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技术创新、权利保障与患者安全之间的检验医学:生物伦理学视角

Laboratory medicine between technological innovation, rights safeguarding, and patient safety: A bioethical perspective.

作者信息

De Micco Francesco, Di Palma Gianmarco, Giacomobono Flavia, De Benedictis Anna, Cingolani Mariano, Tambone Vittoradolfo, Tomassini Luca, Scendoni Roberto

机构信息

Research Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.

Operative Research Unit of Department of Clinical Affairs, Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy.

出版信息

Open Med (Wars). 2025 May 29;20(1):20251153. doi: 10.1515/med-2025-1153. eCollection 2025.

Abstract

INTRODUCTION

The evolution of Laboratory Medicine (LM) has expanded diagnostic and therapeutic horizons, yet ethical concerns pervade its advancements. This article explores the ethical challenges inherent in LM and advocates for a personalist bioethical framework as a guiding principle. It addresses issues such as patient data privacy, healthcare equity, communication of complex analysis results, genetic information management, and conflicts of interest.

OBJECTIVES

The proposed framework emphasizes principles such as the defense of life, freedom, responsibility, totality in therapy, and sociality and subsidiarity, with a focus on human dignity.

RESULTS

Various bioethical theories address complex ethical issues in medicine and health sciences, often combined to guide clinical practice. This study focuses on personalist bioethics, prioritizing human dignity and intrinsic value, advocating for principles like defense of physical life, freedom, totality in therapy, and sociality. In LM, ethical analysis involves patient care, genetic testing, informed consent, and Artificial Intelligence integration, emphasizing transparency and patient autonomy.

CONCLUSION

LM plays a crucial role in healthcare, necessitating ethical considerations amidst technological progress. Upholding ethical frameworks, such as the ethics of good work, can ensure equitable and quality healthcare delivery.

摘要

引言

检验医学(LM)的发展拓宽了诊断和治疗的视野,但其进步过程中始终存在伦理问题。本文探讨了检验医学中固有的伦理挑战,并倡导将个人主义生物伦理框架作为指导原则。它涉及患者数据隐私、医疗公平、复杂分析结果的沟通、遗传信息管理以及利益冲突等问题。

目标

所提出的框架强调诸如捍卫生命、自由、责任、治疗的整体性以及社会性和辅助性等原则,重点关注人的尊严。

结果

各种生物伦理理论探讨了医学和健康科学中的复杂伦理问题,这些理论常常相互结合以指导临床实践。本研究聚焦于个人主义生物伦理,将人的尊严和内在价值置于优先地位,倡导诸如捍卫身体生命、自由、治疗的整体性以及社会性等原则。在检验医学中,伦理分析涉及患者护理、基因检测、知情同意以及人工智能整合,强调透明度和患者自主性。

结论

检验医学在医疗保健中发挥着关键作用,在技术进步的同时必须进行伦理考量。秉持诸如良好工作伦理等伦理框架,能够确保提供公平且高质量的医疗服务。

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