A New Ethical Landscape of Prenatal Testing: Individualizing Choice to Serve Autonomy and Promote Public Health: A Radical Proposal

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Fältnamn	Indikatorer	Metadata
000		05045naa a2200553 4500
001		oai:gup.ub.gu.se/208546
003		SwePub
008		240528s2015 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/2085462 URI
024	7	a https://doi.org/10.1111/bioe.121262 DOI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Munthe, Christian,d 1962u Gothenburg University,Göteborgs universitet,Institutionen för filosofi, lingvistik och vetenskapsteori,Department of Philosophy, Linguistics and Theory of Science4 aut0 (Swepub:gu)xmuntc
245	1 0	a A New Ethical Landscape of Prenatal Testing: Individualizing Choice to Serve Autonomy and Promote Public Health: A Radical Proposal
264		c 2014-12-17
264	1	b Wiley,c 2015
338		a electronic2 rdacarrier
520		a A new landscape of prenatal testing (PNT) is presently developing, including new techniques for risk-reducing, non-invasive sampling of foetal DNA and drastically enhanced possibilities of what may be rapidly and precisely analysed, surrounded by a growing commercial genetic testing industry and a general trend of individualization in healthcare policies. This article applies a set of established ethical notions from past debates on PNT for analysing PNT screening-programmes in this new situation. While some basic challenges of PNT stay untouched, the new development supports a radical individualization of how PNT screening is organized. This reformation is, at the same time, difficult to reconcile with responsible spending of resources in a publicly funded healthcare context. Thus, while the ethical imperative of individualization holds and applies to PNT, the new landscape of PNT provides reasons to start rolling back the type of mass-screening programmes currently established in many countries. Instead, more limited offers are suggested, based on considerations of severity of conditions and optimized to simultaneously serve reproductive autonomy and public health within an acceptable frame of priorities. The new landscape of PNT furthermore underscores the ethical importance of supporting and including people with disabilities. For the very same reason, no ban on what may be analysed using PNT in the new landscape should be applied, although private offers must, of course, conform to strict requirements of respecting reproductive autonomy and what that means in terms of counselling.
650	7	a HUMANIORAx Filosofi, etik och religionx Etik0 (SwePub)603022 hsv//swe
650	7	a HUMANITIESx Philosophy, Ethics and Religionx Ethics0 (SwePub)603022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Annan medicin och hälsovetenskapx Övrig annan medicin och hälsovetenskap0 (SwePub)305992 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Other Medical and Health Sciencesx Other Medical and Health Sciences not elsewhere specified0 (SwePub)305992 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650	7	a SAMHÄLLSVETENSKAPx Annan samhällsvetenskapx Övrig annan samhällsvetenskap0 (SwePub)509992 hsv//swe
650	7	a SOCIAL SCIENCESx Other Social Sciencesx Other Social Sciences not elsewhere specified0 (SwePub)509992 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
650	7	a HUMANIORAx Filosofi, etik och religionx Filosofi0 (SwePub)603012 hsv//swe
650	7	a HUMANITIESx Philosophy, Ethics and Religionx Philosophy0 (SwePub)603012 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Medicinsk etik0 (SwePub)303102 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Medical Ethics0 (SwePub)303102 hsv//eng
650	7	a TEKNIK OCH TEKNOLOGIERx Miljöbioteknikx Bioteknisk etik0 (SwePub)208042 hsv//swe
650	7	a ENGINEERING AND TECHNOLOGYx Environmental Biotechnologyx Bioethics0 (SwePub)208042 hsv//eng
653		a reproductive ethics
653		a prenatal diagnosis
653		a prenatal screening
653		a NIPT
653		a WGS
653		a arrayCGH
653		a disability
710	2	a Göteborgs universitetb Institutionen för filosofi, lingvistik och vetenskapsteori4 org
773	0	t Bioethicsd : Wileyg 29:1, s. 36-45q 29:1<36-45x 0269-9702x 1467-8519
856	4	u https://gup.ub.gu.se/publication/208546x primaryx freey FULLTEXT
856	4 8	u https://gup.ub.gu.se/publication/208546
856	4 8	u https://doi.org/10.1111/bioe.12126

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