Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX.
Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX.
Chest. 2011 Feb;139(2):424-429. doi: 10.1378/chest.10-0605.
Many physicians struggle to strike an acceptable balance between respecting patient autonomy and guiding patients' decisions toward what is in their best interests based on their expressed values and long-term goals. Over the past 40 years, the ethical principle of respect for autonomy has gained primacy in Western medicine, but judgments about the appropriate dose of influence on patient decisions have been clouded by misconceptions about patient autonomy. In this article, we consider three such misconceptions with the goal of helping physicians to optimally promote their patients' interests.
许多医生在尊重患者自主权和根据患者表达的价值观和长期目标引导患者做出符合其最佳利益的决策之间，努力寻求一个可接受的平衡。在过去的 40 年中，尊重自主权的伦理原则在西方医学中占据了首要地位，但对于影响患者决策的适当程度的判断却因对患者自主权的误解而变得模糊不清。本文考虑了其中三个误解，旨在帮助医生更好地促进患者的利益。
