Bernstein J, Perlis C, Bartolozzi A R
Sports Medicine Service, University of Pennsylvania, Philadelphia 19104-6081, USA.
Clin Orthop Relat Res. 2000 Sep(378):50-60. doi: 10.1097/00003086-200009000-00009.
Sports medicine physicians are not exempt from the ethical challenges of medical practice merely because their patients are robust and healthy. In fact, precisely because the patients with sports injuries are so healthy the moral issues remain subtle. Many ethical issues in sports medicine come about because the traditional relationship between doctor and patient is altered or absent. In the current review, several routine topics in biomedical ethics, including doctor and patient confidentiality, informed consent, the care of minors, medical advertising and use of innovative treatments, will be studied from the sports medicine perspective. Hypothetical case histories will be presented, along with an analysis of the underlying ethical issues. The goal of this analysis is not to offer answers to these moral questions, but to increase awareness and promote contemplation of the correct course of action.
运动医学医生并不会仅仅因为他们的患者强壮健康就免受医疗实践中的伦理挑战。事实上,恰恰因为运动损伤患者非常健康,道德问题才仍然很微妙。运动医学中的许多伦理问题是由于医患之间的传统关系被改变或不存在而产生的。在当前的综述中,将从运动医学的角度研究生物医学伦理学中的几个常规主题,包括医患保密、知情同意、未成年人护理、医学广告和创新治疗方法的使用。将呈现假设的病史,并对潜在的伦理问题进行分析。这种分析的目的不是为这些道德问题提供答案,而是提高认识并促进对正确行动方针的思考。