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重新审视在医疗保健领域做出伦理决策时对智力美德和道德美德的需求。

Revisiting the need for intellectual and moral virtues in making ethical decisions in Healthcare.

作者信息

Naeem Noor-I-Kiran

机构信息

Dr. Noor-i-Kiran Naeem, FCPS, MSc. MEd, PhD Medical Education. Assistant Professor, Medical Education, ABWA Medical College, Faisalabad, Pakistan. Email:

出版信息

Pak J Med Sci. 2024 Dec;40(11):2455-2457. doi: 10.12669/pjms.40.11.10602.

DOI:10.12669/pjms.40.11.10602
PMID:39634896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11613355/
Abstract

Patient-physician interaction is an essential factor influencing the patient's health management decisions. This communication allows the patients to develop trust in the treating physicians and facilitates them in deciding what's best for themselves. The physicians, on the other hand, may interact with the patients based on three moral philosophies i.e. as a part of their duty (deontology), as a part of anticipating consequences (consequentialism) and as a part of being a virtuous doctor (virtue ethics). In this communication, we aim to debate the need and utility of having moral virtues for ethical decision-making. We will also evaluate the role of intellectual virtues in patient-doctor interaction for decisions taken on clinical grounds.

摘要

医患互动是影响患者健康管理决策的一个重要因素。这种沟通能让患者对主治医生产生信任,并有助于他们决定什么对自己最为有利。另一方面,医生可能基于三种道德哲学与患者互动,即作为其职责的一部分(义务论)、作为预期后果的一部分(结果主义)以及作为成为一名有道德的医生的一部分(美德伦理学)。在本交流中,我们旨在探讨道德美德在伦理决策中的必要性和实用性。我们还将评估理智美德在基于临床依据做出决策的医患互动中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1a/11613355/ad11142c8390/PJMS-40-2455-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1a/11613355/8e39787cd614/PJMS-40-2455-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1a/11613355/ad11142c8390/PJMS-40-2455-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1a/11613355/8e39787cd614/PJMS-40-2455-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1a/11613355/ad11142c8390/PJMS-40-2455-g002.jpg

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本文引用的文献

1
Surgical ethics: a framework for surgeons, patients, and society.外科伦理学:外科医生、患者及社会的框架
Rev Col Bras Cir. 2020 Jun 15;47:e20202519. doi: 10.1590/0100-6991e-20202519. eCollection 2020.
2
The Medical Ethics Curriculum in Medical Schools: Present and Future.医学院校的医学伦理课程:现状与未来。
J Clin Ethics. 2016 summer;27(2):129-45.