How Ethical Is Our Current Delivery of Care to Patients with Severe and Complicated Obesity?

Title: How Ethical Is Our Current Delivery of Care to Patients with Severe and Complicated Obesity?
Authors: Craig, Hilary
le Roux, Carel W.
Keogh, Fiona
Finucane, Francis M.
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Date: Jul-2018
Online since: 2019-03-25T11:46:22Z
Abstract: Despite overwhelming evidence that bariatric interventions reduce morbidity and mortality and are cost-effective, access for affected patients is limited. We sought to describe the extent to which health policy makers and publically funded health services have an ethical obligation to provide bariatric care. We conducted a narrative review of the literature pertaining to the efficacy, safety, and cost-effectiveness of bariatric surgical interventions, in the context of the core principles of medical ethics. We found that in relation to autonomy (i.e., the right to self-determination), beneficence, non-maleficence, and justice (i.e., the obligation to provide fair and equitable treatment to all patients), the current provision of bariatric surgical care fell short of meeting internationally recognized medical ethical standards. These findings have important implications for government policy and healthcare resource allocation. Respecting the individual’s right of self-determination, to do good, prevent harm, and provide equity in access to services is paramount, even when that individual is obese.
Type of material: Journal Article
Publisher: Springer
Journal: Obesity Surgery
Volume: 28
Issue: 7
Start page: 2078
End page: 2082
Copyright (published version): 2018 the Authors
Keywords: AutonomyBariatricBeneficenceEthicsJusticeNon-maleficence
DOI: 10.1007/s11695-018-3301-1
Language: en
Status of Item: Peer reviewed
Appears in Collections:Conway Institute Research Collection

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