Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot272110.32687/0869-866X-2026-34-3-765-770Научная статьяTHE HISTORICAL DEVELOPMENT OF CLINICAL BIOETHICS: FROM PURE IDEA TO ORGANIZATION OF REGULAR CLINICAL CONSULTATIONSTarabrinR. E.The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia (Sechenov University), 119991, Moscow, Russia0707202634376577007072026Copyright © 2026,2026The study considers historical development of clinical bioethics from formation of theoretical foundations of discipline in context of philosophy to institutionalization of practical forms of clinical consultations in medical institutions. The methodology of the study is based on interdisciplinary approach combining philosophical, historical, legal and sociocultural analysis of key factors of becoming of clinical bioethics in the USA. The study results demonstrate that despite initial concerns about excessive control over physician autonomy, ethical consultations improved quality of communication and decision-making, decreased conflictness and strengthened confidence between patients and medical personnel. The institutionalization of clinical bioethics became response to necessity of ethical maintenance of decisions occurring in clinical practice and proved its significance for modern medicine as tool of moral navigation, strengthening value of confidence and transparency in treatment process.clinical bioethicshistoryhealth care organizationclinical bio-ethical consultationsклиническая биоэтикаистория биомедицинской этикиорганизация здравоохраненияклинические консультации по биоэтике[Шок Н. П., Щеглов А. 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