HLST 4010 Chapter 4: Week 4 Reading-Shifting Paradigms in Women's Health Care Handa & Sharpe

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Manavi handa and mary donovan sharpe, shifting paradigms in women"s health. Care: from informed consent to informed choice, women health bulletin 2:2 (april. Context: this article discusses the paradigm shift in health care and bioethics from the concept of informed consent to informed choice. Evidence acquisition: informed consent is linked to the concept of respect for autonomy-one of the four pillars of bioethics. This concept requires health care givers to share information with patients so they canmake appropriate health care decisions. However, the concept of informed consent has been critiqued as being paternalistic and not attentive to the complexities of modern health care decisions. Results: as a result of a paradigm shift in health care and ethics, favoring autonomy over other principles-informed consent evolved to the more patient-centered concept of informed choice. Even so, feminist bioethicists critique the mainstream model of informed choice as being inattentive to inherent power dynamics within health care and society which may influence decision making.

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