Lazzarini Zita, Arons Stephen, Wisniewski Alice
Division of Medical Humanities, Health Law and Ethics, University of Connecticut School of Medicine, 263 Farmington Avenue, MC 6325, Farmington, CT 06030-6325, USA.
Palliat Support Care. 2006 Jun;4(2):145-53. doi: 10.1017/s1478951506060202.
The article explores the individual patient's right to refuse, withdraw, or insist on medical treatment where there is conflict over these issues involving health care personnel or institutions, family members, legal requirements, or third parties concerned with public policy or religious/ideological/political interests. Issues of physician assistance in dying and medical futility are considered. The basis and the current legal status of these rights is examined, and it is concluded that threats to the autonomy of patients, to the privacy of the doctor/patient relationship, and to the quality of medical care should be taken seriously by individuals, medical practitioners, and others concerned with developing and maintaining reasonable, effective, and ethical health care policy.
本文探讨了在涉及医护人员或机构、家庭成员、法律要求或关注公共政策或宗教/意识形态/政治利益的第三方就这些问题存在冲突的情况下，个体患者拒绝、撤回或坚持接受医疗治疗的权利。文中还考虑了医生协助死亡和医疗无效性的问题。审视了这些权利的依据和当前法律地位，并得出结论：个人、医疗从业者以及其他参与制定和维护合理、有效且符合伦理的医疗保健政策的相关方，都应认真对待对患者自主权、医患关系隐私以及医疗质量的威胁。
