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

DC FieldValueLanguage
dc.contributor.authorCraig, Hilary-
dc.contributor.authorle Roux, Carel W.-
dc.contributor.authorKeogh, Fiona-
dc.contributor.authorFinucane, Francis M.-
dc.date.accessioned2019-03-25T11:46:22Z-
dc.date.available2019-03-25T11:46:22Z-
dc.date.copyright2018 the Authorsen_US
dc.date.issued2018-07-
dc.identifier.citationObesity Surgeryen_US
dc.identifier.issn0960-8923-
dc.identifier.urihttp://hdl.handle.net/10197/9667-
dc.description.abstractDespite 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.en_US
dc.format.mediumPrint-Electronic-
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en_US
dc.subjectAutonomyen_US
dc.subjectBariatricen_US
dc.subjectBeneficenceen_US
dc.subjectEthicsen_US
dc.subjectJusticeen_US
dc.subjectNon-maleficenceen_US
dc.titleHow Ethical Is Our Current Delivery of Care to Patients with Severe and Complicated Obesity?en_US
dc.typeJournal Articleen_US
dc.internal.authorcontactotherliam.cleere@ucd.ieen_US
dc.statusPeer revieweden_US
dc.identifier.volume28en_US
dc.identifier.issue7en_US
dc.identifier.startpage2078en_US
dc.identifier.endpage2082en_US
dc.identifier.doi10.1007/s11695-018-3301-1-
dc.neeo.contributorCraig|Hilary|aut|-
dc.neeo.contributorle Roux|Carel W.|aut|-
dc.neeo.contributorKeogh|Fiona|aut|-
dc.neeo.contributorFinucane|Francis M.|aut|-
dc.date.updated2018-11-12T13:57:14Z-
item.fulltextWith Fulltext-
item.grantfulltextopen-
Appears in Collections:Conway Institute Research Collection
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