艾滋病毒感染的专业人员,患者权利,以及"切换困境"
1Philosophy Department, Tufts University, Medford, Mass 02168.
JAMA
|March 11, 1992
概括
针对患有人类免疫缺陷病毒 (HIV) 的医疗保健专业人员的指导方针存在道德困境. 优先考虑患者选择而不是提供者权利可能会对所有人的医疗保健可访问性和结果产生负面影响.
科学领域:
- 医学伦理 医学伦理
- 传染病控制和控制传染病
- 公共卫生政策 公共卫生政策
背景情况:
- 对感染人类免疫缺陷病毒 (HIV) 的医疗保健专业人员的道德准则进行了辩论.
- 我们认识到患者在医疗程序期间对艾滋病毒传播风险的担忧.
研究的目的:
- 检查当前针对艾滋病毒感染卫生专业人员的指导方针的伦理含义.
- 评估患者权利和受感染卫生保健工作者的权利之间的平衡.
主要方法:
- 对疾病控制中心 (CDC) 和美国医学会 (AMA) 现有指南的伦理分析.
- 在医疗保健环境中讨论风险感知和患者自主权.
主要成果:
- 在手术期间艾滋病毒传播的风险在统计学上很低,但患者要求切换提供者是可以理解的.
- 质疑了美国医学协会对医生避免施加可识别风险的义务的立场.
- 目前的指导方针没有提供一个明确的框架来优先考虑患者权利与感染工人的权利.
结论:
- 强制切换或在选择提供者时优先考虑患者选择可能会导致净负面结果.
- 现有的指导方针可能需要重新评估,更重视全面的感染控制措施.
- 应优先考虑替代性感染控制策略,而不是可能使受感染的医疗保健专业人员处于不利地位的政策.
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