当患者因医生的性别而不信任他们时，医生应如何应对？
How Should Physicians Respond When Patients Distrust Them Because of Their Gender?
作者信息
Peek Monica, Lo Bernard, Fernandez Alicia
机构信息
Associate professor in the Section of General Internal Medicine at the University of Chicago, and serves as director of research at the MacLean Center for Clinical Medical Ethics and executive medical director of community health innovation for University of Chicago Medicine, and Greenwall Foundation Faculty Scholar, the associate director of the Chicago Center for Diabetes Translation Research, and an inaugural faculty fellow of the Bucksbaum Institute for Clinical Excellence.
President of the Greenwall Foundation in New York, and a professor emeritus of medicine and director emeritus of the Program in Medical Ethics at the University of California, San Francisco.
出版信息
AMA J Ethics. 2017 Apr 1;19(4):332-339. doi: 10.1001/journalofethics.2017.19.4.ecas2-1704.
There are many reasons why gender-concordant care benefits patients and is requested by them. For training hospitals, however, such requests present challenges as well as opportunities in providing patient-centered care. Responding to a case in which a female patient who is having a routine exam refuses care from a male medical student, we discuss ethical principles involved in gender-concordant care requests, when it is appropriate to question such requests, and a team-based approach to responding to them.
性别匹配的医疗护理有益于患者并受到患者要求，其原因有很多。然而，对于教学医院而言，此类要求在提供以患者为中心的护理方面既带来了挑战，也带来了机遇。针对一名正在进行常规检查的女性患者拒绝接受男医学生护理的案例，我们讨论了性别匹配护理要求中涉及的伦理原则、何时适合质疑此类要求以及应对这些要求的团队协作方法。
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