Pérez Marta L, Rancich Ana M, Gelpi Ricardo J
Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina.
Rev Assoc Med Bras (1992). 2004 Jul-Sep;50(3):338-43. doi: 10.1590/s0104-42302004000300045. Epub 2004 Oct 21.
to determine if Medical Oaths from different times include the statement of the physician to request from patients a fair retribution for his/her medical services.
Fifty Medical Oaths found in articles and publications were analyzed. In accordance with their corresponding dates, the Oaths were grouped as ancient /medieval (12), and modern/contemporary (38).
Of the fifty, only three specifically included the statement of fair retribution. Two of the three were medieval and belonged to the School of Medicine of Montpellier. The other text was modern (Amato Lusitano's Oath). Four writings showed statements regarding medical assistance to the poor. Eleven pledges indirectly stated that no earnings from other activities and/or relations were obtained.
Ancient oaths emphasize fair retribution, no discrimination in medical assistance based on payment possibilities, and gain of honest earnings. Modern oaths generally do not include these topics and very few mention that the medical profession should not be exercised merely for material purposes. Despite the above, physicians should respect the limits of their obligations and should be committed to assist without discriminating, particularly without taking into consideration their patient's financial possibilities. Therefore their fees should not be excessive for the services rendered.
确定不同时期的医学誓言是否包含医生要求患者为其医疗服务给予合理报酬的声明。
对文章和出版物中发现的五十份医学誓言进行分析。根据其相应日期，这些誓言被分为古代/中世纪（12份）和现代/当代（38份）。
在这五十份誓言中，只有三份特别包含了合理报酬的声明。其中两份是中世纪的，属于蒙彼利埃医学院。另一份文本是现代的（阿马托·卢西塔诺的誓言）。四份文献显示了关于对穷人医疗援助的声明。十一份誓言间接表明没有从其他活动和/或关系中获得收益。
古代誓言强调合理报酬、不因支付能力而在医疗援助中存在歧视以及获得诚实收入。现代誓言通常不包括这些主题，很少提及医学职业不应仅仅出于物质目的而践行。尽管如此，医生应尊重其义务的限度，应致力于无差别地提供帮助，特别是不考虑患者的经济状况。因此，他们收取的费用不应与其提供的服务不成比例。
