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卫生工作者之死令巴基斯坦医疗保健伦理陷入恐慌。

Sanitary Worker's Death Unnerves Pakistan's Health Care Ethics to the Core.

机构信息

Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.

Forensic Medicine Division, Department of Pathology, College of Medicine, King Fahd Hospital of the University, University of Dammam, Dammam, Saudi Arabia.

出版信息

Sci Eng Ethics. 2018 Oct;24(5):1611-1616. doi: 10.1007/s11948-017-9968-1. Epub 2017 Sep 12.

DOI:10.1007/s11948-017-9968-1
PMID:28900845
Abstract

Health care ethics is a sensitive domain, which if ignored, can lead to patient dissatisfaction, weakened doctor-patient interaction and episodes of violence. Little importance has been paid to medical ethics within undergraduate medical education in developing countries such as Pakistan. Three doctors in Pakistan are currently facing an official police complaint and arrest charges, following the death of a sanitary worker, who fell unconscious while cleaning a drain and was allegedly refused treatment as he was covered in sewage filth. The medical license of the doctors in question should be cancelled, if found guilty following a thorough investigation into the case. The 'right to life' has been universally assured by all moral, cultural and legal codes and no society can ever argue against the sacredness of a human life. It is quite clear that the aforesaid doctors' actions are not only against the core principles of the physicians' code, but also go against the doctrine of human rights. If serious efforts on an urgent basis are not made by the regulatory and governing bodies, one can definitely expect similar incidents for at least a few more decades before any noticeable change is seen.

摘要

医疗保健伦理是一个敏感的领域,如果忽视它,可能会导致患者不满、医患互动减弱和暴力事件发生。在巴基斯坦等发展中国家,本科医学教育中几乎没有重视医学伦理。巴基斯坦的三名医生目前面临警方的正式投诉和逮捕指控,起因是一名卫生工作者在清理排水沟时晕倒,据称他身上沾满了污水污物,因此被拒绝治疗。如果在对案件进行彻底调查后发现这些医生有罪,应吊销他们的行医执照。所有道德、文化和法律规范都普遍保证了“生命权”,没有任何社会可以反对人类生命的神圣性。很明显,上述医生的行为不仅违反了医生职业道德的核心原则,也违背了人权原则。如果监管和管理机构不紧急采取认真措施,那么在未来几十年内,人们肯定会看到类似的事件,至少在看到明显变化之前还会有类似的事件发生。

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本文引用的文献

1
Continuing Medical Education: A Cross Sectional Study on a Developing Country's Perspective.继续医学教育:发展中国家视角的横断面研究。
Sci Eng Ethics. 2018 Feb;24(1):251-260. doi: 10.1007/s11948-017-9900-8. Epub 2017 Mar 27.
2
Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal.尼泊尔资源匮乏地区住院医生和病房护士的医疗保健伦理知识、态度及实践情况
BMC Med Ethics. 2016 Nov 8;17(1):68. doi: 10.1186/s12910-016-0154-9.
3
Is clinician refusal to treat an emerging problem in injury compensation systems?
临床医生拒绝治疗是伤害赔偿系统中出现的问题吗?
BMJ Open. 2016 Jan 20;6(1):e009423. doi: 10.1136/bmjopen-2015-009423.
4
Basing Science Ethics on Respect for Human Dignity.基于对人类尊严尊重的科学伦理。
Sci Eng Ethics. 2016 Dec;22(6):1627-1647. doi: 10.1007/s11948-015-9731-4. Epub 2015 Nov 27.
5
Ethical violations in the clinical setting: the hidden curriculum learning experience of Pakistani nurses.临床环境中的道德违规行为:巴基斯坦护士的隐性课程学习经历
BMC Med Ethics. 2015 Mar 19;16:16. doi: 10.1186/s12910-015-0011-2.
6
Can a physician refuse to help a patient? American perspective.医生可以拒绝帮助患者吗?美国视角。
Pol Arch Med Wewn. 2008 Jun;118(6):368-72.
7
Human rights and medical ethics.人权与医学伦理。
J R Soc Med. 2005 Apr;98(4):171-3. doi: 10.1177/014107680509800412.
8
Health ethics in Pakistan: a literature review of its present state.巴基斯坦的健康伦理:对其现状的文献综述
J Health Popul Nutr. 2001 Mar;19(1):6-11.