HEALTH DISPARITIES AND AUTONOMY

Disparities in socioeconomic status correlate closely with health, so that the lower a person's social position, the worse his health, an effect that the epidemiologist Michael Marmot has labeled the status syndrome. Marmot has argued that differences in autonomy, understood in terms of control...

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Κύριος συγγραφέας: Courtwright, Andrew (Συγγραφέας)
Τύπος μέσου: Ηλεκτρονική πηγή Άρθρο
Γλώσσα:Αγγλικά
Έλεγχος διαθεσιμότητας: HBZ Gateway
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Έκδοση: Wiley-Blackwell 2008
Στο/Στη: Bioethics
Έτος: 2008, Τόμος: 22, Τεύχος: 8, Σελίδες: 431-439
Άλλες λέξεις-κλειδιά:B Justice
B Health Disparities
B Control
B Capabilities
B Michael Marmot
B Autonomy
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Περιγραφή
Σύνοψη:Disparities in socioeconomic status correlate closely with health, so that the lower a person's social position, the worse his health, an effect that the epidemiologist Michael Marmot has labeled the status syndrome. Marmot has argued that differences in autonomy, understood in terms of control, underlie the status syndrome. He has, therefore, recommended that the American medical profession champion policies that improve patient autonomy. In this paper, I clarify the kind of control Marmot sees as connecting differences in socioeconomic status to health disparities. I then discuss his use of Amartya Sen's capabilities approach to justice, arguing that he is unsuccessful in relating autonomy as a descriptive property with a normative framework that can adequately explain why and to what extent we should reduce health disparities.
ISSN:1467-8519
Περιλαμβάνει:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/j.1467-8519.2008.00671.x