WMA´s perspectives on ethics and person centered medicine
Keywords:World Medical Association, Medical Ethics, Person Centered Medicine, Person Centered Care, People Centered Medicine. International College on Person Centered Medicine
AbstractThe World Medical Association (WMA), an association of 9 million doctors worldwide, has been their leading body in medical ethics. The most respected policy of the WMA is the Declaration of Helsinki on research involving human subjects. Another one is the Lisbon Declaration on the rights of patients and the Association is currently processing its views on Person Centered Medicine. It has been decided to produce a white paper, describing the various terms that exist on person centeredness in health care. These terms differ in content and use but as their naming is similar, confusion on their meaning easily arises. The WMA needs to balance the views of associations from all corners of the world and the correct use of language and terms is of great importance. Based on this work, a clear policy document on Person Centered Medicine will be produced. Apart from this, person centeredness has been influencing various policies of the WMA for a long time but the actual terms used differ and the term “patient” is still the most prevalent in the various policy documents when addressing the persons physicians are serving on an individual basis.
. Roadmap (2013): Strengthening people-centered health systems in the WHO European Region: a Framework for Action towards Coordinated/Integrated Health Services Delivery (CIHSD). WHO Regional Office for Europe.
. Towards people centered health systems (2012): An innovative approach for better health outcomes. WHO Europe Office, Copenhagen.
. Coleman, K., Austin, B.T., Brach, C. and Wagner, E.H. (2009). Evidence of the chronic care model in the new millennium. Health Affairs 28(1):75-85.
. Powell, D., Williams, G.A.M., Larsen, K., Perkins, D., Roland, M. and Harris, M.K. (2008). Coordinating primary health care: An analysis of the outcomes of a systematic review. The Medical Journal of Australia 188(8):S65-S68.
. Stewart, M. (2001). Towards a global definition on patient centered care. BMJ 322: 444-445.
. Epstein, R. (2000). The science of patient-centered care. Journal of Family Practice 49, 805–807.
. Epstein, R. and Street, R. (2011). The values and value of patient-centered care. Am J of Family Med. 9:100-103.
. Brooker, D. (2004). What is person-centred care for people with dementia? Reviews in Clinical Gerontology 13 :212-222.
. Snaedal, J. (2011). Person Centred Medicine for the old patient with special reference to the person with dementia. International Journal of Person Centered Medicine 1: 53-55.
. The Swedish National Board of Health and Welfare (2010). Nationella riktlinjer för vård och omsorg vid demenssjukdom: stöd för styrning och ledning. Stockholm: Socialstyrelsen.
. Mezzich, J. E., Snaedal, J., van Weel, C., and Heath, I (2010). Conceptual explorations on Person-centered Medicine. International Journal of Integrated Care 10(suppl.)
. International College of Person Centered Medicine (2012). Geneva Declaration on Person Centered Care for Chronic Diseases. International Journal of Person Centered Medicine, 2: 153-154.
. Salvador-Carulla L , Cloninger CR, Thornicroft A, Mezzich JE, 2013 Geneva Declaration Consultation Group (2013): Background, Structure and Priorities of the 2013 Geneva Declaration on Person-centered Health Research. International Journal of Person Centered Medicine, 3: 109-113.
. Cloninger CR, Salvador-Carulla L, Kirmayer L, Schwartz M, Appleyard J, Goodwin N, Groves J, Hermans M, Mezzich JE, Van Staden CW, Rawaf S (2014): A Time for Action on Health Inequities: Foundations of the 2014 Geneva Declaration on Person- and People-centered Integrated Health Care for All. International Journal of Person Centered Medicine, 2014, 4: 69-89.