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良心拒绝或良心提供:我们不能同时拥有这两者.
Ryan Kulesa1, Alberto Giubilini2,3
1Department of Philosophy, University of Missouri, Columbia, Missouri, USA.
Bioethics
|March 22, 2024
概括
对称性论点,即如果临床医生可以拒绝堕胎服务,那么他们可以良心地提供堕胎服务,这是错误的. 患者为中心和利益为中心的医学伦理观点都表明良心拒绝和提供是相互排斥的.
科学领域:
- 医学伦理 医学伦理
- 生物伦理学生物伦理学
- 专业责任 专业责任 专业责任
背景情况:
- "对称论"认为,如果临床医生可以在良心上拒绝服务,他们也可以在良心上提供堕胎服务.
- 这个论点在良心拒绝和医疗实践中的良心提供之间有相似之处.
研究的目的:
- 批判性地评估"对称论文"关于在医疗保健中的良心异议.
- 确定良心拒绝和良心提供服务是否符合医学伦理.
主要方法:
- 对医疗专业的两个主要道德框架的分析:"病态" (以患者为中心) 和"以利益为中心" (以患者自主为中心) 的观点.
- 检查在这些框架下为良心拒绝和提供服务的专业理由.
主要成果:
- 在病态中心和利益中心的伦理观点下,对称论论证显然是错误的.
- 在病态中心的观点上,如果服务损害或与医疗目标相矛盾,拒绝是合理的,而提供则不是.
- 在以利益为中心的观点上,如果服务符合患者的偏好,而提供服务是合理的,则拒绝是不合理的.
结论:
- 良心拒绝和良心提供医疗服务是相互排斥的,而不是对称的.
- 医学的目标,无论是专注于患者的健康还是患者的偏好,都不支持对称论点.
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