Tobin J
St Bricins Military Hospital, Infirmary Rd, Dublin 7, Ireland.
J Med Ethics. 2005 Oct;31(10):571-4. doi: 10.1136/jme.2004.008839.
Medical Officers serving with their national contingents in peacekeeping operations are faced with difficult ethical decisions in regard to their obligations to the local civilian population. Such populations may be under-resourced in regard to medical care, and vulnerable to abuse and exploitation. Though the medical officer may support the local medical services, he/she should never undermine these resources. Adopting a human rights approach and observing the requirements of ethical medicine, aids the doctor in prioritising his/her duties. At times there may be conflict with one's own military superiors. It is wise to discuss potential difficulties prior to setting out on the mission. Human rights abuses cannot be ignored. The medical officer has a duty to do his/her best to report their observations so as to prevent abuse or to bring it to an end.
在维和行动中随本国特遣队服役的医务人员，在履行对当地平民的义务方面面临艰难的伦理决策。这些平民在医疗保健方面可能资源不足，容易受到虐待和剥削。尽管医务人员可能会支持当地医疗服务，但他/她绝不应破坏这些资源。采用人权方法并遵守医德要求，有助于医生确定其职责的优先顺序。有时可能会与自己的军事上级发生冲突。在出发执行任务之前讨论潜在困难是明智的。人权侵犯不能被忽视。医务人员有责任尽最大努力报告他们的观察结果，以防止虐待行为或使其终止。
