On the Anatomy of Health-related Actions for Which People Could Reasonably be Held Responsible: A Framework.

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2023-06-20 DOI:10.1093/jmp/jhad025
Kristine Bærøe, Andreas Albertsen, Cornelius Cappelen
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引用次数: 2

Abstract

Should we let personal responsibility for health-related behavior influence the allocation of healthcare resources? In this paper, we clarify what it means to be responsible for an action. We rely on a crucial conceptual distinction between being responsible and holding someone responsible, and show that even though we might be considered responsible and blameworthy for our health-related actions, there could still be well-justified reasons for not considering it reasonable to hold us responsible by giving us lower priority. We transform these philosophical considerations into analytical use first by assessing the general features of health-related actions and the corresponding healthcare needs. Then, we identify clusters of structural features that even adversely affected people cannot reasonably deny constitute actions for which they should be held responsible. We summarize the results in an analytical framework that can be used by decision-makers when considering personal responsibility for health as a criterion for setting priorities.

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剖析人们可合理承担责任的与健康有关的行为:一个框架。
我们应该让个人对健康相关行为的责任影响医疗资源的分配吗?在本文中,我们澄清了对某一行为负责的含义。我们依赖于负责和让某人负责之间的关键概念区别,并表明即使我们可能被认为对我们与健康有关的行为负责和应受谴责,仍然有充分的理由认为通过降低我们的优先级来让我们负责是不合理的。我们首先通过评估与健康相关的行动的一般特征和相应的医疗保健需求,将这些哲学上的考虑转化为分析用途。然后,我们确定了即使受到不利影响的人也不能合理地否认构成他们应该负责的行为的结构特征集群。我们在一个分析框架中总结了结果,决策者在考虑将个人健康责任作为确定优先事项的标准时可以使用这个分析框架。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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