Horner J S
Preston Health Authority, Fulwood.
Public Health. 1992 May;106(3):185-92. doi: 10.1016/s0033-3506(05)80535-9.
The development of preventive medicine is reviewed from an historical perspective. In its third and current stage of development preventive medicine has become involved in the life cycle of individual diseases and this presents a number of ethical difficulties for doctors and not least those concerned with the public health. Some proposed responses are considered and rejected. It is concluded that participants should be given more detailed information about screening tests and that doctors are under an ethical obligation to consider with the utmost care any contra-indications to a particular vaccination or a screening procedure in an individual patient. Serious reservations are expressed about the ethics and scientific justification of some government preventive medicine programmes currently in operation or projected.
本文从历史角度回顾了预防医学的发展。在其发展的第三个也是当前阶段，预防医学已涉及到个体疾病的生命周期，这给医生带来了诸多伦理难题，尤其是那些从事公共卫生工作的医生。文中对一些提议的应对措施进行了考量并予以否定。结论是，应向参与者提供有关筛查测试的更详细信息，并且医生在伦理上有义务极其谨慎地考虑个体患者进行特定疫苗接种或筛查程序的任何禁忌症。对于目前正在实施或计划实施的一些政府预防医学项目的伦理和科学依据，人们表达了严重的保留意见。
