Orlowski J P
Pediatric Intensive Care Unit, Cleveland Clinic Foundation, Ohio.
Crit Care Clin. 1986 Jan;2(1):13-25.
This article identifies the ethical principles that have guided medicine since antiquity: beneficence, primum non nocere, patient autonomy, and respect for life and the quality of life. The author's basic premise is that many recently publicized ethical dilemmas are really not dilemmas--the knowledge of what is good or evil is not confused, contradictory, or absent. Instead, medicine's concern and responsibility to its patients is being clouded by legal, governmental, or societal concerns.
行善、首要的是不伤害、患者自主以及尊重生命和生活质量。作者的基本前提是,许多最近公开的伦理困境实际上并非困境——关于善恶的知识并不模糊、矛盾或缺失。相反,医学对患者的关注和责任正被法律、政府或社会问题所掩盖。