The therapeutic proportionality standard: a new content for the best interests standard.

Maria Luisa Di Pietro, González-Melado Fernim Jesus

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

The standard of the patient’s best interests is the main bioethical standard used in the decision-making process that involves incompetent patients (i.e. neonatology, pediatric patients and incompetent adults). This standard has been widely criticized as being self-destructive, individualistic, vague, unknown, dangerous and open to abuse. With the purpose of defending it, several reforms of this standard have been proposed, especially in the pediatric field. We propose a redefinition of the standard based on two concepts: 1) medical futility as a negative criterion, and 2) the principle of proportionality as a positive criterion. Our work includes a new relationship between concepts in classical moral theology (i.e. ordinary / extraordinary; proportionate / disproportionate) applied to the bioethics of life-sustaining treatments for incompetent patients.
Lingua originaleEnglish
pagine (da-a)19-42
Numero di pagine24
RivistaCUADERNOS DE BIOÉTICA
Volume31
Stato di pubblicazionePubblicato - 2020

Keywords

  • The best interests standard, futility, ordinary, extraordinary, life-sustaining treatments.

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