Gilbar Roy, Miola José
Netanya Academic College and University of Leicester, Leicester, UK.
University of Leicester.
Med Law Rev. 2015 Summer;23(3):375-99. doi: 10.1093/medlaw/fwu032. Epub 2014 Dec 16.
While both medical law and medical ethics have developed in a way that has sought to prioritise patient autonomy, it is less clear whether it has done so in a way that enhances the self-determination of patients from non-western backgrounds. In this article, we consider the desire of some patients from non-western backgrounds for family involvement in decision-making and argue that this desire is not catered for effectively in either medical law or medical ethics. We examine an alternative approach based on relational autonomy that might serve both to allow such patients to exercise their self-determination while still allowing them to include family members in the decision-making process.
虽然医疗法律和医学伦理的发展都力求将患者自主权置于优先地位，但尚不清楚其是否以增强非西方背景患者的自我决定权的方式做到这一点。在本文中，我们考虑了一些非西方背景患者希望家人参与决策的愿望，并认为医疗法律和医学伦理都未能有效满足这一愿望。我们研究了一种基于关系自主性的替代方法，这种方法可能既有助于让此类患者行使其自我决定权，同时仍允许他们让家庭成员参与决策过程。
