An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis

In the current era of self-determination, the concept of respect for autonomy making is gaining importance including in the world of healthcare particularly demonstrated in the emphasis on the importance of the practice of informed consent. This movement towards respecting patient’s autonomy in heal...

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Main Author:	Alvis, Wellester
Format:	Thesis
Language:	English
Published:	2023
Subjects:	Primary Health Care
Online Access:	https://ir.uitm.edu.my/id/eprint/94111/1/94111.pdf
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id	my-uitm-ir.94111
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spelling	my-uitm-ir.941112024-04-29T02:26:25Z An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis 2023 Alvis, Wellester Primary Health Care Public health laboratories, institutes, etc. In the current era of self-determination, the concept of respect for autonomy making is gaining importance including in the world of healthcare particularly demonstrated in the emphasis on the importance of the practice of informed consent. This movement towards respecting patient’s autonomy in healthcare can also be seen in the Malaysian healthcare practice. The concept of consent in the Malaysian setting however, may be different from the conventional individual autonomy usually discussed in the Western settings. In Malaysia, it is not uncommon to include other persons in the decision-making process and often than not, their decisions and views may prove to be of more importance in the decision. As demonstrated, in the case of Gurmit Kaur vs Tung Shin Hospital in 2012 and the case of Abdul Razak Datuk Abu Samah v Raja Badrul Hisham in 2013 there may be a movement away from the individualistic model of autonomy in healthcare decision-making in the country. This outlook is however not new as many researches and papers had advocated for the importance of relational autonomy, familial autonomy and cultural autonomy in healthcare decision making. This study examine the concept of autonomy in healthcare decision making according to the family dynamics in Malaysians' major cultures and faiths. This is important in order to ensure the model of autonomy that is applied in Malaysia is sociocultural relevant and consistent with local values. Consequently, an ethical and legal implication of adopting of several models of autonomy is analyzed. Models of autonomy which are included in the research are individualistic autonomy, familial autonomy, relational autonomy as well as cultural autonomy in healthcare decision making will be conducted. To answer the two-tier research question, this research utilizes the library-research method. This study concluded that the Malaysian healthcare sector may want to acknowledge the relevance of other models of autonomy such as familial, relational and cultural autonomy in healthcare decision making according to patient’s preferences and needs. This study also proposes some recommendation in the decision-making process to enhance patient’s autonomy. Finally, this study concludes that there are still gaps in the current body of knowledge autonomy in general, and further studies are required for effective implementation of autonomy in decision-making in Malaysian healthcare settings. 2023 Thesis https://ir.uitm.edu.my/id/eprint/94111/ https://ir.uitm.edu.my/id/eprint/94111/1/94111.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Mohd Yusof, Dr. Aimi Nadia Binti
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Mohd Yusof, Dr. Aimi Nadia Binti
topic	Primary Health Care Primary Health Care
spellingShingle	Primary Health Care Primary Health Care Alvis, Wellester An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis
description	In the current era of self-determination, the concept of respect for autonomy making is gaining importance including in the world of healthcare particularly demonstrated in the emphasis on the importance of the practice of informed consent. This movement towards respecting patient’s autonomy in healthcare can also be seen in the Malaysian healthcare practice. The concept of consent in the Malaysian setting however, may be different from the conventional individual autonomy usually discussed in the Western settings. In Malaysia, it is not uncommon to include other persons in the decision-making process and often than not, their decisions and views may prove to be of more importance in the decision. As demonstrated, in the case of Gurmit Kaur vs Tung Shin Hospital in 2012 and the case of Abdul Razak Datuk Abu Samah v Raja Badrul Hisham in 2013 there may be a movement away from the individualistic model of autonomy in healthcare decision-making in the country. This outlook is however not new as many researches and papers had advocated for the importance of relational autonomy, familial autonomy and cultural autonomy in healthcare decision making. This study examine the concept of autonomy in healthcare decision making according to the family dynamics in Malaysians' major cultures and faiths. This is important in order to ensure the model of autonomy that is applied in Malaysia is sociocultural relevant and consistent with local values. Consequently, an ethical and legal implication of adopting of several models of autonomy is analyzed. Models of autonomy which are included in the research are individualistic autonomy, familial autonomy, relational autonomy as well as cultural autonomy in healthcare decision making will be conducted. To answer the two-tier research question, this research utilizes the library-research method. This study concluded that the Malaysian healthcare sector may want to acknowledge the relevance of other models of autonomy such as familial, relational and cultural autonomy in healthcare decision making according to patient’s preferences and needs. This study also proposes some recommendation in the decision-making process to enhance patient’s autonomy. Finally, this study concludes that there are still gaps in the current body of knowledge autonomy in general, and further studies are required for effective implementation of autonomy in decision-making in Malaysian healthcare settings.
format	Thesis
qualification_level	Master's degree
author	Alvis, Wellester
author_facet	Alvis, Wellester
author_sort	Alvis, Wellester
title	An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis
title_short	An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis
title_full	An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis
title_fullStr	An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis
title_full_unstemmed	An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis
title_sort	ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in malaysia / wellester alvis
granting_institution	Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department	Faculty of Medicine
publishDate	2023
url	https://ir.uitm.edu.my/id/eprint/94111/1/94111.pdf
_version_	1804889920797409280

An ethical and legal analysis of different models of autonomy in healthcare decision making based on family dynamics in Malaysia / Wellester Alvis

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