我们欠我们的病人什么? 当患者太生病而无法进行手术时,外科医生的义务
Kevin A Lazenby1, Peter Angelos2,3
1From the Pritzker School of Medicine (Lazenby), University of Chicago, Chicago, IL.
Journal of the American College of Surgeons
|May 1, 2024
概括
当患者要求不有益的手术时,外科医生面临道德困境. 这项研究为拒绝此类手术提供了道德上的理由,平衡了患者的自主权与慈善和专业责任.
科学领域:
- 医学伦理 医学伦理
- 在外科手术实践中.
- 患者的自主权患者的自主权
背景情况:
- 在过去的75年里,患者自主原则的重要性越来越大.
- 当被要求进行无益的手术时,外科医生会经历道德上的痛苦.
- 在临床场景中,患者的自主权和外科医生的慈善义务之间存在冲突.
研究的目的:
- 赋予外科医生以道德上的理由来拒绝无益的手术.
- 提供框架,以解决自治与慈善之间的伦理冲突.
- 支持外科医生在临床决策中对患者进行手术的要求做出支持.
主要方法:
- 对患者自主权的历史背景的审查.
- 对外科医生道德困境的定性数据的分析.
- 探索伦理概念:徒劳,正负权利,信托责任,美德伦理.
主要成果:
- 术语"徒劳"很难定义和在实践中应用.
- 患者有强烈的负面权利,但对无益干预的积极权利有限.
- 外科医生有信托义务为患者的最大利益而行事,即使在自主权冲突时也是如此.
结论:
- 外科医生可以在道德上拒绝非有益的手术,通过平衡患者的自主权与有益性.
- 伦理框架,包括美德伦理和专业责任,支持外科医生的决策.
- 保持患者的信任要求外科医生优先考虑益处和安全,而不是无益干预.
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