Curlin Farr A
Division of General Internal Medicine and MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, Illinois, USA.
Acad Med. 2008 Dec;83(12):1118-20. doi: 10.1097/ACM.0b013e31818c638c.
A growing literature on the religious characteristics of health care professionals raises questions about how clinicians' religious traditions and commitments shape their clinical practices. Because medicine is a moral practice, theological and philosophical ideas are operative in any self-conscious application of medical science. As such, disagreements about morally controversial medical interventions are likely to be particularly visible expressions of deeper disagreements about the means and ends of medicine. This commentary argues for systematic study of religion-associated variations in clinicians' clinical practices, and it proposes a framework for how that research might be carried out. Increased professional attention to the intersection of religion and the practice of medicine may enrich doctor-patient communication by stimulating physicians to be more self-conscious and candid about the intersection of their religious commitments and their practices. In addition, by raising such issues from beneath the surface of "evidence-based" or "patient-centered" medicine, such attention may foster policy solutions that permit peaceable and conscientious coexistence of those who disagree.
关于医疗保健专业人员宗教特征的文献日益增多，这引发了一些问题，即临床医生的宗教传统和信仰如何塑造他们的临床实践。由于医学是一种道德实践，神学和哲学观念在医学科学的任何自觉应用中都发挥着作用。因此，对于道德上有争议的医疗干预措施的分歧，很可能是关于医学手段和目的的更深层次分歧的特别明显的表现。这篇评论主张对临床医生临床实践中与宗教相关的差异进行系统研究，并提出了一个如何开展该研究的框架。专业上对宗教与医学实践交叉领域的更多关注，可能会通过促使医生更加自觉和坦诚地面对他们的宗教信仰与实践的交叉点，来丰富医患沟通。此外，通过将此类问题从“循证”或“以患者为中心”的医学表面之下提出来，这种关注可能会促成一些政策解决方案，使持不同意见者能够和平、自觉地共存。
