Department of Philosophy, Macquarie University, North Ryde, NSW 2109, Australia.
J Med Ethics. 2012 Jan;38(1):9-12. doi: 10.1136/jme.2010.042150. Epub 2011 Jun 22.
Innovative surgery raises four kinds of ethical challenges: potential harms to patients; compromised informed consent; unfair allocation of healthcare resources; and conflicts of interest. Lack of adequate data on innovations and lack of regulatory oversight contribute to these ethical challenges. In this paper these issues and the extent to which problems may be resolved by better evidence-gathering and more comprehensive regulation are explored. It is suggested that some ethical issues will be more resistant to resolution than others, owing to special features of both surgery and innovation.
可能对患者造成的伤害;患者知情同意权受损;医疗资源分配不公;以及利益冲突。创新技术缺乏足够的数据和监管监督导致了这些伦理问题。本文探讨了这些问题以及通过更好地收集证据和更全面的监管来解决这些问题的程度。由于手术和创新的特殊性质,一些伦理问题可能更难解决。