Nagel G A
Schweiz Rundsch Med Prax. 1992 Oct 27;81(44):1332-8.
Difficult moral concerns and choices are a characteristic of palliative cancer medicine. Problems in patient information, palliative chemotherapy, treatment with unconventional remedies and clinical drug development are given as examples. The physician-scientist as member of a clinical cancer research institution particularly faces ethically troublesome situations. It is argued that next to the acquisition of bioethical competence by 'doing' staff, members working in scientific and medical frontiers should specifically be trained to identify, analyse and resolve ethical dilemmas. In conclusion, a biomedical ethics programme is presented which will be instituted at a new cancer center, comprising the establishment of a humanities research group, ethical liaison, consultation and information services as well as a system of inhouse bioethical quality control.
棘手的道德问题和抉择是癌症姑息治疗医学的一个特点。文中列举了患者信息、姑息化疗、使用非常规疗法治疗以及临床药物研发等方面的问题。作为临床癌症研究机构成员的医生兼科学家尤其面临道德上棘手的情况。有人认为，除了通过“实践”让工作人员获得生物伦理能力外，还应专门培训在科学和医学前沿工作的人员，以识别、分析和解决伦理困境。总之，本文介绍了一个生物医学伦理项目，该项目将在一个新的癌症中心设立，包括建立一个人文研究小组、伦理联络、咨询和信息服务以及内部生物伦理质量控制体系。
