建立和定义一种气候意识的临床医学伦理学方法
Andrew Hantel1,2, Jonathan M Marron1,2, Gregory A Abel1,2
1Dana-Farber Cancer Institute.
The American journal of bioethics : AJOB
|April 18, 2024
概括
临床医学伦理学 (CME) 必须扩大其范围,超越人类的关注,以应对气候变化的影响. 将环境考虑纳入CME框架对于人类健康和生态福祉都至关重要.
科学领域:
- 生物伦理学生物伦理学
- 环境道德 环境道德
- 临床医学伦理学 临床医学伦理学
背景情况:
- 当前的临床医学伦理 (CME) 保持着以人为本的重点,基本上排除了环境问题.
- 气候变化给CME带来了复杂的伦理挑战,原因和影响分散,其跨学科性质.
研究的目的:
- 识别和调和气候变化对CME施加的伦理问题.
- 确定道德理论如何支持医疗实践和环境繁荣.
- 建议扩大CME的范围,包括环境和非人类方面的考虑.
主要方法:
- 分析气候变化和CME交叉点上的伦理问题.
- 检查美德伦理,女权主义伦理和正义理论.
- 将扩大的CME范围应用于四个主题模型.
主要成果:
- 气候变化需要对CME以人为中心的局限性进行重新评估.
- 既定的道德理论可以支持对人类健康和环境可持续性的双重关注.
- 扩大CME范围,包括环境和非人类因素,在道德上是可行的.
结论:
- 临床医学伦理需要扩大范围,以有效应对气候变化.
- 将环境伦理纳入CME是整体生物伦理实践的必要条件.
- 气候意识的四个主题模型可以指导医疗保健中的道德决策.
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