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课堂、临床和会诊室中的“绿色知情同意”。

"Green informed consent" in the classroom, clinic, and consultation room.

机构信息

Ethics of Technology, Edinburgh Futures Institute, The University of Edinburgh, Edinburgh, Scotland.

出版信息

Med Health Care Philos. 2023 Dec;26(4):507-515. doi: 10.1007/s11019-023-10163-x. Epub 2023 Aug 16.

Abstract

The carbon emissions of global health care activities make up 4-5% of total world emissions, placing it on par with the food sector. Carbon emissions are particularly relevant for health care because of climate change health hazards. Doctors and health care professionals must connect their health care delivery with carbon emissions and minimize resource use when possible as a part of their obligation to do no harm. Given that reducing carbon is a global ethical priority, the informed consent process in health care delivery must change. I argue that the expanded role of bioethicists in this climate crisis is to promote and support "green informed consent:" the sharing of climate information with patients, offering options for lower-carbon health care, and accepting the patient's right to decline treatments which are deemed too carbon intensive for their values.

摘要

全球医疗保健活动的碳排放占全球总排放量的 4-5%,与食品行业相当。由于气候变化对健康的危害,医疗保健的碳排放尤其相关。医生和医疗保健专业人员必须将他们的医疗服务与碳排放联系起来,并尽可能地减少资源的使用,这是他们不造成伤害义务的一部分。鉴于减少碳排放是一个全球伦理优先事项,医疗保健提供中的知情同意过程必须改变。我认为,生物伦理学家在这场气候危机中的作用扩大是为了促进和支持“绿色知情同意”:与患者分享气候信息,提供低碳医疗保健的选择,并接受患者拒绝被认为对其价值观而言碳密集度太高的治疗的权利。

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