NYU Winthrop Hospital.
Am J Bioeth. 2020 Feb;20(2):44-48. doi: 10.1080/15265161.2019.1701732.
Incapacitated adult patients are commonly divided into two groups for purposes of decision making; those with a surrogate and those without. Respectively, these groups are often referred to as represented and unrepresented, and the relative ethics of decision making between them raises two particular issues. The first issue involves the differential application of the best interests standard between groups. Second is the prevailing notion that representedness and unrepresentedness are categorical phenomena, though it is more aptly understood as a multidimensional and continuous variable based on relational moral authority. This paper examines the nature of representedness as it relates to ethical norms of surrogate decision making.
对于决策目的，无行为能力的成年患者通常被分为两组：有代理人的和没有代理人的。分别来说，这两组通常被称为有代表的和无代表的，而两组之间的决策相对伦理提出了两个特别的问题。第一个问题涉及最佳利益标准在组间的不同应用。其次是代表和无代表是分类现象的普遍观念，尽管基于关系道德权威，它更恰当地被理解为一个多维和连续的变量。本文考察了代理决策的伦理规范中代表性的本质。
