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Cited by 31Ethics and bioethics in healthcareMedicine, History, and PhilosophyPhilosophical Ethics and Theory

Practical wisdom in complex medical practices: a critical proposal

Bontemps-Hommen, C. M. M. L., Baart, A., Vosman, F. T. H.·2019·Medicine, Health Care and Philosophy
DOI 10.1007/s11019-018-9846-x
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Abstract

In recent times, daily, ordinary medical practices have incontrovertibly been developing under the condition of complexity. Complexity jeopardizes the moral core of practicing medicine: helping people, with their illnesses and suffering, in a medically competent way. Practical wisdom (a modification of the Aristotelian phronèsis) has been proposed as part of the solution to navigate complexity, aiming at the provision of morally good care. Practical wisdom should help practitioners to maneuver in complexity, where the presupposed linear ways of operating prove to be insufficient. However, this solution is unsatisfactory, because the proposed versions of practical wisdom are too individualistic of nature, while physicians are continuously operating in varying teams, and dealing with complicated technologies and pressing structures. A second point of critique is, that these versions are theory based, and thus insufficiently attuned to the actual context of everyday medical practices. Now, our proposal is to use an approach of practical wisdom that enables medical practices to counter the complexity issue and to re-invent the moral core of medical practicing as well. This implies a practice oriented approach, as thematized by practice theory, qualitative empirical research from the inside, and abduction from actual performed practical wisdom towards an apt understanding of phronèsis.

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  • So far, there has been scant discussion on how digitalisation, including chatbots, transforms medical practices, especially in the context of human capabilities in exercising practical wisdom.

    “So far, there has been scant discussion on how digitalisation, including chatbots, transform medical practices, especially in the context of human capabilities in exercising practical wisdom (Bontemps-Hommen et al. 2019).”

    From Chatbot breakthrough in the 2020s? An ethical reflection on the trend of automated consultations in health care (2022) · cites this paper as Bontemps-Hommen et al. 2019

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Authors
Bontemps-Hommen, C. M. M. L., Baart, A., & Vosman, F. T. H.
Affiliations
  • North-West University (ZA)
  • University of Humanistic Studies (NL)
Corresponding author
Bontemps-Hommen, C. M. M. L.
ORCID
Baart, A.
Venue
Medicine, Health Care and Philosophy
Publisher
Springer Science and Business Media LLC
Published
2018-06-20
Volume
22
Issue
1
Pages
95-105
ISSN
  • 1386-7423 (ISSN-L)
  • 1572-8633
DOI
10.1007/s11019-018-9846-x
OpenAlex
W2809051813
Cited by
31
References
84
Citations by year
2026: 4 · 2025: 3 · 2024: 2 · 2023: 7 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 2
FWCI
3.11
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Medicine Health Care and Philosophy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
  • Social Sciences › Arts and Humanities › Philosophy › Philosophical Ethics and Theory
Keywords
practical wisdom, clinical complexity, medical ethics, practice theory, abduction, Aristotelian ethics, physician competence
MeSH terms
Clinical Decision-Making, Attitude of Health Personnel, Clinical Competence, Ethics, Medical, Humans, Physician-Patient Relations, Physician's Role, Patient-Centered Care, Ethics, Clinical

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