医学家长主义的辩护：最大化患者的自主性。
A defence of medical paternalism: maximising patients' autonomy.
作者信息
Komrad M S
出版信息
J Med Ethics. 1983 Mar;9(1):38-44. doi: 10.1136/jme.9.1.38.
Abstract
All illness represents a state of diminished autonomy and therefore the doctor-patient relationship necessarily and justifiably involves a degree of medical paternalism argues the author, an American medical student. In a broad-ranging paper he discusses the concepts of autonomy and paternalism in the context of the doctor-patient relationship. Given the necessary diminution of autonomy which illness inflicts, a limited form of medical paternalism, aimed at restoring or maximising the patient's autonomy is entirely acceptable, and indeed fundamental to the relationship he argues. However, the exercise of this paternalism should be flexible and related to the current 'level of autonomy' of the patient himself. An editorial in this issue comments briefly on this paper.
摘要
这位美国医科学生作者认为，所有疾病都代表着自主能力的减弱，因此医患关系必然且合理地涉及到一定程度的医疗家长主义。在一篇内容广泛的论文中，他在医患关系的背景下讨论了自主和家长主义的概念。鉴于疾病必然会导致自主能力的减弱，一种旨在恢复或最大化患者自主能力的有限形式的医疗家长主义是完全可以接受的，而且实际上是这种关系的基础，他如此论证道。然而，这种家长主义的实施应该灵活，并与患者自身当前的“自主水平”相关。本期的一篇社论对这篇论文进行了简要评论。
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