Rethinking the ethical approach to health information management through narration: pertinence of Ricœur’s ‘little ethics’

Medicine, Health Care and Philosophy 19 (4):531-543 (2016)
Download Edit this record How to cite View on PhilPapers
The increased complexity of health information management sows the seeds of inequalities between health care stakeholders involved in the production and use of health information. Patients may thus be more vulnerable to use of their data without their consent and breaches in confidentiality. Health care providers can also be the victims of a health information system that they do not fully master. Yet, despite its possible drawbacks, the management of health information is indispensable for advancing science, medical care and public health. Therefore, the central question addressed by this paper is how to manage health information ethically? This article argues that Paul Ricœur’s ‘‘little ethics’’, based on his work on hermeneutics and narrative identity, provides a suitable ethical framework to this end. This ethical theory has the merit of helping to harmonise self-esteem and solicitude amongst patients and healthcare providers, and at the same time provides an ethics of justice in public health. A matrix, derived from Ricœur’s ethics, has been developed as a solution to overcoming possible conflicts between privacy interests and the common good in the management of health information.
(categorize this paper)
PhilPapers/Archive ID
Revision history
Archival date: 2016-09-12
View upload history
References found in this work BETA
An Ethics Framework for a Learning Health Care System: A Departure From Traditional Research Ethics and Clinical Ethics.Faden, Ruth R.; Kass, Nancy E.; Goodman, Steven N.; Pronovost, Peter; Tunis, Sean & Beauchamp, Tom L.
Narrative Ethics.Montello, Martha
Narrative Ethics:A Narrative.Brody, Howard & Clark, Mark

View all 17 references / Add more references

Citations of this work BETA

Add more citations

Added to PP index

Total views
91 ( #30,880 of 45,289 )

Recent downloads (6 months)
19 ( #34,247 of 45,289 )

How can I increase my downloads?

Downloads since first upload
This graph includes both downloads from PhilArchive and clicks to external links.