Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, USA.
Int J Gynaecol Obstet. 2011 Apr;113(1):25-7. doi: 10.1016/j.ijgo.2010.10.022. Epub 2011 Jan 17.
Ethical decision making in women's health presents a series of unique challenges that are exacerbated considerably in under-resourced settings. Severe constraints on both autonomy and resources highlight limitations of principle-based ethics for addressing ethical dilemmas. Other useful ethical "tools" are considered in the context of 2 cases that emphasize the challenges to ethical decision making in under-resourced settings. The cases confront traditional notions of patient autonomy, highlight pervasive issues with regard to allocation of resources, and demonstrate the difficulties encountered in the careful application of medical ethics.
在妇女健康领域进行伦理决策会带来一系列独特的挑战，而在资源匮乏的环境中，这些挑战会更加严重。自主权和资源都受到严重限制，这凸显了基于原则的伦理学在解决伦理困境方面的局限性。在两个案例中考虑了其他有用的伦理“工具”，这两个案例强调了资源匮乏环境下进行伦理决策所面临的挑战。这些案例挑战了传统的患者自主权观念，突出了资源分配方面普遍存在的问题，并展示了在仔细应用医学伦理学方面所遇到的困难。
