Chikoti Rishika, Leon Samantha Joy, Thornburg Danielle, Kandi Lyndsay, Morris Bryn, Rebecca Alanna, Casey William, Howard Michael A, Teven Chad M
From the Division of Plastic Surgery, Northwestern Feinberg School of Medicine, Chicago, Ill.
Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, N.Y.
Plast Reconstr Surg Glob Open. 2024 Oct 25;12(10):e6245. doi: 10.1097/GOX.0000000000006245. eCollection 2024 Oct.
Delivering ethical care in global plastic surgery is challenging due to the unique complexities of resource-limited settings. Additionally, the rise of medical tourism has highlighted the importance of informed consent and awareness of the potential risks that are associated with seeking medical care in foreign countries. This article aims to consider core medical ethics principles and apply them in the context of delivering global plastic surgery.
This article examines the application of the four core medical ethics principles in a framework set forth by Beauchamp and Childress, namely autonomy, beneficence, nonmaleficence, and justice, in the context of delivering plastic surgery in international settings. A literature review was performed, where all potential global plastic surgery articles were reviewed to better understand the application of the four core medical ethics framework in this context.
Increased communication between visiting surgeons and local healthcare providers; heightened education of surgeons traveling to low-to-middle-income countries regarding local medical practices, resource availability, and cultural norms before providing surgical education; and a greater emphasis on collecting and publishing data analyzing short- and long-term outcomes in low-to-middle-income countries are all likely to improve the success of international medical missions, ensuring that all patients receive medical treatment in a manner that upholds Beauchamp and Childress' four core medical ethics principles.
Providing plastic and reconstructive surgery abroad can be done ethically if the four main principles of medical ethics (respect for autonomy, beneficence, nonmaleficence, and justice) are used.
由于资源有限环境的独特复杂性,在全球范围内提供符合伦理的整形手术具有挑战性。此外,医疗旅游的兴起凸显了知情同意的重要性,以及对在国外寻求医疗服务所涉及潜在风险的认识。本文旨在探讨核心医学伦理原则,并将其应用于全球整形手术的实践中。
本文考察了博尚和奇尔德雷斯提出的四个核心医学伦理原则,即自主原则、行善原则、不伤害原则和公正原则,在国际环境下进行整形手术的框架中的应用。进行了文献综述,对所有潜在的全球整形手术文章进行了审查,以更好地理解这四个核心医学伦理框架在此背景下的应用。
来访外科医生与当地医疗服务提供者之间加强沟通;在前往中低收入国家的外科医生提供手术治疗前,加强对当地医疗实践、资源可用性和文化规范的教育;更加重视收集和发表分析中低收入国家短期和长期结果的数据,所有这些都可能提高国际医疗任务的成功率,确保所有患者都能以符合博尚和奇尔德雷斯四个核心医学伦理原则的方式接受治疗。
如果运用医学伦理的四个主要原则(尊重自主、行善、不伤害和公正),在国外提供整形和重建手术可以做到符合伦理。