Between beneficence and justice: the ethics of stewardship in medicine.

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conflated with other duties. This article presents a critical analysis of the notion of stewardship, which shows that it has an important and distinctive place in medical ethics. It claims that stewardship in medicine concerns the responsible use of a society's medical resources and it discusses the extent to which medical professionals are the proper stewards of these resources. The article argues that the duty of stewardship is best understood as a duty that applies in a space between the obligations of health care providers to provide beneficent care to their patients on the one hand and the obligations of citizens to bring about and support a just health care system on the other. Seen with clear eyes, stewardship in medicine is neither a consequence of beneficent medical care nor a substitute for justice.

Original languageEnglish (US)
Pages (from-to)50-63
Number of pages14
JournalThe Journal of medicine and philosophy
Volume38
Issue number1
DOIs
StatePublished - Feb 2013

Fingerprint

Beneficence
Social Justice
Ethics
Medicine
Naphazoline
Delivery of Health Care
Medical Ethics
Medical Societies
Health Personnel
Health Care Costs
Physicians
Justice
Stewardship
Healthcare

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Between beneficence and justice : the ethics of stewardship in medicine. / Jansen, Lynn.

In: The Journal of medicine and philosophy, Vol. 38, No. 1, 02.2013, p. 50-63.

Research output: Contribution to journalArticle

@article{2c81a5ffc6de4fbaa90553477a229d8c,
title = "Between beneficence and justice: the ethics of stewardship in medicine.",
abstract = "In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conflated with other duties. This article presents a critical analysis of the notion of stewardship, which shows that it has an important and distinctive place in medical ethics. It claims that stewardship in medicine concerns the responsible use of a society's medical resources and it discusses the extent to which medical professionals are the proper stewards of these resources. The article argues that the duty of stewardship is best understood as a duty that applies in a space between the obligations of health care providers to provide beneficent care to their patients on the one hand and the obligations of citizens to bring about and support a just health care system on the other. Seen with clear eyes, stewardship in medicine is neither a consequence of beneficent medical care nor a substitute for justice.",
author = "Lynn Jansen",
year = "2013",
month = "2",
doi = "10.1093/jmp/jhs058",
language = "English (US)",
volume = "38",
pages = "50--63",
journal = "The Journal of medicine and philosophy",
issn = "0360-5310",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Between beneficence and justice

T2 - the ethics of stewardship in medicine.

AU - Jansen, Lynn

PY - 2013/2

Y1 - 2013/2

N2 - In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conflated with other duties. This article presents a critical analysis of the notion of stewardship, which shows that it has an important and distinctive place in medical ethics. It claims that stewardship in medicine concerns the responsible use of a society's medical resources and it discusses the extent to which medical professionals are the proper stewards of these resources. The article argues that the duty of stewardship is best understood as a duty that applies in a space between the obligations of health care providers to provide beneficent care to their patients on the one hand and the obligations of citizens to bring about and support a just health care system on the other. Seen with clear eyes, stewardship in medicine is neither a consequence of beneficent medical care nor a substitute for justice.

AB - In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conflated with other duties. This article presents a critical analysis of the notion of stewardship, which shows that it has an important and distinctive place in medical ethics. It claims that stewardship in medicine concerns the responsible use of a society's medical resources and it discusses the extent to which medical professionals are the proper stewards of these resources. The article argues that the duty of stewardship is best understood as a duty that applies in a space between the obligations of health care providers to provide beneficent care to their patients on the one hand and the obligations of citizens to bring about and support a just health care system on the other. Seen with clear eyes, stewardship in medicine is neither a consequence of beneficent medical care nor a substitute for justice.

UR - http://www.scopus.com/inward/record.url?scp=84880991385&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880991385&partnerID=8YFLogxK

U2 - 10.1093/jmp/jhs058

DO - 10.1093/jmp/jhs058

M3 - Article

C2 - 23291332

AN - SCOPUS:84880991385

VL - 38

SP - 50

EP - 63

JO - The Journal of medicine and philosophy

JF - The Journal of medicine and philosophy

SN - 0360-5310

IS - 1

ER -