法院可以被视为解决临床不安的适当工具吗?
Bernadette Wren1, Alexander Ruck Keene2,3
1Children, Young Adults and Families Directorate, Tavistock and Portman NHS Foundation Trust, London, UK wrenba@gmail.com.
Journal of medical ethics
|August 24, 2023
概括
经历"临床不安"的临床医生可能会寻求法院裁决,以澄清存在多种选择时的伦理困境. 本文探讨了法院是否是解决这些专业判断冲突的最佳场所.
科学领域:
- 医学伦理 医学伦理
- 法律医学 法律医学
- 临床决策 - 临床决策
背景情况:
- 临床医生面临"临床不安",当专业判断允许多个道德上可以辩护的路径.
- 这种状态与医疗保健中的道德困扰和良心异议是不同的.
- 现有的文献缺乏探讨法院参与解决临床不安而不涉及患者纠纷的探索.
研究的目的:
- 在临床决策中探索"临床不安"的概念.
- 调查法院是否可以作为解决临床不安的适当场所.
- 检查临床医生和法院在解决伦理问题的各自角色和能力.
主要方法:
- 在临床决策中"临床不适"的概念框架.
- 对法庭处理临床不适的情况的报告案例的分析.
- 讨论临床医生和法院的责任和能力.
- 介绍了四种假设的临床情景.
- 考虑替代性争端解决机制.
主要成果:
- 法院参与了反映临床不安的案件,尽管并不总是作为主要争议.
- 法院处理细微的伦理问题的能力和准备程度各不相同.
- 对法庭裁决的替代补救措施可能更适合于解决临床不安.
结论:
- 寻求法院参与临床不安可能源于比法律解决更深层次的需求.
- 参与临床不安可以培养对不同价值观的更强的敏感性.
- 法院在解决医疗保健中的伦理含糊性方面的作用需要仔细考虑.
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