要点：患者对治疗的掌控至关重要。
Point: patient control of treatment is essential.
作者信息
Brady T J
出版信息
Arthritis Care Res. 1990 Sep;3(3):163-6.
Who is in control of treatment is an issue clinicians address on a daily basis. This represents an ethical dilemma, which sets the principle of autonomy in direct conflict with the principle of beneficence. This article advocates giving autonomy precedence over beneficence to achieve patient control of treatment. Patient control of treatment is essential in chronic disease because the patient is the expert in his or her own goals and values, the sick role is inappropriate in chronic disease and may have devastating emotional consequences, and in actuality the patient is the health care provider.
谁掌控治疗是临床医生每天都要面对的问题。这是一个伦理困境，它使自主原则与行善原则直接冲突。本文主张将自主置于行善之前，以实现患者对治疗的掌控。在慢性病中，患者对治疗的掌控至关重要，因为患者是自身目标和价值观方面的专家，患病角色在慢性病中并不合适且可能产生毁灭性的情感后果，而实际上患者就是医疗服务提供者。
Zotero 插件