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[《希波克拉底誓言》]

[The Hippocratic Oath].

作者信息

Goic A

出版信息

Rev Med Chil. 1998 Oct;126(10):1151-2.

PMID:10030084
Abstract

The impact of Hippocratic Oath on medical practice is universally recognized. However, some physicians raise questions about its validity and few medical schools use it in graduation ceremonies. It is postulated that this oath does not harmonize with present bioethical concepts and that the principles of beneficence, lack of harm, autonomy and justice, elaborated by Anglo-Saxon philosophers, would do so. The Hippocratic Oath contains these principles and many others, such as gratitude, compassion, justice, honesty, humbleness, sanctity, integrity, confidentiality, fidelity to the bond, and respect for human life and dignity. These are ethical values that apply to modern dilemmas in medicine. As a whole, the oath expresses an ideal of medical behavior and a life project. It must be interpreted in the context of ancient Greek culture and history. Some uncertainties about its relevance are due to a lack of understanding of its exceptional content of values. Modified versions of the oath or original texts presumptuously pretend to replace a document that has lasted 2500 years and that meant a revolution, not only to medicine, but for all mankind. Students should have the opportunity to analyze its content and the way its values are related to concrete situations of present medical practice. Medical schools should shelter it without objections, as the expression of a reflexive compromise acquired by physicians during their studies and to be applied in medical practice.

摘要

《希波克拉底誓言》对医学实践的影响得到了普遍认可。然而,一些医生对其有效性提出质疑,而且很少有医学院在毕业典礼上使用它。据推测,该誓言与当前的生物伦理观念不一致,而盎格鲁 - 撒克逊哲学家阐述的行善、无害、自主和正义原则则与之相符。《希波克拉底誓言》包含了这些原则以及许多其他原则,如感恩、同情、正义、诚实、谦逊、神圣、正直、保密、忠诚于契约,以及尊重人类生命和尊严。这些都是适用于现代医学困境的伦理价值观。总体而言,该誓言表达了一种医学行为的理想和一种人生规划。它必须在古希腊文化和历史的背景下进行解读。对其相关性的一些不确定性是由于对其独特的价值内容缺乏理解。该誓言的修改版本或原始文本贸然试图取代一份历经2500年且不仅对医学,而且对全人类都意味着一场革命的文件。学生应有机会分析其内容以及其价值观与当前医学实践具体情况的关联方式。医学院校应毫无异议地庇护它,因为它体现了医生在学习期间获得的一种反思性妥协,并将应用于医学实践。

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