在临床上,将需要生命维持干预的绝症患者与不需要生命维持干预的患者等同起来是否有意义?
1Program in Medical Ethics, University of California, San Francisco, USA. ann_alpers@ucsfdgim.ucsf.edu
JAMA
|June 4, 1997
概括
根据两家美国法院的说法,有能力的绝症患者可能有宪法赋予的医生协助自杀的权利. 这项分析认为,法院的推理在临床上有缺陷,可能会破坏终身护理.
科学领域:
- 医学伦理 医学伦理
- 法律医学 法律医学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 美国两个上诉法院已经承认,有能力的,绝症患者有宪法赋予的医生协助自杀的权利.
- 这些案件正在美国最高法院审理,预计将很快作出裁决.
研究的目的:
- 分析法律推理,将生命支持患者与不需要生命支持的患者等同于生命结束决策的背景.
- 批判性地评估这种医生协助自杀的法律等价的临床可信性.
主要方法:
- 对医生协助自杀的法庭判决进行分析.
- 检查临床场景在终末期疾病的护理.
- 司法推理的法律和道德批评.
主要成果:
- 法院声称生命支持的患者与没有生命支持的患者等同,这是基于一个有缺陷的前提.
- 这种推理无法解释临床终身护理和患者自主权的细微差别.
结论:
- 法院关于医生协助自杀的法律推理在临床上是不合理的.
- 这种推理的含义可能会对绝症患者的护理质量产生负面影响.
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