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Occupational Dermatology: Ethical Aspects

  • Nikolaus Knoepffler
  • Martin O’Malley
Living reference work entry

Abstract

Occupational dermatology is a professional field at the intersection of essentially four ethical realms: society, business, medical profession, and the individual.

The fundamental ethical frameworks of most important occupational health ethical guidelines build upon the consensus principles of human dignity and human rights.

Legal regimen and ethical guidelines are similar in that they build upon consensus social values, without which they are both illegitimate and ineffective. Among the key insights is the obligation to not just workers and employers but also to society and the profession, i.e., to the social values and laws that share wide consensus and to the principles and standards that have established the well-earned respect for medical care.

The “International Code of Ethics for Occupational Health Professionals” (ICOH Code 2014) provides resources for an adequate ethical approach to occupational dermatology.

Divided loyalties should be resolved not by reducing health surveillance or the flow of information between medical professionals and workers but by establishing fully transparent guidelines: Medical officials should be able to attain the information they need to ensure the safest possible workplace, and workers should be assured that their rights and privacy are not violated.

Medical professionals have the duty to refrain from revealing information from employers when that revelation is a violation of workers’ informed consent or when such an action would endanger the trust in their integrity and impartiality. Workers have the duty to share responsibilities for their health as is shown in two examples (genetic predisposition, exposure to UV radiation).

Keywords

Autonomy Beneficence Bioethics Equity Genetic predisposition Human rights Human dignity Justice Non-maleficence Occupational health Privacy Professional ethics Values 

References

  1. Baur X, Letzel S, Nowak D (2009) Ethik in der Arbeitsmedizin. Orientierungshilfe in ethischen Spannungsfeldern. Ecomed, LandsbergGoogle Scholar
  2. Beauchamp T, Childress J (2013) Principles of biomedical ethics, 7th edn. Oxford University Press, New YorkGoogle Scholar
  3. Bercovitch L, Long TP (2007) Dermatoethics: a curriculum in bioethics and professionalism for dermatology residents at Brown Medical School. J Am Acad Dermatol 56:679–682CrossRefPubMedGoogle Scholar
  4. Brandt-Rauf PW (1989) Ethical conflict in the practice of occupational medicine. Br J Ind Med 46:63–66PubMedPubMedCentralGoogle Scholar
  5. Budnik LT, Baur X (2009) The assessment of environmental and occupational exposure to hazardous substances by biomonitoring. Dtsch Arztebl Int 106(6):91–97PubMedPubMedCentralGoogle Scholar
  6. DGAUM/VDBW (Board of the German Society for Occupational Medicine and Environmental Medicine e.V./Bureau of the Association of German Company and Factory Doctors e.V.) (2009) A code of ethics for occupational medicine. Ecomed, LandsbergGoogle Scholar
  7. Diepgen TL (2016) New developments in occupational dermatology. J Ger Soc Dermatol.  https://doi.org/10.1111/ddg.13128
  8. Emanuel EJ (2002) Introduction to occupational medical ethics. Occup Med 17(4):549–558PubMedGoogle Scholar
  9. Guidotti TL (2008) Occupational medicine and the construction of “difficult reputations”. New Solut 18(3):285–298CrossRefPubMedGoogle Scholar
  10. ICOH (International Commission on Occupational Health) (2014) International code of ethics for occupational health professionals. http://www.icohweb.org/site/multimedia/code_of_ethics/code-of-ethics-en.pdf. Last accessed 28 Jun 2018
  11. Knoepffler N (2004) Menschenwürde in der Bioethik. Springer, BerlinCrossRefGoogle Scholar
  12. Knoepffler N, Daumann F (2017) Gerechtigkeit im Gesundheitswesen. Alber, Freiburg (i. B.)Google Scholar
  13. Knoepffler N, O’Malley M (2010) Human dignity: regulative principle and absolute value. J Int Bioethique 21(3):63–76CrossRefPubMedGoogle Scholar
  14. Knoepffler N, O’Malley M (2016) An ordonomic perspective in medical ethics. In: Luetge C, Mukerji N (eds) Order ethics: an ethical framework for the social market economy. Springer, Switzerland, pp 311–328CrossRefGoogle Scholar
  15. Kuhn J, Gensch R (2009) Ethical aspects of workplace health management. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 52(5):535–552CrossRefPubMedGoogle Scholar
  16. London L (2005) Dual loyalties and the ethical and humans rights obligations of occupational health professionals. Am J Ind Med 47:322–332CrossRefPubMedGoogle Scholar
  17. Marks JG, Elsner P, DeLeo VA (2002) Etiology of occupational skin disease. In Contact and occupational dermatology, 3rd edn. Mosby St. Louis, pp 303–313CrossRefGoogle Scholar
  18. NAS (The National Academies of Sciences – Engineering – Medicine) (2016) Approaches to universal health coverage and occupational health and safety for the informal workforce in developing countries. The National Academies Press, Washington, DCGoogle Scholar
  19. Westerholm P (2007) Professional ethics in occupational health–western European perspectives. Ind Health 45:19–25CrossRefPubMedGoogle Scholar
  20. Westerholm P, Nilstun T, Ovretveit J (2004) Practical ethics in occupational health. Radcliffe Medical Press, OxfordGoogle Scholar
  21. World Health Organization (1946) Constitution. UNTS, Vol. 14, p. 185, reproduced in: World Health Organization: Basic Documents. Forty-sixth Edition (Geneva: WHO, 2007)Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Applied EthicsFriedrich-Schiller-UniversityJenaGermany

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