Mackenzie C Ronald
NEW YORK, NEW YORK.
Trans Am Clin Climatol Assoc. 2017;128:75-82.
Whether a reaction to events in the clinical arena, a consequence of technological innovation, or the legitimization of the marked ethos in health care, the field of medical ethics has become a complex domain in our time. Indeed, the ubiquity of ethical dilemmas in the provision of health care is well documented with more than 99% of primary care physicians reporting ethical problems arising in the conduct of their practices (1-3). Although commentary relating to this domain has most often originated in the primary care setting, hospital-based medicine and its ethics committees are another fertile source, as is medical research. Yet when one examines subspecialty medicine, a remarkable dearth of analysis and discourse pertaining to medical ethics emerges. This discussion is an attempt to address this deficit, at least as it pertains to one subspecialty: rheumatology. Leading with a brief overview of medical ethics , perceptions concerning the ethical challenges arising in current rheumatic disease practice will be presented, hopefully enhancing awareness and sensitivity to the ethical challenges arising in modern day medical practice.
无论是对临床领域事件的反应、技术创新的结果，还是医疗保健中显著伦理观念的合法化，医学伦理领域在我们这个时代已成为一个复杂的领域。事实上，医疗保健提供过程中伦理困境的普遍存在有充分记录，超过99%的初级保健医生报告在其执业过程中出现伦理问题（1 - 3）。尽管关于这一领域的评论大多源于初级保健环境，但基于医院的医学及其伦理委员会是另一个丰富的来源，医学研究也是如此。然而，当审视专科医学时，与医学伦理相关的分析和论述明显匮乏。本讨论旨在解决这一不足，至少针对一个专科：风湿病学。首先简要概述医学伦理，然后将阐述对当前风湿病实践中出现的伦理挑战的看法，希望能提高对现代医疗实践中伦理挑战的认识和敏感度。
