什么使医疗干预具有侵入性?
Gabriel De Marco1, Jannieke Simons2, Lisa Forsberg1,3
1Faculty of Philosophy, Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.
Journal of medical ethics
|September 18, 2023
概括
医疗干预侵入性的常见定义太狭窄了. 这项研究提出了修订后的解释,引入基本和值入侵性,以更好地反映现实世界的使用和道德考虑.
科学领域:
- 医学伦理 医学伦理
- 医学哲学 医学哲学
- 卫生政策 卫生政策
背景情况:
- 将医疗干预作为侵入性或非侵入性的分类具有重要的道德意义.
- 目前的侵袭性定义要求切割皮肤或插入物体.
研究的目的:
- 批评医疗干预入侵性的标准定义.
- 提出一个修订后的帐户,以捕捉更广泛的使用范围,包括入侵程度和非物理方面.
主要方法:
- 在医学背景下对"侵入性"一词的概念分析.
- 在标准账户中识别限制.
- 开发一个修订后的理论框架,区分"基本侵入性"和"值侵入性".
主要成果:
- 标准的解释未能涵盖侵入性的分级性质.
- 它忽略了侵入性如何与替代干预相比.
- 它忽略了医疗实践中侵入性的非物理维度.
结论:
- 为了准确的道德和临床评估,需要对侵入性的重新理解.
- 提出的基本和值侵入性之间的区别提供了一个更全面的框架.
- 需要进一步发展,以完全完善医疗干预侵入性的修订账户.
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