HIVに感染した専門家,患者の権利,そして"切り替えジレンマ"
1Philosophy Department, Tufts University, Medford, Mass 02168.
JAMA
|March 11, 1992
まとめ
ヒト免疫不全ウイルス (HIV) を感染した医療従事者のためのガイドラインは,倫理的なジレンマを提示しています. 医療提供者の権利よりも患者の選択を優先することは,すべての人のための医療アクセシビリティと結果に悪影響を及ぼす可能性があります.
科学分野:
- 医療倫理 医療倫理について
- 感染症のコントロール・コントロール
- 公共衛生政策 公共衛生政策
背景:
- ヒト免疫不全ウイルス (HIV) に感染した医療従事者のための倫理ガイドラインが議論されています.
- 医療処置中のHIV感染リスクに関する患者の懸念は認められています.
研究 の 目的:
- HIVに感染した医療従事者のための現在のガイドラインの倫理的意味を検証する.
- 患者の権利と感染した医療従事者の権利のバランスを評価する.
主な方法:
- 疾病管理センター (CDC) とアメリカ医学会 (AMA) の既存のガイドラインの倫理的分析.
- 医療環境におけるリスク認識と患者の自律性の議論.
主要な成果:
- 手術中にHIV感染のリスクは統計的に低いが,患者の医療提供者変更の要求は理解できる.
- 特定可能なリスクを課すことを避けるという医師の義務に関するAMAの立場が疑問視されている.
- 現在のガイドラインは,感染した労働者の権利と患者の権利を優先させるための明確な枠組みを提供していません.
結論:
- 医療提供者を選択する際の強制的な転職または患者の選択を優先する行為は,ネガティブな結果をもたらす可能性があります.
- 既存のガイドラインは,包括的な感染制御対策により重点を置いた再評価を必要とすることがあります.
- 感染した医療従事者を不利にすることの可能性がある政策よりも,代替感染制御戦略を優先すべきである.
キーワード:
アメリカン・メディカル・アソシエーション (American Medical Association) が発表した.アメリカン・ウィズ・ディSABILITY アクト 1990分析的なアプローチ疾病管理センター (CDC) による疾病管理センター保健医療と公衆衛生についてプロフェッショナル 患者との関係 患者との関係さらに関連する動画
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