Dev World Bioeth. 2021 Jun;21(2):78-89. doi: 10.1111/dewb.12314. Epub 2021 Apr 23.
This study is an investigation of the views of medical students (N=15) and physicians (N=14), in Turkey, on conscientious objection through elaboration on their experiences in medical practice within the framework of conscientious objection, and evaluation of the data from an ethical perspective. The data received from in-depth interviews were evaluated by using the thematic content analysis method. They were then divided into contexts and themes as follows: "Refusal to provide healthcare services," "scope of conscientious objection," and "impact of conscientious objection (in case of legal entitlement)." The opinions of our research participants suggest that conscientious objection has become widespread in medical practices. It is argued that the tendency of healthcare providers and patients to find temporary resolutions to ethical dilemmas only complicates such resolutions. It is imperative, therefore, to set a rational limit on conscientious objection so as to prevent the adoption of an attitude shaped completely by the personal beliefs of the physician or the patient.
本研究通过阐述土耳其医学生(N=15)和医生(N=14)在医疗实践中基于良心拒诊的经历,探讨了他们对良心拒诊的看法,并从伦理角度评估了数据。通过深入访谈获得的数据采用主题内容分析法进行评估。然后将其分为以下几个方面:“拒绝提供医疗服务”、“良心拒诊的范围”和“良心拒诊的影响(在合法权利的情况下)”。研究参与者的意见表明,良心拒诊在医疗实践中已经很普遍。有人认为,医疗服务提供者和患者寻求临时解决伦理困境的做法只会使这些问题更加复杂。因此,必须对良心拒诊设定合理的限制,以防止医生或患者的个人信仰完全决定这种态度。