Professor Emeritus, Anesthesiology and Pain Medicine, Past Adjunct Professor Bioethics, University of Washington, Seattle, WA, USA.
Anesthesiol Clin. 2024 Sep;42(3):539-554. doi: 10.1016/j.anclin.2023.11.004. Epub 2024 Feb 29.
Physicians may under some circumstances decline to provide a clinical service that is within accepted medical standards due to a deeply held moral belief that to do so would be wrong. Conscience objection in medicine is legally protected, but ethically limited by physician obligations to put patient interests first. Accommodation to conscientious objections, when possible, recognizes the diverse moral perspectives and benefits for both the objectors and the profession as a whole. When these situations arise, physicians have obligations to respectfully resolve the distress of conscientious objectors while still honoring the primacy of patient care needs.
在某些情况下，医生可能会出于一种深深的道德信念，即这样做是错误的，而拒绝提供符合公认医疗标准的临床服务。医学中的良心反对是受法律保护的，但在伦理上受到限制，因为医生有义务将患者利益放在首位。在可能的情况下，对良心反对的通融承认了不同的道德观点，并使反对者和整个专业都受益。当出现这些情况时，医生有义务尊重地解决良心反对者的困扰，同时仍然尊重患者护理需求的首要地位。
