Sessums Laura L, Collen Jacob F, O'Malley Patrick G, Jackson Jeffery L, Roy Michael J
Department of Medicine, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307, USA.
Mil Med. 2009 May;174(5):441-7. doi: 10.7205/milmed-d-01-5208.
The Global War on Terrorism brings significant ethical challenges for military physicians. From Abu Ghraib to Guantanamo Bay, the actions of health care providers have come under considerable scrutiny. Military providers have dual roles as military officers and medical professionals, which have the potential to come into conflict. Often they are inadequately prepared to manage this conflict. We review pertinent historical precedents, applicable laws, ethical guidelines, and military regulations. We also present examples of ethical challenges deployed clinicians have faced and their ethical solution. Finally, we propose a practical strategy to educate physicians on how to manage complex ethical dilemmas in war time settings.
全球反恐战争给军队医生带来了重大的伦理挑战。从阿布格莱布监狱到关塔那摩湾，医护人员的行为受到了相当严格的审查。军队医护人员兼具军官和医疗专业人员的双重角色，这两种角色有可能产生冲突。他们往往没有充分准备好应对这种冲突。我们回顾了相关的历史先例、适用法律、伦理准则和军事法规。我们还列举了 deployed clinicians 所面临的伦理挑战及其伦理解决方案的例子。最后，我们提出了一项切实可行的策略，以教育医生如何在战时环境中处理复杂的伦理困境。 （注：原文中“deployed clinicians”不太明确准确意思，这里按原文翻译存疑）
