Devaney Sarah, Holm Søren
School of Law, Centre for Social Ethics and Policy; University of Manchester, UK.
Med Law Rev. 2018 May 1;26(2):202-224. doi: 10.1093/medlaw/fwy013.
This article critically considers the question of whether an increase in legal recognition of patient autonomy culminating in the decision of the Supreme Court in Montgomery v Lanarkshire Health Board in 2015 has led to the death of deference to doctors, not only within the courts and healthcare regulatory arenas in England and Wales but also in the consulting room and the health care system more broadly. We argue that deference has not been eradicated, but that the types of deference paid to doctors and to the medical profession have changed. In addition, whilst traditionally deference was extended towards the medical profession, increasing instances of deference being shown to other parties in the healthcare setting can be identified, allowing wider debate or recognition of the complexity of understandings, interests and aims of all those involved. Finally, we note instances in which deference to the medical profession has become more hidden.
对患者自主权法律认可的增加，最终导致2015年最高法院在“蒙哥马利诉拉纳克郡医疗委员会案”中的裁决，是否不仅在英格兰和威尔士的法院及医疗监管领域，而且在更广泛的诊疗室和医疗系统中，导致了对医生尊重的消亡。我们认为，尊重并未被根除，只是给予医生和医疗行业的尊重类型发生了变化。此外，虽然传统上尊重是给予医疗行业的，但在医疗环境中对其他各方表现出尊重的情况越来越多，这使得人们能够更广泛地讨论或认识到所有相关方的理解、利益和目标的复杂性。最后，我们注意到对医疗行业的尊重在某些情况下变得更加隐蔽。
