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《希波克拉底誓言》与当代医学伦理道德价值观的相关性。第二部分:从当今视角解读《希波克拉底誓言》

The relevance of the Hippocratic Oath to the ethical and moral values of contemporary medicine. Part II: interpretation of the Hippocratic Oath-today's perspective.

作者信息

Askitopoulou Helen, Vgontzas Antonis N

机构信息

Professor Emeritus of Anaesthesiology, School of Medicine, University of Crete, 31 Stefanou Nikolaidi Str, 71305, Heraklion, Greece.

Supreme Court, Athens, Greece.

出版信息

Eur Spine J. 2018 Jul;27(7):1491-1500. doi: 10.1007/s00586-018-5615-z. Epub 2018 May 21.

Abstract

This is the second part of a paper on the relevance and significance of the Hippocratic Oath to modern medical ethical and moral values with the aim at answering questions on controversial issues related to the Oath. Part I argued that the general attributes and ethical values of the Oath are relevant to the modern world. Part II attempts to elucidate the interpretation of the specific injunctions of the Oath from today's perspective in relation to ethical values concerning the duties of physicians to patients and society. The objective is to prove that the Oath has established the general context of medical ethics of the physician-patient relationship, which reflects long-lasting moral values that still define the medical profession. The Oath has exemplified the fundamental modern ethical principles of beneficence, non-maleficence and confidentiality. Its foremost message focuses on patients' best interests and not on the prohibition of surgery, euthanasia or abortion, as is generally believed. Furthermore, the Oath as a code of professional identity has had a powerful impact on modem judicial opinions regarding medical ethics. In a lot of ways, it is as relevant of the values of contemporary medicine as it was for ancient medicine. These slides can be retrieved under Electronic Supplementary Material.

摘要

这是一篇关于《希波克拉底誓言》与现代医学伦理道德价值观的相关性及重要性的论文的第二部分,旨在回答与该誓言相关的争议性问题。第一部分认为,誓言的一般属性和伦理价值与现代世界相关。第二部分试图从当今视角阐明对誓言具体禁令的解读,涉及医生对患者和社会的职责的伦理价值。目的是证明该誓言确立了医患关系医学伦理的总体框架,它反映了仍然界定医学职业的持久道德价值观。该誓言例证了现代基本伦理原则,即行善、不伤害和保密。其首要信息聚焦于患者的最大利益,而非如普遍认为的那样侧重于禁止手术、安乐死或堕胎。此外,作为职业身份准则的誓言对现代关于医学伦理的司法意见产生了强大影响。在很多方面,它与当代医学价值观的相关性与古代医学时一样。这些幻灯片可在电子补充材料中获取。

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