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从伦理角度看健康保护

[Health protection from an ethical point of view].

作者信息

Kreb Hartmut

机构信息

Universität Bonn, Bonn, BRD.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2008 Aug;51(8):809-17. doi: 10.1007/s00103-008-0600-z.

Abstract

Illness and health are terms open to interpretation. Their meaning depends on cultural backgrounds, societal designations and historical change. During the modern era, having been shaped by natural sciences, knowledge in medicine has grown exponentially. However, critical voices warn of a medicalization of the image of humanity or an "absolutization" of health. They emphasize that limits must be set to medical progress. In return it has to be highlighted that contemporary medicine has opened up new chances of therapy, prevention and palliative treatment (pain relief), which could not be applied previously. As a result, it is the responsibility of medicine to make available the highest possible measure of progress to patients. The medical profession is confronted with the task of supporting patients in their right to self-determination and their decision competence. For the individual human being, health is a fundamental good. Therefore, each human individual has the right to health protection and medical care which correspond to the latest medical knowledge available. By now, this right has been acknowledged by human rights conventions and numerous legal documents. From an ethical point of view, health protection has to be interpreted as 1) the right to defense, 2) the right to claim and 3) the patient's right to participate. It falls to medical ethics to substantiate the meaning of health protection for the different spheres of medical activity.

摘要

疾病与健康是易于阐释的术语。它们的含义取决于文化背景、社会界定和历史变迁。在现代,受自然科学影响,医学知识呈指数级增长。然而,批评之声警告说,人类形象存在医学化现象或健康被“绝对化”。他们强调必须对医学进步加以限制。反过来必须强调的是,当代医学开辟了新的治疗、预防和姑息治疗(缓解疼痛)机会,而这些机会以前无法应用。因此,医学有责任为患者提供尽可能高程度的进步。医学专业面临着支持患者自我决定权和决策能力的任务。对个体而言,健康是一项基本福祉。因此,每个人都有权获得与现有最新医学知识相符的健康保护和医疗护理。如今,这项权利已得到人权公约和众多法律文件的认可。从伦理角度看,健康保护必须被解释为:1)防御权,2)索赔权,3)患者参与权。阐明健康保护在不同医学活动领域的意义是医学伦理学的职责。

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