English Dan C
Georgetown University, Washington, DC, USA.
J Med Philos. 2005 Apr;30(2):139-52. doi: 10.1080/03605310590926821.
After a unilateral focus on medical professional obligations to patients in most of the 20th century, there is a growing, if modest, interest in patient responsibility. This article critiques some public assertions, explores the ethics literature, and attempts to find some consensus and moral grounds for positions taken on the question, "Does a patient have moral obligations in the process of interactions with medical and other professional caregivers?" There is widespread agreement on a few responsibilities, such as "truth telling" and "avoiding harm to others," but no apparent consensus either on the list of duties or on the appropriate justification for such duties. The context and clinical realities of patient interactions are noted to suggest that feasibility is important in making judgments of patient obligations.
在20世纪的大部分时间里，人们单方面关注医疗专业人员对患者的义务，如今，对患者责任的兴趣正在不断增长，尽管规模不大。本文对一些公开主张进行了批判，探讨了伦理文献，并试图就“患者在与医疗及其他专业护理人员互动的过程中是否负有道德义务？”这一问题所采取的立场找到一些共识和道德依据。对于一些责任，比如“讲真话”和“避免伤害他人”，人们有着广泛的共识，但在责任清单或这些责任的恰当理由方面，却没有明显的共识。文中指出了患者互动的背景和临床现实，以表明在判断患者义务时，可行性很重要。
