马来西亚应该扩大患者对医疗记录的访问权限吗? 一个伦理分析
1Department of Medical Ethics and Law, Faculty of Medicine, Universiti Teknologi MARA, Kuala Lumpur, Malaysia.
Asian bioethics review
|January 26, 2026
概括
在马来西亚,更广泛的患者获取医疗记录在道德上是合理的. 实用主义和道德伦理都支持患者的赋权和自主权,挑战传统的医疗保健实践.
科学领域:
- 医学伦理 医学伦理
- 卫生法 法律 卫生法
- 生物伦理学生物伦理学
背景情况:
- 马来西亚承认患者对医疗记录的权利,但访问仍然受到限制.
- 传统的医疗保健模式往往涉及一种父权主义的方法,限制患者获取信息.
研究的目的:
- 检查更广泛的患者获取个人医疗记录的伦理理由.
- 通过实用主义和道德学伦理框架来分析患者的访问.
- 倡导马来西亚在患者记录访问方面进行法律和道德改革.
主要方法:
- 使用功利主义和道德学观点进行道德分析.
- 审查有关患者获取医疗记录的现有文献.
- 检查实证研究的病人从记录访问的好处.
主要成果:
- 功利主义认为,患者获取改善了赋权,参与和健康结果.
- 德伦理学要求不受限制的访问,基于尊重自治和说实话.
- 经验证据表明,患者从记录访问,增加控制和参与中受益.
结论:
- 这两种道德框架都支持患者更广泛地获得医疗记录.
- 患者获取挑战了父权主义的医疗保健模式.
- 建议进行道德和法律改革,以促进患者在马来西亚获得医疗记录.
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