医疗判断的客观标准:一个 (德克萨斯州) 堕胎法的神话
Abraham Graber1, Mack Peterson2, Ethan Detrick2
1Biomedical Education and Anatomy, College of Medicine, https://ror.org/00c01js51The Ohio State University Wexner Medical Center, Columbus, United States.
概括
随着多布斯的决定,各州现在对堕胎的准入进行监管. 美国德克萨斯州德克萨斯州
科学领域:
- 医疗法 法律 医疗法
- 公共卫生政策 公共卫生政策
- 法律研究 法律研究
背景情况:
- 随着多布斯诉杰克逊妇女健康组织的决定,堕胎监管现在是国家一级决定.
- 州法律通常包括对被认为是医疗上为患者的生命或安全所必需的堕胎的例外.
- 在各州如何定义"医疗必要性"方面存在差异,这会影响堕胎的准入.
研究的目的:
- 分析各州用来确定堕胎的医疗必要性的法律标准.
- 评估"客观"法律标准对堕胎护理临床决策的适用性.
- 评估德克萨斯州堕胎法规在指导医生方面的充分性.
主要方法:
- 国家堕胎法规和司法解释的比较法律分析.
- 检查"客观"与"主观"法律标准的哲学基础.
- 审查当代医学伦理和临床决策模型.
主要成果:
- 一些州,如俄俄州,采用"主观"标准,依赖医生的判断.
- 其他州,如德克萨斯州,使用"客观"标准,引用"合理的医生".
- 客观的法律标准不适合临床医疗判断的内在主观性.
结论:
- 当代医学判断是不可挽回的主观,包含患者和医生的价值观.
- 德克萨斯州的"客观"标准未能与堕胎必要性的医学上有意义的类别保持一致.
- 目前的德克萨斯州框架对医生在法律保护下的堕胎方面提供了不足的指导.
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