McCoy Matthew
Life University, Marietta, Georgia 30060, USA.
J Altern Complement Med. 2008 Jul;14(6):785-92. doi: 10.1089/acm.2007.0803.
Patients are increasingly questioning their relationships with their doctors during a time when use of alternative health care approaches is rising, paternalistic models of health care are waning, and police powers related to health care are expanding. Focusing on the topics of mandatory vaccination and forced medical treatment of children with cancer, this paper reviews issues related to autonomy, informed consent, medical paternalism, forced medical treatment, the police powers of the state, and related legal issues. Based upon this review, it becomes clear that the fight over personal autonomy and paternalism in health care is far from over.
在替代医疗保健方法的使用不断增加、家长式医疗保健模式逐渐衰落以及与医疗保健相关的警察权力不断扩大的时代,患者越来越多地质疑他们与医生的关系。本文聚焦于强制接种疫苗和对癌症患儿进行强制医疗的话题,回顾了与自主权、知情同意、医疗家长主义、强制医疗、国家警察权力以及相关法律问题有关的事项。基于这一回顾,很明显,医疗保健领域中关于个人自主权和家长主义的斗争远未结束。