在实际工作中——医学伦理学实践。首先，不伤害。
At the coalface--medical ethics in practice. First, do no harm.
作者信息
Groudine S, Lumb P D
机构信息
Albany Medical College, New York, USA.
出版信息
J Med Ethics. 1997 Dec;23(6):377-8. doi: 10.1136/jme.23.6.377.
Abstract
When a physician acts as both doctor and researcher conflicts can develop. When a doctor does not know whether a patient is taking active drug or placebo, any new medical problems can result in a dilemma. Is the patient's suffering a side effect of the medication or is this a new medical problem? Mrs W's case demonstrates the problem that can occur when the physician is blinded in the name of research.
摘要
当一名医生同时扮演医生和研究者的角色时，冲突可能会产生。当医生不知道患者服用的是活性药物还是安慰剂时，任何新出现的医疗问题都可能导致两难境地。患者的痛苦是药物的副作用，还是一个新的医疗问题呢？W夫人的案例展示了以研究之名让医生不知情时可能出现的问题。
相似文献
1
At the coalface--medical ethics in practice. First, do no harm.在实际工作中——医学伦理学实践。首先，不伤害。
J Med Ethics. 1997 Dec;23(6):377-8. doi: 10.1136/jme.23.6.377.
2
Making moral decisions on a double-blinded drug trial in progress without breaking the code: a primer on posterior analysis.在不打破盲态的情况下，对正在进行的双盲药物试验做出道德决策：后验分析入门
Med Decis Making. 1989 Jul-Sep;9(3):207-16. doi: 10.1177/0272989X8900900309.
3
Justified deception? The single blind placebo in drug research.合理的欺骗？药物研究中的单盲安慰剂。
J Med Ethics. 2000 Jun;26(3):188-93. doi: 10.1136/jme.26.3.188.
4
The ethics of clinical research in the Third World.第三世界国家的临床研究伦理
N Engl J Med. 1997 Sep 18;337(12):847-9. doi: 10.1056/NEJM199709183371209.
5
Use of placebo surgery in controlled trials of a cellular-based therapy for Parkinson's disease.在一项基于细胞的帕金森病治疗对照试验中使用安慰剂手术。
N Engl J Med. 1999 Sep 23;341(13):988-92. doi: 10.1056/NEJM199909233411311.
6
Placebos in clinical practice and research.临床实践与研究中的安慰剂
J Med Ethics. 1996 Jun;22(3):140-6. doi: 10.1136/jme.22.3.140.
7
An ethical dilemma. Availability of antiretroviral therapy after clinical trials with HIV infected patients are ended.一个伦理困境。在针对HIV感染患者的临床试验结束后抗逆转录病毒疗法的可及性问题。
BMJ. 1997 Mar 22;314(7084):887-8. doi: 10.1136/bmj.314.7084.887.
8
Placebo mania.安慰剂狂热
BMJ. 1996 Jul 6;313(7048):3-4. doi: 10.1136/bmj.313.7048.3a.
9
Human experimentation and the physician-patient relationship.人体实验与医患关系。
Surgery. 1983 Apr;93(4):600-2.
10
The ethical problems with sham surgery in clinical research.临床研究中假手术的伦理问题。
N Engl J Med. 1999 Sep 23;341(13):992-6. doi: 10.1056/NEJM199909233411312.
引用本文的文献
1
Subtle ethical dilemmas in geriatric management and clinical research.老年医学管理与临床研究中的微妙伦理困境。
J Med Ethics. 2005 Jun;31(6):355-9. doi: 10.1136/jme.2004.008532.
Zotero 插件