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dc.contributor.authorCraig, Hilary
dc.contributor.authorle Roux, Carel
dc.contributor.authorKeogh, Fiona
dc.contributor.authorFinucane, Francis M.
dc.date.accessioned2018-09-20T16:04:20Z
dc.date.available2018-09-20T16:04:20Z
dc.date.issued2018-05-15
dc.identifier.citationCraig, Hilary; le Roux, Carel; Keogh, Fiona; Finucane, Francis M. (2018). How ethical is our current delivery of care to patients with severe and complicated obesity?. Obesity Surgery 28 (7), 2078-2082
dc.identifier.issn0960-8923,1708-0428
dc.identifier.urihttp://hdl.handle.net/10379/10946
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.
dc.publisherSpringer Nature
dc.relation.ispartofObesity Surgery
dc.subjectjustice
dc.subjectbeneficence
dc.subjectnon-maleficence
dc.subjectautonomy
dc.subjectbariatric
dc.subjectethics
dc.subjecttype-2 diabetes-mellitus
dc.subjectlife-style intervention
dc.subjectweight-loss surgery
dc.subjecty gastric bypass
dc.subjectbariatric surgery
dc.subjectmorbid-obesity
dc.subjecttuskegee-syphilis
dc.subjectus adults
dc.subjectmanagement
dc.subjectstigma
dc.titleHow ethical is our current delivery of care to patients with severe and complicated obesity?
dc.typeArticle
dc.identifier.doi10.1007/s11695-018-3301-1
dc.local.publishedsourcehttps://link.springer.com/content/pdf/10.1007%2Fs11695-018-3301-1.pdf
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