双重效应修辞理论如何伤害寻求自愿辅助死亡的患者
1Department of Health Sciences and Biostatistics, Swinburne University of Technology, John St, Hawthorn, VIC, 3122, Australia. ekendal@swin.edu.au.
Journal of bioethical inquiry
|March 29, 2024
概括
双重效应理论可能会阻碍维多利亚州获得自愿辅助死亡 (VAD) 的公平机会. 这个伦理学说是道德学说.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 公共卫生政策 公共卫生政策
背景情况:
- 维多利亚州的2017年自愿辅助死亡法案使VAD合法化.
- 息护理医生历来使用双重效应 (DDE) 理论来治疗疼痛.
- DDE区分了伤害的意图与预见.
研究的目的:
- 分析DDE对维多利亚州VAD接入的影响.
- 在VAD的背景下,批评DDE背后的假设.
- 探讨有关医生意图的DDE的反对意见.
主要方法:
- 对双重效应学说的伦理分析.
- 对维多利亚州的VAD法律和医学文献的审查.
- 对DDE的常见异议的审查:"净化意图"和"亲密".
主要成果:
- DDE认为死亡是一种"邪恶"的假设可能会阻碍VAD访问.
- 担心医生的意图,基于DDE异议,可以创建障碍.
- DDE的遗产可能会导致不公平的VAD访问.
结论:
- DDE框架可能会无意中为VAD.创建伦理障碍.
- 重新评估DDE的应用对于公平的VAD提供至关重要.
- 解决关于死亡和医生的意图的假设是VAD政策所必需的.
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