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如何规范自服药物的权利。

How to Regulate the Right to Self-Medicate.

机构信息

University of Birmingham, Birmingham, UK.

出版信息

HEC Forum. 2022 Sep;34(3):233-255. doi: 10.1007/s10730-020-09415-7.

DOI:10.1007/s10730-020-09415-7
PMID:32494992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9338001/
Abstract

In Pharmaceutical Freedom Professor Flanigan argues we ought to grant people self-medication rights for the same reasons we respect people's right to give (or refuse to give) informed consent to treatment. Despite being the most comprehensive argument in favour of self-medication written to date, Flanigan's Pharmaceutical Freedom leaves a number of questions unanswered, making it unclear how the safe-guards Flanigan incorporates to protect people from harming themselves would work in practice. In this paper, I extend Professor Flanigan's account by discussing a hypothetical case to illustrate how these safe-guards could work together to protect people from harms caused by their own ignorance or incompetence.

摘要

在《医药自由》一书中,弗拉尼根教授认为,我们应该赋予人们自我用药的权利,原因与我们尊重人们有权(或拒绝)对治疗知情同意一样。尽管这是迄今为止为支持自我用药而撰写的最全面的论点,但弗拉尼根的《医药自由》仍有一些问题没有得到解答,不清楚弗拉尼根为保护人们免受自我伤害而纳入的安全措施在实践中如何运作。在本文中,我通过讨论一个假设案例来扩展弗拉尼根教授的论述,以说明这些安全措施如何共同发挥作用,保护人们免受自身无知或无能造成的伤害。

相似文献

1
How to Regulate the Right to Self-Medicate.如何规范自服药物的权利。
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2
On Flanigan's Pharmaceutical Freedom.论弗拉尼根的医药自由。
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The value of autonomy and the right to self-medication.自主性的价值和自我用药的权利。
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本文引用的文献

1
Autonomy, Competence and Non-interference.自主性、能力与不干涉。
HEC Forum. 2018 Sep;30(3):235-252. doi: 10.1007/s10730-017-9344-1.
2
The Idea of a "Standard View" of Informed Consent.知情同意“标准观点”的理念。
Am J Bioeth. 2017 Dec;17(12):1-2. doi: 10.1080/15265161.2017.1400334.
3
Negative decision outcomes are more common among people with lower decision-making competence: an item-level analysis of the Decision Outcome Inventory (DOI).负面决策结果在决策能力较低的人群中更为常见:决策结果量表(DOI)的项目层面分析。
Front Psychol. 2015 Apr 7;6:363. doi: 10.3389/fpsyg.2015.00363. eCollection 2015.
4
Against autonomy: justifying coercive paternalism.反对自主性:为强制性家长主义辩护。
J Med Ethics. 2014 May;40(5):349. doi: 10.1136/medethics-2013-101444. Epub 2013 Dec 12.
5
Improving health outcomes with better patient understanding and education.通过更好地了解和教育患者来改善健康结果。
Risk Manag Healthc Policy. 2010;3:61-72. doi: 10.2147/RMHP.S7500. Epub 2010 Oct 14.
6
Mental capacity at the margin: the interface between two acts.边际心理容量:两种行为之间的界面。
Med Law Rev. 2010 Winter;18(1):56-77. doi: 10.1093/medlaw/fwp027. Epub 2010 Feb 11.
7
Patient-centered care: it's about time.以患者为中心的护理:是时候了。
Am J Pharm Educ. 2009 Aug 28;73(5):91. doi: 10.5688/aj730591.
8
Clinical practice. Assessment of patients' competence to consent to treatment.临床实践。评估患者对治疗的同意能力。
N Engl J Med. 2007 Nov 1;357(18):1834-40. doi: 10.1056/NEJMcp074045.
9
How much do emergency healthcare workers know about capacity and consent?急救医护人员对医疗能力和同意权了解多少?
Emerg Med J. 2007 Jun;24(6):391-3. doi: 10.1136/emj.2006.041293.
10
Individual differences in adult decision-making competence.成人决策能力的个体差异。
J Pers Soc Psychol. 2007 May;92(5):938-956. doi: 10.1037/0022-3514.92.5.938.