在保持自治的同时,推迟专业知识.
1Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford OX1 1PT, UK.
概括
患者依赖医疗专家做出医疗保健决策可能会挑战患者的自主权. 本文探讨了缺乏医疗专业知识的风险,并提出了保护临床决策自主性的策略.
科学领域:
- 医学伦理 医学伦理
- 医学哲学 医学哲学
- 卫生法 法律 卫生法
背景情况:
- 患者的自主权是现代医学伦理学的基石.
- 在医疗决策中依赖临床专业知识引发了关于患者自主权的问题.
- 医学专业知识的性质和局限性需要仔细考虑.
研究的目的:
- 检查患者依赖临床专业知识威胁患者自主权的程度.
- 分析医学专业知识的概念及其潜在的缺陷.
- 提出减轻依赖医疗建议对患者自主权构成的威胁的方法.
主要方法:
- 对患者自主权和医疗专业知识的哲学分析.
- 对医疗保健专业人员专业知识的地位和局限性的批判性审查.
- 对医疗决策和自主权的现有文献进行论证性审查.
主要成果:
- 对专家的依赖对于自主性来说并不是固有的问题.
- 医疗专业知识往往缺乏,需要对其作用的理解进行修订.
- 实际上对医疗建议的尊重,无论患者是否意识到局限性,都对自主性构成重大威胁.
结论:
- 医疗专业知识的局限性对患者的自主性构成了实际挑战.
- 解决对患者自主权的威胁需要承认和减轻缺乏专业知识的影响.
- 加强患者在面对医疗尊重时的自主权的策略是必要的,也是可以实现的.
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