DEPARTMENT OF MEDICAL ETHICS, PHILOSOPHY AND HISTORY OF MEDICINE, ERASMUS MC, UNIVERSITY MEDICAL CENTRE ROTTERDAM, THE NETHERLANDS.
GGZ BREBURG, TILBURG, THE NETHERLANDS.
J Law Med Ethics. 2023;51(1):172-180. doi: 10.1017/jme.2023.53. Epub 2023 May 25.
Drawing on ethical and legal frameworks in the Netherlands, the United States and France, we examine whether physicians are expected to inform patients about potentially relevant opportunities for expanded access to investigational drugs. While we found no definitive legal obligation, we argue that physicians have a moral obligation to discuss opportunities for expanded access with patients who have run out of treatment options to prevent inequality, to promote autonomy, and to achieve beneficence.
借鉴荷兰、美国和法国的伦理和法律框架,我们考察了医生是否有责任告知患者潜在的扩大获取研究性药物的机会。虽然我们没有发现明确的法律义务,但我们认为,医生有道德义务与已经用尽治疗选择的患者讨论扩大获取机会,以防止不平等,促进自主性,并实现善行。