Rancich A M, Gelpi R J
Departmento de Graduados, Facultad de Ciencias Médicas, Universidad Nacional de La Plata.
Medicina (B Aires). 1998;58(2):147-52.
Medical oaths have consulted the source of all Medical Ethics through centuries. Since the 60s a new consensus on ethics was sought to apply to the new medical problems. The consensus was on the basic principles: beneficence, non-maleficence, justice and respect for the patient's autonomy with its two rules of confidentiality and veracity. The Hippocratic Oath specifies the principles of beneficence and non-maleficence and the rule of confidentiality. They are included in the texts used in different Medical Schools of the United States, Canada and the United Kingdom. The purpose of this analysis is to determine which of those ethical principles are included in the Argentinian Medical Oaths. At present, out of the ten Faculties of Medicine that use a formula, six choose the Declaration of Geneva and the rest use their own texts. No schools use the Hippocratic Oath. Neither of the five different Oaths include the four principles. The rule of confidentiality is the one most frequently mentioned followed by the principles of beneficence and justice. The principles of non-maleficence and of respect for the patient's autonomy, in general, and the rule of veracity, in particular, are not indicated. Revision of the Medical Oaths used in Argentina, is basically for the ethical revision suggested, in order to include all the ethical principles strongly agreed upon.
几个世纪以来,医学誓言一直参考着所有医学伦理的源头。自20世纪60年代起,人们寻求一种新的伦理共识,以应用于新出现的医学问题。这种共识基于基本原则:行善、不伤害、公正以及尊重患者的自主性,还有保密和诚实这两条规则。《希波克拉底誓言》明确了行善和不伤害的原则以及保密规则。它们被纳入美国、加拿大和英国不同医学院使用的文本中。本分析的目的是确定阿根廷医学誓言中包含哪些伦理原则。目前,在使用某种形式的十所医学院中,有六所选择了《日内瓦宣言》,其余的使用自己的文本。没有学校使用《希波克拉底誓言》。这五种不同的誓言中都没有包含这四项原则。保密规则是被提及最频繁的,其次是行善和公正原则。一般来说,不伤害原则和尊重患者自主性原则,特别是诚实规则,并未被提及。对阿根廷使用的医学誓言进行修订,主要是为了按照所建议的进行伦理修订,以便纳入所有得到广泛认可的伦理原则。