James A. MARCUM

Original title: Humanização do Modelo Biomédico e a Crise na Qualidade do Cuidado com a Saúde

Published in

Keywords: Biomedical Model, Humanistic Medicine, Quality-of-Care Crisis.

In this paper, I explore the philosophical issues concerning the efforts of philosophers and clinicians to humanize the biomedical model of medical knowledge and practice to address the quality-of-care crisis. To that end, I discuss the metaphysical, epistemological, and ethical dimensions of the biomedical model and its humanization. I begin with metaphysics, exploring the presuppositions upon which modern medical knowledge and practice are founded; for presuppositions determine the entities that compose the medical worldview. Next, I examine the epistemological issues that face the humanization of the biomedical model, particularly those driven by methodological procedures undertaken by epistemic agents to constitute medical knowledge and practice. Finally, I investigate the ethical implications of the biomedical model and of its humanization, especially in terms of the physician-patient relationship. In a concluding section, I discuss the issues surrounding the question of the humanization of the biomedical model in terms of the quality-of-care crisis.