Benito Javier Jiménez, García Sonia Ester Rodríguez
Department of Ophthalmology, Hospital Universitario de Burgos, Avda. Islas Baleares 3, 09006, Burgos, Spain.
Department of Moral and Political Philosophy, Universidad Nacional de Educación a Distancia, Edificio de Humanidades, Senda del Rey, 7, 28040, Madrid, Spain.
Med Health Care Philos. 2016 Sep;19(3):443-53. doi: 10.1007/s11019-016-9700-y.
In this paper we analyze some of the major difficulties of informed consent (IC). We consider insufficient to base IC on the principle of autonomy. We must not forget that the patient may be in a situation of extreme vulnerability and the good doctor should assume a degree of commitment and responsibility with his/her decisions. Our aim is to introduce the ethics of responsibility of Levinas in practice and theory of IC in order to generate a beneficent medical practice in which the supervision and overseeing of the patient do not undermine his/her autonomy.
在本文中,我们分析了知情同意(IC)的一些主要难点。我们认为仅将知情同意建立在自主性原则之上是不够的。我们绝不能忘记,患者可能处于极度脆弱的境地,而优秀的医生应对自己的决策承担一定程度的义务和责任。我们的目的是将列维纳斯的责任伦理引入知情同意的实践和理论中,以产生一种有益的医疗实践,在这种实践中,对患者的监督不会损害其自主性。