Thompson Dennis F, Hofmann Paul B, Atchley William A, Ozar David T
Camb Q Healthc Ethics. 1992 Summer;1(3):203-15.
... Because institutional ethics has been neglected, there is a tendency in our institutional life to apply moral principles with which we are familiar from our personal life. However, principles from individual ethics often distort institutional ethics. Ethical problems in the hospital are not exactly the same as ethical problems that arise when individual doctors treat individual patients. And when the problems are similar, the ethical principles by which we should resolve them are likely to be quite different. To begin to make a case for taking hospital ethics seriously, I briefly examine two familiar principles of individual doctor-patient ethics that look different, or should look different, in the setting of a hospital. I then discuss ethics committees -- one of the most important ways in which hospital ethics is put into practice.
……由于机构伦理一直被忽视，在我们的机构生活中存在一种倾向，即应用我们在个人生活中熟悉的道德原则。然而，个人伦理的原则往往会扭曲机构伦理。医院中的伦理问题与个别医生治疗个别患者时出现的伦理问题并不完全相同。而且当问题相似时，我们用以解决这些问题的伦理原则很可能大不相同。为了开始论证认真对待医院伦理的必要性，我简要审视两条为人熟知的个别医患伦理原则，它们在医院环境中看起来不同，或者应该看起来不同。然后我将讨论伦理委员会——医院伦理得以实践的最重要方式之一。
