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《意大利医学职业道德准则》。历史、伦理与法律问题。

The Italian Code of Medical Deontology. Historical, ethical and legal issues.

作者信息

Patuzzo Sara, De Stefano Francesco, Ciliberti Rosagemma

机构信息

.

出版信息

Acta Biomed. 2018 Jun 15;89(2):157-164. doi: 10.23750/abm.v89i2.6674.

Abstract

BACKGROUND AND AIM

Medical deontology is increasingly important, owing to the interests and rights which the medical profession involves. This paper focuses on the relationships of the Italian Code of Medical Deontology (CMD) with both the ethical and legal dimensions, in order to clarify the role of medical ethics within the medical profession, society and the overall system of the sources of law.

METHODS

The authors analyze the CMD from an ethical perspective and through the new doctrinal guidelines and current trends in the Italian law courts.

RESULTS

From an ethical point of view,  moral philosophical analysis scarcely seems to  address professional medical ethics. Nonetheless, the CMD needs to undergo careful ethical analysis. From a legal perspective, the Italian CMD contains provisions which do not have  an official legal nature. However, they are directly binding for medical practitioners, and therefore could be understood as a supplement to the general rules of the legal system.

CONCLUSIONS

At an ethical level, rigorous debate on the CMD is indispensable, in order to update its specific principles and to make it a real moral normative document. At a legislative level, there is a possible contradiction between a legal system that does not take into account the CMD, but which then attributes significant importance to the violation of its rules.

摘要

背景与目的

由于医学职业涉及的利益和权利,医学道义论日益重要。本文着重探讨意大利医学道义法典(CMD)与伦理和法律层面的关系,以阐明医学伦理在医学职业、社会及整个法律渊源体系中的作用。

方法

作者从伦理角度并通过意大利法院的新学说指南和当前趋势对CMD进行分析。

结果

从伦理角度看,道德哲学分析似乎很少涉及医学职业道德伦理。尽管如此,CMD仍需进行仔细的伦理分析。从法律角度看,意大利CMD包含一些不具有官方法律性质的规定。然而,它们对执业医师具有直接约束力,因此可被理解为法律体系一般规则的补充。

结论

在伦理层面,对CMD进行严格辩论必不可少,以便更新其具体原则并使其成为真正的道德规范性文件。在立法层面,一个不考虑CMD但却高度重视违反其规则行为的法律体系可能存在矛盾。

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