Abstract

AbstractHealth promotion is often been associated with altering social arrangement in order to improve the health of citizens—the domain of public health. Ethical aspects of health promotion then is generally discussed in terms of a public health ethics. In this chapter, I start out with some classical ethical and political dilemmas of health promotion in public health before I move into the ethics of health promotion in health care. I argue that empowerment, better than any other value, may serve as the ethical foundation for health promotion in health care. I further claim that empowerment may serve as the ethical bridge between health promotion in health care and health promotion in public health.

Highlights

  • Even though ‘health promotion’ probably has been defined again and again in this book, we still need to pay attention to the definition before we start talking about ethics

  • If that is the case, an ethics of health promotion seems to be some variants of an ethics of health care

  • What makes a difference within health care would be the doctor–patient relation, the nurse–patient relation as well as the systemic approach to continuous follow-up of patients. It is in the relational aspect of health care, that we find the key to the ethical dimension of health promotion in health care

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Summary

Introduction

Even though ‘health promotion’ probably has been defined again and again in this book, we still need to pay attention to the definition before we start talking about ethics. To reach a state of complete physical, mental and social well-­ being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment’. These are some of the first sentences in the Ottawa charter for Health Promotion from 1986 [1]. Solberg to make things better for everyone, whatever their health risks, and seeks to achieve this in collaboration with citizens : what should health promotion contribute to a good society?’ [2] If they are correct, an ethics of health promotion seems to be some variants of an ethics of public health. We take a look at some of the typical ethical dilemmas of health promotion in public health, before we end up with articulating an ethics of health promotion within health care

The Two Concepts of Liberty
Poor Health and Responsibility
Health Choices
Promoting Health Without Taking Away Choices
Is Nudging Ethical from a Health Promotion View?
The Shortcomings of an Ethics of Autonomy in Health Care
3.10 Conclusion

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