Ethics Center and Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio;
Departments of Pediatric and Adolescent Medicine, and Palliative Care Fellow, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts; Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Center for Bioethics, University of Minnesota, Minneapolis, Minnesota;
Pediatrics. 2015 May;135(5):918-23. doi: 10.1542/peds.2013-4044. Epub 2015 Apr 6.
A central principle of justice is that similar cases should be decided in similar ways. In pediatrics, however, there are cases in which 2 infants have similar diagnoses and prognoses, but their parents request different treatments. In this Ethics Rounds, we present such a situation that occurred in a single NICU. Three physician-ethicists analyze the issues.
公正的一个基本原则是类似案件应该以类似的方式裁决。然而,在儿科领域,存在这样的情况:2 名婴儿具有相似的诊断和预后,但他们的父母却要求不同的治疗。在本期伦理查房中,我们呈现了发生在单个新生儿重症监护病房(NICU)中的这样一个案例。3 位医师伦理学家对该案例涉及的问题进行了分析。