International Experience of Legal Regulation of the Right to Conscientious Objection in Medicine
Research Article
How to Cite
Rudakova E.K., Ustinkin S.V. International Experience of Legal Regulation of the Right to Conscientious Objection in Medicine. Vlast’ (The Authority). 2021. Vol. 29. No. 3. P. 290-297. DOI: https://doi.org/10.31171/vlast.v29i3.8199 (in Russ.).
Abstract
This study provides an overview of international regulation of legal practices associated with conscientious objection in medicine. It explores the junctures of judgment in procedures for legal and ethical decisions in clinical medicine. The article presents an exploratory account of how health professionals adapt to new ethical practices and how these practices may become a challenge, raising ethical concerns and resistance from those involved, leading to broader debate about ethical principles in medicine. The concept of decision-making concerning conscientious objection in medicine was analyzed within the context of international and national laws in such countries as the USA, Poland, Germany, Italy, Sweden and Russia. In addition, the researchers provide an analytical review of secondary data from large surveys and studies in the field of bioethics and medical ethics.
Keywords:
bioethics; medical ethics; human rights; freedom of conscience; freedom of religion; reproduction; demographic security
References
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Biggs A., Casas L., Ramm A., Finley Baba C., Correa S.P. 2020. Medical and Midwifery Students’ Views on the Use of Conscientious Objection in Abortion Care, Following Legal Reform in Chile: a cross-sectional study. – BMC Medical Ethics. Vol. 21. P. 1-11.
Bo M., Zotti C.M., Charrier L. 2017. The No Correlation Argument: Can the Morality of Conscientious Objection Be Empirically Supported? The Italian case. – BMC Medical Ethics. Vol. 18.No. 1.
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Fiala C., Arthur J.H. 2017. There Is No Defense for ‘Conscientious Objection’ in Reproductive Health Care. – European Journal of Obstetrics & Gynecology and Reproductive Biology. Vol. 216. P. 254-258.
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López D.L. et al. 2016. Conscientious Objection in Spanish Podiatrists Students: a Questionnaire Survey. – Acta Bioethica. Vol. 22. Is. 2. P. 341-345.
Minerva F. 2015. Conscientious Objection in Italy. – Journal of Medical Ethics. Vol. 41. P. 170-173.
Munthe C. 2016. Conscientious refusal in Healthcare: the Swedish Solution. – Journal of Medical Ethics. Vol. 43. No. 4. P. 257-259.
Nieminen P., Lappalainen S., Ristimäki P., Myllykangas M., Mustonen M. 2015. Opinions on Conscientious Objection to Induced Abortion among Finnish Medical and Nursing Students and Professionals. – BMC Medical Ethics. Vol. 16. Article number: 17.
Savulescu Ju. 2006. Conscientious Objection in Medicine. – BMJ. 02 February. URL: https://www.bmj.com/content/332/7536/294.full
Strickland S. Lm. 2012. Conscientious Objection in Medical Students: a Questionnaire Survey. – Journal of Medical Ethics. Vol. 38. Is. 1. P. 22-25.
Wicclair M. 2017. Conscientious Objection in Healthcare and Moral Integrity. – Cambridge Quarterly of Healthcare Ethics. Vol. 26. Is. 1. P. 7-17.
Wils J.P.; Baumann-Hölzle R. 2019. Die normative idee des gesundheitswesens. – Ethik im Gesundheitswesen. Baden-Baden: NOMOS.
Wilson B. 2014. ‘Conscience’ or Discrimination? Healthcare Providers, Abortion and Moral Obligation. 2014, 8th July. URL: https://www.wheelercentre.com/notes/ce71251a56b3 (accessed 21.05.2021).
Rudakova E.K., Shumakova O.N.2020. Pravovye i eticheskie problemy ispol'zovaniya vspomogatel'nykh reproduktivnykh tekhnologii v zarubezhnom diskurse v kontekste demograficheskoi bezopasnosti Rossii. – Vlast'. T. 28. № 2. S. 138-145. (RUS.)
Ben-Moshe N. 2019. The Truth behind Conscientious Objection in Medicine. – Journal of Medical Ethics. Vol. 45 (2019). P. 404-410.
Biggs A., Casas L., Ramm A., Finley Baba C., Correa S.P. 2020. Medical and Midwifery Students’ Views on the Use of Conscientious Objection in Abortion Care, Following Legal Reform in Chile: a cross-sectional study. – BMC Medical Ethics. Vol. 21. P. 1-11.
Bo M., Zotti C.M., Charrier L. 2017. The No Correlation Argument: Can the Morality of Conscientious Objection Be Empirically Supported? The Italian case. – BMC Medical Ethics. Vol. 18.No. 1.
Eberl J.T. 2019. Conscientious Objection in Health Care. – Theoretical Medicine and Bioethics. Vol. 40 (2019). P. 483-486.
Fiala C., Arthur J.H. 2017. There Is No Defense for ‘Conscientious Objection’ in Reproductive Health Care. – European Journal of Obstetrics & Gynecology and Reproductive Biology. Vol. 216. P. 254-258.
Keogh L.A. et al. 2019. Conscientious Objection to Abortion, the Law and Its Implementation in Victoria, Australia: Perspectives of Abortion Service Providers. – BMC Med Ethics. Vol. 20. Is. 11.
López D.L. et al. 2016. Conscientious Objection in Spanish Podiatrists Students: a Questionnaire Survey. – Acta Bioethica. Vol. 22. Is. 2. P. 341-345.
Minerva F. 2015. Conscientious Objection in Italy. – Journal of Medical Ethics. Vol. 41. P. 170-173.
Munthe C. 2016. Conscientious refusal in Healthcare: the Swedish Solution. – Journal of Medical Ethics. Vol. 43. No. 4. P. 257-259.
Nieminen P., Lappalainen S., Ristimäki P., Myllykangas M., Mustonen M. 2015. Opinions on Conscientious Objection to Induced Abortion among Finnish Medical and Nursing Students and Professionals. – BMC Medical Ethics. Vol. 16. Article number: 17.
Savulescu Ju. 2006. Conscientious Objection in Medicine. – BMJ. 02 February. URL: https://www.bmj.com/content/332/7536/294.full
Strickland S. Lm. 2012. Conscientious Objection in Medical Students: a Questionnaire Survey. – Journal of Medical Ethics. Vol. 38. Is. 1. P. 22-25.
Wicclair M. 2017. Conscientious Objection in Healthcare and Moral Integrity. – Cambridge Quarterly of Healthcare Ethics. Vol. 26. Is. 1. P. 7-17.
Wils J.P.; Baumann-Hölzle R. 2019. Die normative idee des gesundheitswesens. – Ethik im Gesundheitswesen. Baden-Baden: NOMOS.
Wilson B. 2014. ‘Conscience’ or Discrimination? Healthcare Providers, Abortion and Moral Obligation. 2014, 8th July. URL: https://www.wheelercentre.com/notes/ce71251a56b3 (accessed 21.05.2021).
Article
Received: 07.07.2021
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APA
Rudakova, E. K., & Ustinkin, S. V. (2021). International Experience of Legal Regulation of the Right to Conscientious Objection in Medicine. Vlast’ (The Authority), 29(3), 290-297. https://doi.org/10.31171/vlast.v29i3.8199
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