impact of consequentialism in healthcare

What Are Important Ethical Implications of Using Facial Recognition Technology in Health Care? Wellcome TrustFunded Monographs and Book Chapters. Consequentialism is sometimes criticized because it can be difficult, or even impossible, to know what the result of an action will be ahead of time. This site uses cookies to recognize users and allow us to analyse site usage. As with any new health technology, careful attention should be paid to the accuracy and validity of FRT used in health care applications as well as to informed consent and reporting incidental findings to patients. In: Proceedings of the 2015 IEEE 28th Canadian Conference on Electrical and Computer Engineering (CCECE); May 3-6, 2015; Halifax, Canada:1199-1202. New York, NY: New York University Press; 2011. Utilitarians claim that actions are right in proportion as they tend to promote happiness; wrong as they tend to produce the reverse of happiness and that what is desirable is pleasure and the freedom from pain. "The rationale isn't that they're more worthy; it's that they can contribute in the longer run to saving more lives.". Consequentialism - Ethics Unwrapped Ethical Theory in a Healthcare Scenario | Free Essay Example Given its insistence on summing the benefits and harms of all people, utilitarianism asks us to look beyond self-interest to consider impartially the interests of all persons affected by our actions. Bethesda, MD 20894, Web Policies Haahr A, Norlyk A, Martinsen B, Dreyer P. Nurs Ethics. One potential issue is that of liability. Aims: There are two broad schools of ethical theory: consequentialism and non-consequentialism. For instance, most people would agree that lying is wrong. The theory is also impartial. While FRT systems in health care can de-identify data, some experts are skeptical that such data can be truly anonymized21; from clinical and ethical perspectives, informing patients about this kind of risk is critical. Pros & Cons of Ethical Theories - Synonym All rights reserved. National Library of Medicine Ethical Theory (I) - Consequentialism - Healthcare Ethics and Law I discuss this possibility briefly, and then set it aside. Descriptions of ethical theories and principles, Lecture 1: Philosphical Ethics (Feister) Slides, Clinical (medical) ethics WHOLE course (2020), CMA Part #2 - Section F - Professional Ethics - Moral Philosophies in Ethics, Lecture 24 childress et al on public health ethics, Session 3 ethical principals and theories, Ethics in dentisrty power point presentation, PHI 204 - The Patient-Doctor Relationship, PHI 204 - The 4 Medical Ethics Principles, PHI 204 - Ethical Issues in Health Care: Casuistry, Cultural Relativism, PHI 204 - Ethical Issues in Health Care: Virtue Ethics, Feminist Ethics, WATER STRUCTURE Acidic and Basic Properties of Water.docx, Differences Between I Phone X and I Phone 6s Discussion.pdf, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Indeed, no one can know the future with certainty. Ethics Explainer: What is Consequentialism? - The Ethics Centre There is important reason for the root word. Shakya S, Sharma S, Basnet A. Accessed July 25, 2018. Click here to review the details. On the other, FRT medication adherence monitoring might not be sufficiently effective in improving adherence to outweigh the risk of undermining trust in the patient-physician relationship.42. Let us take the example of a minority being oppressed in a country. Ethics in Health and Social Care - Why Are Ethics Essential for - UKCBC One doctor speaking to the Business Insider claimed: "If you had, let's say, an ICU that was overwhelmed, you're probably going to try and give some extra attention to healthcare workers because you need them to deliver care," he said. Frontiers | On Consequentialism and Fairness According to non-consequentialism, the rightness of an action is not solely determined by its consequences. Consequentialism is based on two principles: Whether an act is right or wrong depends only on the results of that act The more good consequences an act produces, the better or more right that act. As Peter Railton says: The alienation of some individuals or groups from their milieu may at times be necessary for fundamental social criticism or cultural innovation (Alienation, Consequentialism and the Demands of Morality, Philosophy and Public Affairs 1984). Watson M. Keeping your machine learning models up-to-date: continuous learning with IBM Watson machine learning (part 1). Medical News Today. Researchers flag up facial recognition racial bias [news]. Rule-consequentialism avoids a number of problems which have caused trouble to act-consequentialists. The lack of respect for the integrity of the individual is raised by Bernard Williams' famous 'Jim and the . health. Provide a clear and easy-to-understand guidelines. sharing sensitive information, make sure youre on a federal Accessibility Accessed October 26, 2018. arXiv. Consequentialism and Moral Responsibility - University of Pennsylvania Our work is only made possible because of you. In other words, the morally right action is the one that produces the greatest amount of happiness or welfare. Please enable it to take advantage of the complete set of features! such as consequentialism, virtue ethics . Even if the damage to Jims integrity is taken into account, there is another problem: the consequentialist would regard Jims killing another person not merely as preferable, but as morally required. Confidentiality: Concealing "Things Shameful to be Spoken About" Published March 3, 2014. No other adults or swimmers are anywhere to be seen, so without your help the child will drown. 15 Utilitarianism Advantages and Disadvantages - ConnectUS Background: Complex and expensive treatment options have increased the frequency and emphasis of ethical decision-making in healthcare. Reimagining Medical Education in the Age of AI, Steven A. Wartman, MD, PhD and C. Donald Combs, PhD. January 9, 2017. https://www.wired.com/2017/01/computers-can-tell-glance-youve-got-genetic-disorders/. Through alienating ourselves Railton shows that adopting ones exclusive ultimate end in life in the pursuit of maximum happiness may well prevent one from having experiences or engaging in certain sorts of commitments that are among the greatest sources of happiness (Alienation, Consequentialism and the Demands of Morality, Philosophy and Public Affairs, 1984). McCullom R. Facial recognition technology is both biased and understudied. Consequentialism And Abortion - 1828 Words | Internet Public Library Again, consequentialism forces us to put our commitments second, regardless of how strongly we are connected to them or how much pleasure we derive from them. Particularly in Italy, where the death toll and strain on hospitals has reached a critical point, there is a policy now to prioritise treating younger patients and healthcare workers. Unit 5 Assignment Learning Aim B - StuDocu Deontology Essay Examples | Essay Sample On Deontology Free access to premium services like Tuneln, Mubi and more. The consequentialism theory supports the decision because it has more benefits than harm. But it's more than just one rival among many, for every plausible moral theory must concede that the goodness of an act's consequences is something that matters even if it's not the only thing that matters. Medical law exists at the intersection between consequentialism and deontology. Their justification is that this action would produce the most overall welfare.. Accessed March 12, 2018. Philosophy Now 2023. HHS Vulnerability Disclosure, Help Accessed July 31, 2018. health ethics. . Facial recognition technology (FRT) utilizes software to map a persons facial characteristics and then store the data as a face template.1 Algorithms or machine learning techniques are applied to a database to compare facial images or to find patterns in facial features for verification or authentication purposes.2 FRT is attractive for a variety of health care applications, such as diagnosing genetic disorders, monitoring patients, and providing health indicator information (related to behavior, aging, longevity, or pain experience, for example).3-5, FRT is likely to become a useful tool for diagnosing many medical and genetic conditions.6,7 Machine learning techniques, in which a computer program is trained on a large data set to recognize patterns and generates its own algorithms on the basis of learning,8 have already been used to assist in diagnosing a patient with a rare genetic disorder that had not been identified after years of clinical effort.9 Machine learning can also detect more subtle correlations between facial morphology and genetic disorders than clinicians.4 It is thought that FRT can therefore eventually be used to assist in earlier detection and treatment of genetic disorders,10,11 and computer applications (commonly known as apps) such as Face2Gene have been developed to assist clinicians in diagnosing genetic disorders.12, FRT has other potential health care applications. The standardized definition of Utilitarianism is that actions are defined as being "right" or "correct" based on the ability it has to promote happiness. Copyright 2023 American Medical Association. This site needs JavaScript to work properly. For a summary of consequentialist ethics check out the videos below: Our next stop in our tour of the ethical lay of the land is utilitarianism. Something is then considered "wrong" if it creates the opposite reaction. In this way, consequentialism ethics provide criteria for the moral evaluation of actions, while also recommending rules or decision-making criteria for future actions. Any consequentialist ethical theory has to provide a justification of how we decide which consequences are good or bad. Clinical Informatics News. (Feiser) Consequentialism says that the consequences of an action are all that matter when taking an ethical decision to act. Stephen ID, Hiew V, Coetzee V, Tiddeman BP, Perrett DI. Immanuel Kant started developing deontology after he was inspired by the movement called the Enlightenment, which emphasized human reason and individual autonomy. 1. It emphasises four key ethical principles of autonomy, beneficence, non-maleficence, and justice, which are shared by most ethical theories, and blends these with virtues and practical wisdom. Act consequentialism is the claim that an act is morally right if and only if that act maximizes the good, that is, if and only if the total amount of good for all minus the total amount of bad for all is greater than this net amount for any incompatible act available to the agent on that occasion. Consequentialism is a rival to such moral theories as deontology, contractualism, and virtue ethics. Katy Baker studied Philosophy at the University of Kent and is now part of the Philosophy Now team. Caring for parents: a consequentialist approach | SpringerLink This chapter outlines core characteristics of Utilitarianism and explores them with regard to their significance in healthcare settings. Consequentialism and the Law in Medicine - PubMed In broad terms, a hedonist is someone who tries to maximise pleasure and minimise pain. Knight W. Theres a big problem with AI: even its creators cant explain how it works. Front Psychol. 497 - 516. Never kill an innocent person or never lie are examples of such rules. Tap here to review the details. and transmitted securely. Consequentialism's definition merely. The consequentialist could retort that in calculating what course of action is right, the individuals integrity can be taken into account. Daniel Schiff, MS and Jason Borenstein, PhD, Confidentiality/Duty to protect confidential information, https://www.medicalnewstoday.com/articles/320316.php, https://www.wired.com/2017/01/computers-can-tell-glance-youve-got-genetic-disorders/, http://www.mobihealthnews.com/content/fdna-launches-app-based-tool-clinicians-using-facial-recognition-ai-and-genetic-big-data, https://www.washingtonpost.com/national/health-science/can-your-face-reveal-how-long-youll-live-new-technology-may-provide-the-answer/2014/07/02/640bacb4-f748-11e3-a606-946fd632f9f1_story.html, https://medcitynews.com/2016/01/aicure-fundraise/, https://mhealthintelligence.com/news/ehr-provider-touts-mhealth-access-by-apples-facial-recognition-app, https://medium.com/ibm-watson-data-lab/keeping-your-machine-learning-models-up-to-date-f1ead546591b, https://www.forbes.com/sites/quora/2017/09/06/ten-things-everyone-should-know-about-machine-learning, https://undark.org/article/facial-recognition-technology-biased-understudied/, https://medium.com/@blaisea/do-algorithms-reveal-sexual-orientation-or-just-expose-our-stereotypes-d998fafdf477, https://www.technologyreview.com/s/604087/the-dark-secret-at-the-heart-of-ai/, http://www.clinicalinformaticsnews.com/2017/10/06/3d-facial-recognition-gives-healthcare-data-a-new-look.aspx, https://oneworldidentity.com/google-takes-aim-controversial-stringent-illinois-biometric-privacy-law/, https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html. 2000 Mar;2(1):29-41. Philosophy , Volume 56 , Issue 218 , October 1981 , pp. But Jim has to actively kill someone unlike the duck feeder for whom the only bad consequences are that he will get wet and muddy. However, despite these efforts, the oppressing side ignores the foreign powers efforts. Mack H. FDNA launches app-based tool for clinicians using facial recognition, AI and genetic big data to improve rare disease diagnosis and treatment. For example, if I have the choice between saving one of my two cats, Benjy and Oliver, from a house fire, I should save the cat that would produce the most utility over the other one. According to non-consequentialism, the rightness of an action is not solely determined by its consequences. This was his theory of rule utilitarianism. If happiness was the experience of pleasure without pain, the most ethical actions were ones that caused the most possible happiness and the least possible pain. 1992 Fall;21(4):354-89. Accessibility Key considerations included nursing's moral ontology, the nurse-patient relationship, potential impact on the profession, ethical principles and theories, moral culpability for acts versus omissions, the role of intention and the nature of the society in which euthanasia would be enacted. 104-191, 110 Stat 1936. MedCity News. Consequentialist & Non-Consequentialist Views of Morality Youve read one of your four complimentary articles for this month. These include efforts to create AI systems that explain the rationale behind the results generated.31 Clinicians can also be trained to consider and respond to limitations and biases of FRT systems.32 In addition, organizations such as the National Human Genome Research Institute have sought to diversify the range of people whose images are included in their image databases.33. What is hedonism and how does it affect your health? - The Conversation How could we have speeding laws, for example, if it would sometimes be ethical to break the speed limit? Use and Significance of Nursing Diagnosis in Hospital Emergencies: A Phenomenological Approach. The simplest form of consequentialism is classical (or hedonistic) utilitarianism, which asserts that an action is right or wrong according to whether it maximizes the net balance of pleasure over pain in the universe. Utilitarianism judges consequences by a greatest good for the greatest number standard. This is because all things being equal they will live longer and may contribute more to society over a longer period of time. Facial shape analysis identifies valid cues to aspects of physiological health in Caucasian, Asian, and African populations. According to consequentialism, the right act is that act which has the best consequences. Consequentialism - Stanford Encyclopedia of Philosophy PPTX PowerPoint Presentation So what exactly is wrong with it? Why facial recognition is the future of diagnostics. 2021 Jul-Aug;42(4):787-791. doi: 10.1016/j.gerinurse.2021.04.020. Disclaimer. For consequentialism, life is a numbers game; an action should aim to make the majority happy, regardless of who they are, and should aim to go for actions that produce minimal pain. A consequence of consequentialism, however, is that it fails to respect the integrity of the individuals involved. Pers Soc Psychol Bull. Principlism (synonym: principle-based ethics) is an approach to applied ethics based on (1) a framework of prima-facie (i.e., nonabsolute) moral principles, (2) specification as a method for bringing moral norms to bear on concrete cases and issues, (3) analyzing problems of applied ethics in terms of their underlying conflicts of norms, (4 . Understanding the Ethical Theories in Medical Practice PMC Unable to load your collection due to an error, Unable to load your delegates due to an error. Does the pain that Jim would feel not need to be taken into account when looking at the best overall outcome? What matters is not so much the horrific act in itself but the outcome of that act. But if telling a lie would help save a persons life, consequentialism says its the right thing to do. (b). Genetic Information Nondiscrimination Act of 2008, Pub L No. However, since Jim is an honoured visitor from another land, the captain is happy to offer him a guests privilege of killing one of the Indians himself. By continuing to browse the site with cookies enabled in your browser, you consent to the use of cookies in accordance with our privacy policy. 2016;2016(5):2-3. Patient privacy. This helps prevent a surge of infected patients in the existing healthcare facilities. If such a public health goal (e .g., herd immunity, protecting the most vulnerable, protecting the capacity of the acute health care system) can be achieved with less co ercive -1- COVID-19 and mandatory vaccination: Ethical considerations and caveats Ethics Theories: Utilitarianism Vs. Deontological Ethics In: Philosophical Foundations of Medical Law. The other concern people express is the tendency of consequentialism to use ends justify the means logic. Tunkelang D. Ten things everyone should know about machine learning. Nurses' experiences of providing ethical care to the patients with COVID-19: A phenomenological study. Some of the moral philosophers associated with this theory include Jeremy Bentham, David Hume, Henry Sidgwick and many others. Virtue ethics: focusing on the moral character, or . Many utilitarians take a hedonistic approach, saying that utility equates to happiness, so we should act to produce the greatest happiness, and to minimize pain and unhappiness. Hughes N. Google takes aim at controversial, stringent Illinois biometric privacy law. (Though, most versions of non-consequentialism allow some ethical relevance of consequences). But if telling a lie. Hossain MS, Muhammad G. Cloud-assisted framework for health monitoring. and hey presto! Chapter Four : Ethical Theories - Queensborough Community College Conclusion: FRT raises novel challenges regarding privacy. Facial recognition software success rates for the identification of 3D surface reconstructed facial images: implications for patient privacy and security. Consequentialism From a consequentialist position the question of whether it is wrong to breach confidentiality is determined by the consequences of the breach. In this chapter, we will begin by defining consequentialism, and contrasting it with deontology. One way is by using ethical concepts to shed light on everyday practice. Forbes. This basic form of consequentialism holds an action as ethical if and only if it produces more beneficial/pleasure-causing outcomes than negative/pain-causing ones. Type. The consequence of consequentialism is that by taking an impersonal standpoint we alienate ourselves and whilst the consequentialist can argue that this should be a virtue, the expected result of unhappiness shows its inadequacy for this is a high price to pay for a view that values happiness. Clipboard, Search History, and several other advanced features are temporarily unavailable. Accessed March 28, 2017. Accessed July 17, 2018. Findings: Like above, what sorts of consequences are morally good and what sorts are morally bad need to be . For a theory often touted as promoting happiness, this is a problem. Philos Ethics Humanit Med. Epub 2019 Apr 11. Select Accept to consent or Reject to decline non-essential cookies for this use. With a little help from Batman, Hank explains the principle of utility, and the d For more information on consequentialism and utilitarianism follow the links below: https://plato.stanford.edu/entries/consequentialism/, https://plato.stanford.edu/entries/utilitarianism-history/, https://plato.stanford.edu/entries/mill-moral-political/, https://ethics.org.au/ethics-explainer-consequentialism/, All Content is the property of Keerut Oberai unless stated otherwise or an external link.Made with Squarespace. Hand outs and case studies given in class for Exam 2 The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Viewed from a consequentialist perspective, one of the primary purposes of an organizational ethics program is to ensure that the organization is not penalized for the actions of its individual employees and to avoid the bad consequences that might result from such actions (e.g., fines, lawsuits, etc). Bookshelf Activate your 30 day free trialto unlock unlimited reading. Accessed July 25, 2018. But if telling a lie would help save a person's life, consequentialism says it's the right thing to do. A few states, such as Illinois, have regulations that limit uses for which consumer biometric data can be collected.36 The Health Insurance Portability and Accountability Act (HIPAA) governs handling of patients health records and personal health information and includes privacy protections for personally identifiable information.