Foster Charles, Miola José
Green Templeton College, University of Oxford, Oxford, UK.
School of Law, University of Leicester, University Road, Leicester LE1 7RH, UK
Med Law Rev. 2015 Fall;23(4):505-30. doi: 10.1093/medlaw/fwv004. Epub 2015 Mar 9.
Medical law inevitably involves decision-making, but the types of decisions that need to be made vary in nature, from those that are purely technical to others that contain an inherent ethical content. In this paper we identify the different types of decisions that need to be made, and explore whether the law, the medical profession, or the individual doctor is best placed to make them. We also argue that the law has failed in its duty to create a coherent foundation from which such decision-making might properly be regulated, and this has resulted in a haphazard legal framework that contains no consistency. We continue by examining various medico-legal topics in relation to these issues before ending by considering the risk of demoralisation.
医疗法不可避免地涉及决策,但需要做出的决策类型在性质上各不相同,从纯粹技术性的决策到包含内在伦理内容的其他决策。在本文中,我们确定了需要做出的不同类型的决策,并探讨法律、医疗行业或个体医生中哪一方最适合做出这些决策。我们还认为,法律未能履行其职责,未能创建一个连贯的基础来恰当地规范此类决策,这导致了一个杂乱无章、缺乏一致性的法律框架。我们接着研究与这些问题相关的各种医疗法律主题,最后考虑士气低落的风险。