Jiwa M
J Med Ethics. 1996 Dec;22(6):340-3. doi: 10.1136/jme.22.6.340.
This essay addresses the issue of the autonomy of the National Health Service (NHS) patient in the UK. It is argued, with reference to clinical examples, that some patients abuse their rights to medical care to the detriment of other patients and the service providers. A case is made for limiting the rights of patients in order to improve the service for all who use it. A range of mechanisms are considered with a discussion of the issues raised by each solution in turn.
本文探讨了英国国民医疗服务体系(NHS)中患者自主权的问题。文中通过临床实例指出,一些患者滥用其获得医疗服务的权利,损害了其他患者及服务提供者的利益。为改善全体使用者的服务质量,有理由限制患者的权利。本文考虑了一系列机制,并依次讨论了每种解决方案所引发的问题。