Muller P
Phlebologie. 1981 Jan-Mar;34(1):53-61.
If the general concept of responsibility has been widening, so, too, the concept of medical responsibility. The changes in outlook may be good for us in that they oblige us personally to keep a check on our medical actions. But they also gradually restrict our medical rights, and our right to make ethical decisions. The most notable points in these changes include the concept of enlightened consent, important considerations of the comparative pros and cons of all treatment or diagnosis; considerations too of the time spent on these, and examinations of our work-methods, and of the means used in our practice. One of the most notable changes concerns the patient-doctor relationship. Taken to extremes, such changes could have a negative and paralysing effect on medical practice, and be detrimental to the patient.
如果责任的一般概念一直在扩大，那么医学责任的概念也是如此。观念的转变可能对我们有益，因为它们迫使我们个人审视自己的医疗行为。但它们也逐渐限制了我们的医疗权利以及我们做出伦理决策的权利。这些变化中最显著的要点包括知情同意的概念、对所有治疗或诊断的相对利弊的重要考量；对花费在这些方面的时间的考量，以及对我们工作方法和执业中所使用手段的审视。最显著的变化之一涉及医患关系。如果走向极端，这种变化可能会对医疗实践产生负面的、使工作瘫痪的影响，并对患者不利。
