概括
无法做出决定的患者需要知道他们可以排除不必要的医疗代孕. 目前的做法可能会忽视失能患者排除代孕的愿望,造成伤害.
科学领域:
- 生物伦理学生物伦理学
- 医疗法 法律 医疗法
- 患者的自主权患者的自主权
背景情况:
- 当患者缺乏能力时,医疗团队依赖代理决策者.
- 法律上的层次结构往往优先考虑法律/生物关系的代孕选择.
- 患者可能希望从医疗决策中排除指定的合法代孕者.
研究的目的:
- 区分排除代孕的决定和任命代孕的决定.
- 争辩尊重无能患者排除代孕的权利.
- 解决当前代孕包容实践的潜在危害.
主要方法:
- 对患者自主权和代理决策的概念分析.
- 排除代孕的伦理检查.
- 对法律层次和患者权利的审查.
主要成果:
- 排除代孕的决定与任命代孕的决定是不同的.
- 目前的做法可能不尊重失能患者排除代孕的愿望.
- 排除代孕可能是有害的,并违反患者的偏好.
结论:
- 尊重一个无能患者排除代孕是道德上合适的.
- 目前对代孕产妇的全面包括可能是有害的.
- 开发方法来尊重排斥偏好,同时管理风险.
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