-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revue Francaise d Allergologie","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877032024003403","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The development of oral immunotherapy in food allergy calls for ethical reflection. Material norms of justice are expected when individuals are entitled to receive particular goods due to their health condition, while their availability is not total. After outlining how these issues arise in medical literature, this paper draws on Aristotle's philosophy to present the dual face of justice: while it is socially indispensable, it is also an individual virtue. Contemporary doctrines propose competing standards for the allocation of goods, ranging from utilitarianism to procedural justice. For the clinician, torn between the care of the individual patient and collective concerns, the virtue of justice may be the only way to resolve dilemmas that principles alone cannot address.
期刊介绍：
La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies
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