一个"陌生人的道德"? 在临床伦理学中了解患者
Joar Björk1,2, Anna Hirsch3
1Centre for Research Ethics and Bioethics, Uppsala University, Uppsala, Sweden. joar.bjork@crb.uu.se.
Medicine, health care, and philosophy
|June 8, 2024
概括
了解患者在医疗保健中具有伦理价值,影响自主权比正义或公益更重要. 医疗保健系统应该促进患者与提供者之间的关系和治疗连续性,以改善伦理实践.
科学领域:
- 医学伦理 医学伦理
- 生物伦理学生物伦理学
- 医学哲学 医学哲学
背景情况:
- 伦理要求可以根据熟悉程度不同,如斯蒂芬·图尔明的"陌生人的伦理学"与"亲密的伦理学".
- 这种区分适用于医疗保健,区分医疗保健人员 (HCP) 了解患者和不了解患者.
研究的目的:
- 探索医疗保健工作者了解患者是否会影响医疗伦理中的规范性要求.
- 澄清在医疗保健背景下"了解患者"的含义.
- 评估这种区别对核心医学伦理原则的相关性.
主要方法:
- 在医疗保健互动中对"了解患者"的概念分析.
- 图尔明的"陌生人的伦理"和"亲密的伦理"应用于医学伦理.
- 了解患者的伦理价值的论证.
主要成果:
- 认识和不认识患者之间的区别显著影响了有关患者自主权的伦理要求 (例如,提前指示,亲属主义).
- 对于来自正义和慈善原则的命令,差异似乎不那么明显.
- 了解病人被认为在医疗保健接触中具有伦理价值.
结论:
- 医疗保健系统应该培养健康工作者能够了解患者的环境.
- 支持治疗连续性的结构对于道德医疗保健至关重要.
- 需要在医学伦理学中进一步澄清,才能充分实施这些见解.
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