Martínez León Mercedes, Rabadán Jiménez José
Comisión de Ética y Deontología del Colegio Oficial de Médicos de Valladolid, Área de Medicina Legal, Facultad de Medicina, Avda Ramón y Cajal 7, 47005-Valladolid.
Cuad Bioet. 2010 May-Aug;21(72):199-210.
The main objective of this paper is to highlight the numerous conflicts enters the consciousness and the laws are becoming more frequent health professionals in daily clinical practice. Clarify and define concepts such as ″conscientious objection for health professionals, to avoid confusion with other terms. This is work that aims to address the objection of conscience, not from the law but from the ethics and deontology, reviewing existing regulations both internationally and nationally. In addition to complete the studio, in a last part we discuss the state of the ″conscientious objection″ tars the recent passage of the organic law 2 / 2010, 3 march, sexual and reproductive health and the interruption of pregnancy. As a final conclusion we can say that ″conscientious objection″ is recognized in international declarations and even in the european constitution. in spain, the code of ethics and medical ethics, is one of the places where the objection of conscience of health professionals has great development for years, states that the doctor can refrain from the practice of certain professional acts such as abortion, in vitro fertilization or sterilization, if they are in contradiction with its ethical and scientific beliefs. Also recently, the general assembly of october 24, 2009, the central committee of ethics has made a declaration on ″conscientious objection″, insisting on its recognition. Finally, the organic law 2 / 2010, 3 march, sexual and reproductive health and the interruption of pregnancy, seems to be recognized ″the right to exercise conscientious objection″ of health professionals directly involved in the voluntary termination of pregnancy, after much discussion, but it is still early to assess the implementation of this right because, until july 5, 2010, will come into force this law, what will the future that we clarify the development of this important right for health professionals.
本文的主要目的是强调在日常临床实践中,众多冲突进入意识层面且此类法律在卫生专业人员中愈发频繁。阐明并界定诸如“卫生专业人员的良心拒斥”等概念,以避免与其他术语混淆。这项工作旨在从伦理和道义而非法律角度探讨良心拒斥,同时审视国际和国内的现有法规。除了完成此项研究,在最后一部分我们讨论了关于“良心拒斥”的状况,涉及近期3月2日通过的第2/2010号组织法,即性健康和生殖健康及妊娠中断相关内容。作为最终结论,我们可以说“良心拒斥”在国际宣言甚至欧洲宪法中都得到了认可。在西班牙,多年来职业道德和医学伦理准则一直是卫生专业人员良心拒斥有很大发展的领域之一,该准则规定,如果某些专业行为,如堕胎、体外受精或绝育与其伦理和科学信仰相矛盾,医生可以拒绝实施。同样,在2009年10月24日的大会上,伦理中央委员会就“良心拒斥”发表了一项声明,坚持对其予以认可。最后,3月2日通过的第2/2010号组织法,即性健康和生殖健康及妊娠中断相关内容,经过大量讨论后似乎直接认可了参与自愿终止妊娠的卫生专业人员“行使良心拒斥的权利”,但现在评估这项权利的实施情况还为时过早,因为直到2010年7月5日该法律才会生效,我们将在未来明确这项对卫生专业人员而言重要权利的发展情况。