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CONSCIENTIOUS AUTONOMY: DISPLACING DECISIONS IN HEALTH CARE
 
Rebecca Kukla
Georgetown University
Greenwall Fellow in Bioethics and Health Policy, Johns Hopkins University

 
January 28, 2005
Friday, 4:00pm-6:00pm
BA (Close/Hipp) 008

 
In the bioethical arena, patient autonomy is generally equated with informed, self-determined decision-making concerning possible clinical interventions. Yet much of health care, especially primary care and disease management, is not primarily organized around discrete decisions or choice points. Furthermore, much of this health care takes place outside of the clinic, in the form of patient self-management guided by medical recommendations and monitored by medical professionals. I develop a working notion of autonomy as conscientious practice, which is specifically designed to be applicable to these ongoing, extra-clinical, often habitual health care practices, and not just to decision-making scenarios.
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