Young Michael, Wagner Angela
Marian University
Marian University College of OM
Determining the ethical nature of an individual's actions within a specific society is primarily contingent on the prevailing standards of morality at the broadest level of that society. Consequently, the most appropriate action when making an ethical decision is to consider the overarching and enduring principles that influence society the most. Three significant physician associations in the United States and Canada have issued medical ethics guidelines applicable to various medical specialties: The American Medical Association (American Medical Association Council on Ethical and Judicial Affairs. . American Medical Association; 2017). The American Osteopathic Association (American Osteopathic Association. AOA's Code of Ethics. 2016. Accessed November 4, 2023). The American College of Physicians.[1]. The American Medical Association (AMA) code, established in 1847 and officially published 1 year later, marked the world's inaugural medical code of ethics designed to be universally applicable to all physicians nationally.[1] The contemporary version of the AMA code delineates a hierarchical framework for the appropriateness of actions and the levels of obligation, employing terms such as "must," "should," and "may" (American Medical Association Council on Ethical and Judicial Affairs. . American Medical Association; 2017). Based on their respective fields, not all healthcare professionals must uphold the policies in the AMA code, and the existing ethics codes fail to encompass all situations routinely encountered by clinicians. Due to the absence of globally definitive ethical standards and algorithms, healthcare professionals often confront uncertainty when grappling with ethical dilemmas involving themselves, their patients, and other stakeholders. A pressing need exists for comprehensive resources to assist all clinicians in discerning the most ethical courses of action.
在特定社会中确定个人行为的道德性质,主要取决于该社会最广泛层面上普遍流行的道德标准。因此,在做出道德决策时,最合适的做法是考虑对社会影响最大的总体性和持久性原则。美国和加拿大的三个重要医师协会发布了适用于各个医学专业的医学伦理准则:美国医学协会(美国医学协会伦理与司法事务委员会……美国医学协会;2017年)。美国骨科协会(美国骨科协会;2016年。https://osteopathic.org/about/leadership/aoa-governance-documents/code-of-ethics/。访问时间:2023年11月4日)。美国医师协会[1]。美国医学协会(AMA)的准则于1847年制定,并于1年后正式发布,是世界上首个旨在全国范围内普遍适用于所有医生的医学伦理准则[1]。AMA准则的当代版本描绘了一个关于行为适当性和义务层级的框架,使用了“必须”“应该”和“可以”等术语(美国医学协会伦理与司法事务委员会……美国医学协会;2017年)。基于各自领域的不同,并非所有医疗保健专业人员都必须遵守AMA准则中的政策,而且现有的伦理准则未能涵盖临床医生日常遇到的所有情况。由于缺乏全球明确的伦理标准和算法,医疗保健专业人员在处理涉及自身、患者和其他利益相关者的伦理困境时常常面临不确定性。迫切需要全面的资源来帮助所有临床医生辨别最符合伦理的行动方案。