Madani Ensieh, Dizani Ali, Saeedi Tehrani Saeedeh, Madani Mansure
Assistant Professor, Department of Humanities & Islamic Studies, Amirkabir University of Technology, Tehran. Iran.
PhD Research Candidate in Ethics and Philosophy of Technology, The Department of Values, Technology & Innovation, Faculty of Technology, Policy and Management, Delft University of Technology, Delft, The Netherlands.
J Med Ethics Hist Med. 2024 Dec 24;17:15. doi: 10.18502/jmehm.v17i15.18667. eCollection 2024.
Ethical dilemmas are among the most important ethical problems in medicine. With the advent of COVID-19, the moral problems of physicians have taken on new dimensions as the specific features of this disease pose additional ethical challenges that require particular solutions. One common way to solve ethical dilemmas is to use ethical decision making models. One of the most recent models in ethics of technology is the "ethical cycle" developed by Ibo van de Poel. By describing and comparing several models, this paper examines the application of the ethical cycle to physicians' ethical problems and medical ethics. This model can help solve complex problems in consultations and ethics committee meetings because it is comprehensive and covers various aspects of the discussion. In this model, first the ethical problem is formulated and analyzed and then the potential options for action are proposed. Subsequently, by referring to ethical theories and professional codes of conduct in the medical field, as well as applying the method of "reflective equilibrium," an ethical decision is reached. This decision is specific to each case and may not necessarily be the best solution for other individuals or situations.
伦理困境是医学中最重要的伦理问题之一。随着新冠疫情的出现，医生的道德问题呈现出新的维度，因为这种疾病的特殊特征带来了额外的伦理挑战，需要特定的解决方案。解决伦理困境的一种常见方法是使用伦理决策模型。技术伦理中最新的模型之一是伊博·范德波尔提出的“伦理循环”。通过描述和比较几种模型，本文探讨了伦理循环在医生伦理问题和医学伦理中的应用。该模型有助于解决会诊和伦理委员会会议中的复杂问题，因为它全面且涵盖了讨论的各个方面。在这个模型中，首先要明确并分析伦理问题，然后提出潜在的行动方案。随后，通过参考医学领域的伦理理论和专业行为准则，并应用“反思平衡”方法，做出伦理决策。这个决策针对每个具体案例，不一定是其他个人或情况的最佳解决方案。
