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兽医学中的知情同意:对该职业及动物“患者”的伦理意义。

Informed consent in veterinary medicine: Ethical implications for the profession and the animal 'patient'.

作者信息

Ashall Vanessa, Millar Kate, Hobson-West Pru

机构信息

Centre for Applied Bioethics, School of Veterinary Medicine and Science, University of Nottingham, UK.

出版信息

Food Ethics. 2018 Mar;1(3):247-258. doi: 10.1007/s41055-017-0016-2. Epub 2017 Aug 21.

Abstract

Informed consent processes are a vital component of both human and veterinary medicine. Current practice encourages veterinarians to learn from insights in the human medical field about how best to achieve valid consent. However, drawing on published literature in veterinary and medical ethics, this paper identifies considerable differences between the of veterinary and human medical consent. Crucially, it is argued that the legal status of animal patients as 'property' has implications for the ethical role of veterinary informed consent and the protection of the animal 'patient'. It is suggested that veterinary informed consent should be viewed as an ethical pivot point where the multiple responsibilities of a veterinary professional converge. In practice, balancing these responsibilities creates considerable ethical challenges. As an example, the paper discusses the renewed call for UK veterinarians to make animal welfare their first priority; we predict that this imperative may increasingly cause veterinary informed consent to become an ethical pressure point due to tensions caused by the often conflicting interests of animals, owners and the veterinary profession. In conclusion, the paper argues that whilst gaining informed consent can often be presented as a robust ethical justification in human medicine, the same cannot be said in veterinary medicine. If the veterinary profession wish to prioritise animal welfare, there is an urgent need to re-evaluate the nature of authority gained through owner informed consent and to consider whether animal patients might need to be better protected outside the consent process in certain circumstances.

摘要

知情同意程序是人类医学和兽医学的重要组成部分。当前的实践鼓励兽医借鉴人类医学领域的见解,以了解如何最好地获得有效的同意。然而,通过参考兽医和医学伦理学的已发表文献,本文指出了兽医和人类医学同意方面存在的显著差异。至关重要的是,有人认为动物患者作为“财产”的法律地位对兽医知情同意的伦理作用以及动物“患者”的保护具有影响。有人建议,兽医知情同意应被视为兽医专业人员多重责任汇聚的伦理关键点。在实践中,平衡这些责任会带来相当大的伦理挑战。例如,本文讨论了英国兽医再次呼吁将动物福利作为首要任务;我们预测,由于动物、主人和兽医行业利益常常相互冲突所引发的紧张关系,这一要求可能会越来越多地使兽医知情同意成为一个伦理压力点。总之,本文认为,虽然在人类医学中获得知情同意通常可以作为一个有力的伦理依据,但在兽医学中情况并非如此。如果兽医行业希望优先考虑动物福利,就迫切需要重新评估通过主人知情同意所获得的权威的性质,并考虑在某些情况下,动物患者在同意程序之外是否需要得到更好的保护。

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