University of Michigan-Dearborn College of Arts, Sciences, and Letters, 4901 Evergreen Rd, Dearborn, MI, 48128, USA.
University of Michigan Medical School, Ann Arbor, MI, USA.
Theor Med Bioeth. 2024 Apr;45(2):133-149. doi: 10.1007/s11017-023-09655-x. Epub 2024 Feb 7.
Although Western biomedical ethics emphasizes respect for autonomy, the medical decision-making of Muslim patients interacting with Western healthcare systems is more likely to be motivated by relational ethical and religious commitments that reflect the ideals of equity, reciprocity, and justice. Based on an in-depth cross-cultural comparison of Islamic and Western systems of biomedical ethics and an assessment of conceptual alignments and differences, we argue that, when working with Muslim patients, an ethics of respect extends to facilitating decision-making grounded in the patient's justice-related customs, beliefs, and obligations. We offer an overview of the philosophical contestations of autonomy-enhancing practices from the Islamic tradition of biomedical ethics, and examples that demonstrate a recommended shift of emphasis from an autonomy-centered to a justice-focused approach to culturally competent agency-promotion.
虽然西方生物医学伦理学强调尊重自主权，但与西方医疗保健系统互动的穆斯林患者的医疗决策更有可能受到关系伦理和宗教承诺的驱动，这些承诺反映了公平、互惠和正义的理想。通过对伊斯兰和西方生物医学伦理体系的深入跨文化比较，以及对概念一致性和差异的评估，我们认为，在与穆斯林患者合作时，尊重伦理延伸到促进基于患者与公正相关的习俗、信仰和义务的决策。我们概述了生物医学伦理的伊斯兰传统中增强自主性的实践的哲学争议，并举例说明了从以自主性为中心到以公正为重点的方法向文化上有能力的代理推广的推荐重点转变。
