Svensson T, Sandlund M
Unit for Planning and Development, City Health Center, Eskilstuna, Sweden.
Scand J Soc Med. 1990 Dec;18(4):275-80. doi: 10.1177/140349489001800408.
Today different issues of medical ethics are in focus of the debate. A theoretical sequence starting at a "prepathogenic" level, ending in terminal care, is delineated to clarify the different characteristics of medical interventions. In this article we will discuss some ethical problems concerning interventions in the first parts of this sequence. Preventive measures at the population level are contrasted to the situation when the patient feels ill and calls for an intervention. Certain elements of paternalism are often interwoven in preventive medicine and health promotion.-The field of preventive medicine calls for a vivid theoretical and ethical discussion, which can mean better opportunities for effective prevention.
如今，医学伦理的不同问题成为了辩论的焦点。我们勾勒出了一个从“病前”阶段开始、以临终关怀结束的理论序列，以阐明医疗干预的不同特征。在本文中，我们将讨论该序列前几个部分中有关干预措施的一些伦理问题。针对群体层面的预防措施与患者感觉不适并要求进行干预时的情况形成了对比。家长主义的某些因素常常交织在预防医学和健康促进领域。预防医学领域需要进行活跃的理论和伦理讨论，这可能意味着有更好的机会实现有效的预防。
