Pfister Eliane
Institut für Biomedizinische Ethik, Universität Zürich, Zürich.
Ther Umsch. 2009 Aug;66(8):581-4. doi: 10.1024/0040-5930.66.8.581.
Initially ethical guidelines in medicine were aimed at protecting the interests of trial participants. Over the last years, however, helpful guidelines for ethical decision-making and for the treatment and care of patients have gained more and more importance in clinical practice. On behalf of the Central Ethics Committee (CEC) of the Swiss Academy of Medical Sciences (SAMS) a number of task force groups have elaborated useful ethical guidelines for clinical practice and biomedical research. The ethical guidelines issued by SAMS cannot provide precise instructions on how to act and decide in the individual case but they serve as decision-making aids in clinical practice and provide orientation in legally unregulated medical areas. Although not actually lawful, most of these guidelines are considered a binding obligation under the Rules of Professional Conduct.
最初，医学伦理准则旨在保护试验参与者的利益。然而，在过去几年中，有助于进行伦理决策以及患者治疗与护理的准则在临床实践中变得越来越重要。瑞士医学科学院（SAMS）中央伦理委员会（CEC）委托多个特别工作组制定了一些适用于临床实践和生物医学研究的实用伦理准则。SAMS发布的伦理准则无法就如何在个别案例中采取行动和做出决策提供精确指导，但它们在临床实践中可作为决策辅助工具，并在法律未规范的医学领域提供指导方向。尽管这些准则实际上并非法律规定，但根据《职业行为规则》，其中大多数被视为具有约束力的义务。
