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Role of ruler or intruder? Patient’s right to autonomy in the age of innovation and technologies

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Abstract

Rapid advancement of technologies continues to revolutionize healthcare foundations and outlook. Technological progress in medicine are not only continuing to improve quality of individual life but also generally improving quality of healthcare services. As a matter of fact, the most significant change in healthcare systems was the shift from standardized, patronizing and rigid physician–patient relationship to more patient-focused, personalized and participatory practice. With this shift came increased attention to the assurance of patient’s right to autonomy. Therefore, this article aims to discuss principal problematic aspects of patient’s right to autonomy hereby the patient’s role in the context of technologies and innovation. It is argued, that one of the effective ways to ensure patient’s right to autonomy is implementation of legal instruments, such as informed consent, advance directives and Ulysses contracts. However, this article also proposes, that with a potential of new technologies and artificial intelligence, these legal instruments need to be reconsidered and transformed in more efficient and eligible model, presenting information in more individualized, appealing and convenient manner.

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Notes

  1. Total global medical technology revenue varies in different online statistics; however, most commonly used number is around 400 billion dollars in 2017. For example, see more at: https://www.statista.com/statistics/325809/worldwide-medical-technology-revenue/.

  2. Ulysses (Latin name of Odysseys) ordered his seafarers to plug their ears with wax while swimming through sirens in order steer the ship and avoid crashing into the rocks. However, he himself did not plug his ears and asked to be tied to the ship in order to have the ability to enjoy music of the sirens and survive. Read in more detail: Bell (2015) Thwarting the Diseased Will: Ulysses Contracts, the Self and Addiction. Culture, Medicine and Psychiatry, vol. 39 (3), pp. 380–398.

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Correspondence to Milda Žaliauskaitė.

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Writing dissertation on “The concept of advance will in private law: balancing between public and private interests”.

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Žaliauskaitė, M. Role of ruler or intruder? Patient’s right to autonomy in the age of innovation and technologies. AI & Soc 36, 573–583 (2021). https://doi.org/10.1007/s00146-020-01034-7

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  • DOI: https://doi.org/10.1007/s00146-020-01034-7

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