有關有效治療和無效治療的概念和倫理爭端
Conceptual and Moral Disputes about Futile and Useful Treatments
DOI:
https://doi.org/10.24112/ijccpm.31389Keywords:
無效, 倫理學, 醫生權力, 同意Abstract
LANGUAGE NOTE | Document text in Chinese
一系列病例使有關醫學治療何時有效、何時無效的爭端明確化、具體化,因而也使有關醫患關係、資源分配、醫患間的溝通交流、同情心、病痛的緩解、自主權、治療不足和治療過度、家長式的獨斷作風及姑息治療的爭端明確化、具體化。暸解有效和無效是相輔相成的概念,對我們的醫療實踐有益。對治療在爭議性病例是有效還是無效的判斷,有著共同的特點:(1)以醫學科學為依據;(2)反映多種價值;(3)處於或接近有效閾;(4)令人負擔沈重。我們應關注構成這些判斷基礎的經驗要素、倫理要素及評估要素的正當理由,而不是做出有關是醫生、病人,還是社會一致認同應成為最終決定因素的專橫決定。
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