Medical Ethics in Global Health Radiology
- 291 Downloads
This chapter is offered as an acknowledgment of the importance of ethics in the reflective, appropriate care of patients in global radiology outreach. Low-resource work environments present unique ethical challenges to radiology outreach efforts. Even the most thoughtfully assembled team will confront unanticipated situations and face difficult choices. Principles of classical and global health ethics as they relate to the physician-patient relationship, technical resource limitations, and research are offered as a framework to approach and respond to these difficult situations. Cultural differences add layers of complexity to the evaluation and resolution of ethical dilemmas. Today, the universal applicability of principles from the Western tradition is increasingly debated. “Whose ethics?” is an appropriate question to ask when applying ethical principles to problems in diverse cultural and geopolitical settings. In this chapter, several real-world case scenarios encountered in the field are described and evaluated from the standpoint of Western and non-Western ethical principles and available resources for guidance.
KeywordsRadiology outreach Global inequalities radiology Medical ethics developing world Global health ethics International research ethics Radiation safety international RAD-AID Non-Western bioethics Informed consent standards Multiculturalism
- 1.Orbinski J. Foreword. In: Pinto A, Upshur R, editors. An introduction to global health ethics. London: Routledge; 2013. p. x.Google Scholar
- 3.WHO. Health Impact Assessment: The Determinants of Health: 2017; Available from: http://www.who.int/hia/en/. Accessed Nov 2017.
- 4.WHO. Global Health Ethics: Key Issues. Global Network of WHO Collaborating Centres for Bioethics; 2015.Google Scholar
- 5.Beauchamp TL, Childress JF. Principles of biomedical ethics. 6th ed. New York: Oxford University Press; 2009.Google Scholar
- 8.Upshur RE, Benatar S, Pinto AD. Ethics and global health. In: Pinto A, Upshur R, editors. An introduction to global health ethics. London: Routledge; 2013. p. 16–35.Google Scholar
- 9.Alora AT, Luminato JM. An introduction to an authentically non-western bioethics. In: Alora AT, Lumitao JM, editors. Beyond a western bioethics: voices from the developing world. Washington, D.C.: Georgetown University Press; 2001. p. 3–22.Google Scholar
- 11.Pinto AD, Birn AE, Upshur RE. The context of global health ethics. In: Pinto A, Upshur R, editors. An introduction to global health ethics. London: Routledge; 2013. p. 3–15.Google Scholar
- 14.Kiromera A, Philpott J, Marsh S, Chan AK. Ethics and clinical work in global health. In: Pinto A, Upshur R, editors. An introduction to global health ethics. London: Routledge; 2013. p. 89–102.Google Scholar
- 15.Sharma M, Anderson K. Approaching Gloal Health as aLearner. In: Pinto A, Upshur R, editors. An introduction to global health ethics. London: Routledge; 2013. p. 36–46.Google Scholar
- 17.Hanna B, Kleinman A. Unpacking Global Health. In: Farmer P, Kim JK, Kleinman A, Basilico M, editors. Reimagining global health. Berkeley: University of California Press; 2013. p. 15–32.Google Scholar
- 19.Council for International Organizations of Medical Sciences (CIOMS); World Health Organization (WHO). International ethical guidelines for health-related research involving humans. 4th ed. [Internet]. Geneva: Council for International Organizations of Medical Sciences (CIOMS); 2016 [cited 2017 Dec 13]. Available from: https://cioms.ch/wp-content/uploads/2017/01/WEB-CIOMS-EthicalGuidelines.pdf
- 22.Velji A, Bryant JH. Chapter 21. Global Health ethics. In: Markle WH, Fisher MA, Smego Jr RA, editors. Understanding global health. 2e ed. New York, NY: McGraw-Hill; 2014.Google Scholar
- 23.Lahey T. The ethics of clinical research in low-and middle-income countries. In: Bernat J, Beresford R, editors. Handbook of clinical neurology, vol. 118. New York: Elsevier; 2013. p. 301–11.Google Scholar
- 24.Protection of Human Subjects: Basic HHS Policy for Protection of Human Research Subjects, 45 CFR § 46.102 (2009).Google Scholar
- 28.The London School of Economics and Political Science; Policy Engagement Network for the International Development Research Centre. Electronic Health Privacy and Security in Developing Countries and Humanitarian Operations. London; 2010.Google Scholar
- 29.Basilico M, Weigel J, Motgi A, Bor J, Keshavjee S. Health for All? Competing Theories and Geopolitics. In: Farmer P, Kim JK, Kleinman A, Basilico M, editors. Reimagining Global Health. Berkeley: University of California Press; 2013. p. 74–110.Google Scholar
- 31.Singer P. The most good you can do. New Haven: Yale University Press; 2015.Google Scholar
- 32.Ford N. The political context of global health and advocacy. In: Pinto A, Upshur R, editors. An introduction to global health ethics. London: Routledge; 2013. p. 136–47.Google Scholar
- 33.WHO. Medical Devices. Available from: http://www.who.int/medical_devices/safety/en/. Accessed Nov 2017.