Zazove P, Doukas D J
Department of Family Practice, University of Michigan, Ann Arbor.
Fam Med. 1994 Jun;26(6):387-90.
Although hearing loss is the second most common disability in this country, comparatively little attention has been directed toward this medical entity. In view of the known poor health status and high health care utilization patterns of deaf and hard-of-hearing (D&HH) persons, this paper analyzes this population's ethical claims to autonomy, beneficence, and justice. Available evidence indicates that the American health care system inadequately acknowledges and fulfills the bioethical claims of the D&HH population. Specific modifications of the medical education and health care system should remedy these shortcomings.
尽管听力损失是该国第二常见的残疾，但相对而言，针对这一医学问题的关注较少。鉴于已知聋人和重听人士健康状况不佳且医疗保健利用率高，本文分析了这一人群在自主权、行善原则和正义方面的伦理诉求。现有证据表明，美国医疗保健系统没有充分认识和满足聋人和重听人群的生物伦理诉求。医学教育和医疗保健系统的具体改进应弥补这些不足。
