Galbraith S
J Med Ethics. 1978 Jun;4(2):61-3. doi: 10.1136/jme.4.2.61.
This article as the series title suggests focuses our attention on decisions, both medical and ethical, which face doctors and related personnel in the medical profession daily. Many of these decisions take the form of a choice to one thing or another without being very sure of the outcome of either action. Mr Galbraith explores the pros and cons of what he calls the 'no lose' philosophy in medicine and which plays a large part in medical decision making. He concludes that possibly we may need a new philosophy rather than continuing to use more and more of our resources on care, which is perhaps being carried out as a means of avoiding making value judgements and thus possibly, prevents us from solving some of today's difficult ethical problems.
正如系列标题所示,本文将我们的注意力集中在医学专业的医生及相关人员每天面临的医疗和伦理决策上。其中许多决策采取了在不太确定任何一种行动结果的情况下对某件事或另一件事进行选择的形式。加尔布雷斯先生探讨了他所谓的医学中的“无损失”理念的利弊,这种理念在医疗决策中起着很大的作用。他得出结论,或许我们可能需要一种新的理念,而不是继续将越来越多的资源用于护理,因为护理可能是作为一种避免做出价值判断的手段而进行的,从而可能使我们无法解决当今一些棘手的伦理问题。