Chan Hui Yun
The Law School, Huddersfield Business School, University of Huddersfield, Huddersfield, UK.
Asian Bioeth Rev. 2019 Mar 22;11(1):111-122. doi: 10.1007/s41649-019-00078-2. eCollection 2019 Mar.
The right to refuse treatment is generally accepted in the legal and bioethics discourses; however, the use of advance directives remains contentious. Some jurisdictions have introduced statutory frameworks to govern the creation and implementation of advance directives, underpinned primarily by the recognition of respect for personal autonomy. Although there are no legislation and judicial decisions on advance decision-making in Malaysia, the considered view is that healthcare practitioners perceived its utility in managing patient care. This paper examines the potential and challenges of applying a statutory framework in Malaysia, drawing from relevant regulatory examples. It argues for greater public awareness within the healthcare discourse and knowledge dissemination regarding the availability, usage and clinical guidance on advance decision-making. The main conclusion drawn from this exploratory analysis is that further understanding of and education about advance decision-making within the population and healthcare practitioners should precede the implementation of a statutory regime in Malaysia.
拒绝治疗的权利在法律和生物伦理话语中普遍得到认可；然而，预先医疗指示的使用仍然存在争议。一些司法管辖区已经引入了法定框架来管理预先医疗指示的制定和实施，其主要依据是对个人自主权的尊重。尽管马来西亚没有关于预先决策的立法和司法判决，但普遍的观点是，医疗从业者认为其在管理患者护理方面有用。本文借鉴相关监管示例，探讨在马来西亚应用法定框架的潜力和挑战。它主张在医疗话语中提高公众意识，并传播关于预先决策的可用性、使用方法和临床指导的知识。从这一探索性分析中得出的主要结论是，在马来西亚实施法定制度之前，应先让公众和医疗从业者对预先决策有进一步的了解并接受相关教育。
