在有关辅助生殖技术的临床决策中,患者主导的需求应该有什么道德重量?
Craig Stanbury1,2, Wendy Lipworth2,3, Siun Gallagher2
1Department of Philosophy, Monash Bioethics Centre, Monash University, Clayton, Victoria, Australia.
Bioethics
|November 6, 2023
概括
由于患者的需求,医生可能会提供辅助生殖技术 (ART) 干预措施,特别是未经证实的治疗方法. 然而,专业角色道德要求在商业化的医疗保健环境中满足患者需求的强有力的理由.
科学领域:
- 医学伦理 医学伦理
- 辅助生殖技术 辅助生殖技术
背景情况:
- 患者需求影响了辅助生殖技术 (ART) 干预措施的提供.
- 这在未经证实的体外受精 (IVF) 补充剂或低成功率的循环中尤其明显,这些循环是由患者愿意"做任何事情"所驱动的.
研究的目的:
- 探索患者主导的要求在ART中的道德权重.
- 为了确定使用患者需求作为ART干预的理由的可接受性.
主要方法:
- 在ART中定义和综合"患者主导需求"的证据.
- 分析专业角色道德 (PRM) 对商业化的医疗保健机构医生的影响.
- 检查患者需求和干预提供之间的理由差距.
主要成果:
- 专业角色道德给医生带来了特殊的责任,特别是在商业化的ART环境中.
- 虽然一些患者的要求可能与PRM一致,但加入它们并不总是合理的.
- 在商业环境中,在仅仅基于患者需求的基础上证明有争议的干预措施的合理性方面,往往存在着显著的差距.
结论:
- 在ART中满足患者主导的需求,特别是在商业化的环境中,需要强有力的理由超越要求本身,以符合专业角色道德.
- 职业与市场的独特性质需要在ART中仔细考虑患者的需求.
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