Janssens R J, ten Have H A, Zylicz Z
University of Nijmegen, The Netherlands.
J Med Ethics. 1999 Oct;25(5):408-12. doi: 10.1136/jme.25.5.408.
This contribution is a report of a two months' participant observation in a Dutch hospice. The goal of the observation was to gain an overview of moral decisions in a hospice in which euthanasia, a tolerated practice in the Netherlands, is not accepted as an option. In an introduction, the development of palliative care in the Netherlands will be briefly presented. Subsequently, various moral decisions that were taken during the participant observation are presented and analysed by means of case reports. Attention is especially drawn to decisions that directly or indirectly relate to euthanasia. These moral decisions will be clarified in the light of the philosophy behind the concept of palliative care as it has evolved since the foundation of St Christopher's Hospice, London in 1967.
本文是关于在一家荷兰临终关怀医院进行为期两个月参与观察的报告。观察的目的是全面了解一家不接受安乐死（在荷兰是一种被容忍的做法）的临终关怀医院中的道德决策情况。在引言部分，将简要介绍荷兰姑息治疗的发展情况。随后，通过案例报告呈现并分析在参与观察期间做出的各种道德决策。特别关注那些直接或间接与安乐死相关的决策。这些道德决策将根据自1967年伦敦圣克里斯托弗临终关怀医院成立以来姑息治疗概念背后的理念进行阐释。
