Gold J A
Am J Law Med. 1981 Summer;7(2):145-81.
This Article argues that many seemingly disparate questions in health law are related to the issue of how experts are to be held accountable to non-experts--how the principle that decisions should be made by those most affected is to be reconciled with the principle that decisions should be made by those with experience and training in the area. The basic subject matter of health law comprises a number of relationships between medical professionals, on the one hand, and laymen, on the other. In dealing with the proper allocation of decision-making authority within these relationships, the Article considers the social role of medical profession, the theoretical issues in the accountability of expertise, and the nature of medical expertise. On the basis of this discussion, the Article develops principles that can be applied throughout health law.
本文认为,卫生法中许多看似毫不相干的问题都与专家如何向非专家负责这一问题相关——即如何协调“决策应由受影响最大的人做出”这一原则与“决策应由该领域有经验和受过培训的人做出”这一原则。卫生法的基本主题包括一方面是医疗专业人员与另一方面是外行之间的若干关系。在处理这些关系中决策权力的合理分配时,本文考虑了医疗行业的社会角色、专业责任方面的理论问题以及医学专业知识的性质。基于这一讨论,本文制定了可适用于整个卫生法领域的原则。