Dunphy K P
West Hertfordshire Sexual Health Directorate, West Hertfordshire Hospitals NHS Trust, Watford Sexual Health Centre, Watford General Hospital, Watford, UK.
Int J STD AIDS. 2011 May;22(5):281-5. doi: 10.1258/ijsa.2009.009373.
When treating contacts of patients with sexually transmitted infections (STIs), health professionals may face conflicting ethical imperatives. We surveyed middle grade doctors in genitourinary (GU) medicine and asked how they would manage a hypothetical clinical scenario. This was analysed on the basis of principles of respect for autonomy and beneficence/non-maleficence to assess how they weigh up duties of informed consent (autonomy of patient), partner confidentiality (autonomy of partner) and the need to achieve a good medical outcome. Responses indicated that the strategies that they employ in practice - what they actually say to patients (and what they leave unsaid) - balance the conflicting requirements of these ethical principles in quite different ways, some of which appear ethically problematic.
在治疗性传播感染（STIs）患者的接触者时，卫生专业人员可能会面临相互冲突的道德要求。我们对从事泌尿生殖医学的中级医生进行了调查，询问他们将如何处理一个假设的临床情景。根据尊重自主权和行善/不伤害原则对调查结果进行了分析，以评估他们如何权衡知情同意的责任（患者的自主权）、伴侣保密（伴侣的自主权）以及实现良好医疗结果的必要性。回复表明，他们在实际操作中采用的策略——他们对患者实际所说的话（以及未说出口的话）——以截然不同的方式平衡了这些道德原则相互冲突的要求，其中一些在伦理上似乎存在问题。
