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Religious Values in Clinical Practice are Here to Stay
Authors:Kørup  Alex Kappel  Søndergaard  Jens  Christensen  René dePont  Nielsen   Connie Thurøe  Lucchetti   Giancarlo  Ramakrishnan   Parameshwaran  Baumann   Klaus  Lee   Eunmi  Frick   Eckhard  Büssing  Arndt  Alyousefi  Nada A.  Karimah  Azimatul  Schouten  Esther  Schulze  Andreas  Wermuth  Inga  Hvidt  Niels Christian
Affiliation:1.Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, 5000, Denmark
;2.Department of Mental Health Service, University of Southern Denmark, Vejle, Denmark
;3.Department of Medicine, Federal University of Juiz de Fora, Avenida Eugênio de Nascimento s/n-Aeroporto, Juiz de Fora, 36038330, MG, Brazil
;4.Graduate Theological, Union-University of California, 2400 Ridge Rd, Berkeley, CA, 94709, USA
;5.AdiBhat Foundation, New Delhi, 110048, India
;6.Caritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University, 79085, Freiburg, Germany
;7.Research Centre Spiritual Care, Department of Psychosomatic Medicine and Psychotherapy, The University Hospital Klinikum rechts der Isar, Langerstr. 3, Munich, 81675, Germany
;8.Munich School of Philosophy, Kaulbachstr. 31, Munich, 80539, Germany
;9.Institute of Integrative Medicine, Faculty of Medicine, Witten/Herdecke University, Gerhard-Kienle-Weg 4, Herdecke, 58313, Germany
;10.College of Medicine, King Saud University (KSU), Riyadh, 11461, Saudi Arabia
;11.Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia
;12.Department of Neonatology, University Hospital Munich, Marchioninistrasse 15, 80366, Munich, Germany
;13.Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany
;14.Academy of Geriatric Cancer Research (AgeCare), Odense University Hospital, 5000, Odense, Denmark
;
Abstract:

Research to date has shown that health professionals often practice according to personal values, including values based on faith, and that these values impact medicine in multiple ways. While some influence of personal values are inevitable, awareness of values is important so as to sustain beneficial practice without conflicting with the values of the patient. Detecting when own personal values, whether based on a theistic or atheistic worldview, are at work, is a daily challenge in clinical practice. Simultaneously ethical guidelines of tone-setting medical associations like American Medical Association, the British General Medical Council and Australian Medical Association have been updated to encompass physicians’ right to practice medicine in accord with deeply held beliefs. Framed by this context, we discuss the concept of value-neutrality and value-based medical practice of physicians from both a cultural and ethical perspective, and reach the conclusion that the concept of a completely value-neutral physician, free from influence of personal values and filtering out value-laden information when talking to patients, is simply an unrealistic ideal in light of existing evidence. Still we have no reason to suspect that personal values, whether religious, spiritual, atheistic or agnostic, should hinder physicians from delivering professional and patient-centered care.

Keywords:
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