在患者与临床医生的接触中,身份一致性要求的伦理学
Amber G O Acquaye1, Sarah C Hull2
1Yale School of Medicine, 703 Whitney Ave, New Haven, Connecticut 06511 United States.
Journal of the National Medical Association
|October 25, 2023
概括
解决患者对临床医师身份一致性的请求需要平衡患者的自主权和临床医师的权利. 公平可能需要差异化待遇,以纠正历史的劣势和减轻差异.
科学领域:
- 医学伦理 医学伦理
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 系统性的不公正造成了人口之间的基线不平等.
- 边缘化的患者有医疗创伤的历史.
- 医疗保健中的身份一致性越来越被认为是缓解差异的因素.
研究的目的:
- 探索患者要求临床医生身份一致的伦理考虑.
- 检查拒绝或有条件接受此类请求的伦理框架.
- 为了平衡患者的自主权,医生的义务和临床医生的权利.
主要方法:
- 对患者要求临床医师身份一致性的伦理分析.
- 拒绝理由的探索:患者自主权,医生不放弃,临床医生的安全.
- 条件接受的检查:意图和临床结果.
主要成果:
- 拒绝请求需要平衡竞争的伦理原则.
- 有条件的接受需要仔细考虑意图和结果.
- 数据表明,身份一致性可以减少健康差异.
结论:
- 关于临床医生身份一致性的伦理决策是复杂的.
- 解决历史创伤和促进公平是至关重要的.
- 不同的待遇可能在伦理上是合理的,以实现健康公平.
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