Lunde I M, Hafting M, Malterud K
Institut for Almen Medicin, Aarhus Universitet, Aarhus C.
Nord Med. 1990;105(10):275-6.
Health-promotion/disease-prevention may--despite the best intentions--have mischievous effects and overlooked ethical implications. This article describes some consequences of health promotion when initiated by the medical profession as medicalization of the modern human being, problems with false test-results, iatrogenic disease, and the risk of "victim blaming". The responsibility of the medical profession includes the well-being of healthy people as well as the actually or future sick. Therefore, health promotion has to be based on the values and informed consent of the healthy part of the population.
尽管初衷良好，但健康促进/疾病预防可能会产生有害影响并忽略伦理问题。本文描述了由医疗行业发起的健康促进作为现代人的医学化、假检测结果问题、医源性疾病以及“指责受害者”风险等方面的一些后果。医疗行业的责任包括健康人群以及当前或未来患者的福祉。因此，健康促进必须基于健康人群的价值观和知情同意。
