Bindless L
University of Huddersfield, Yorkshire.
J Med Ethics. 1998 Oct;24(5):314-9. doi: 10.1136/jme.24.5.314.
This paper addresses ethical concerns emanating from the practice of using patients for health care education. It shows how some of the ways that patients are used in educational strategies to bridge theory-practice gaps can cause harm to patients and patient-practitioner relationships, thus failing to meet acceptable standards of professional practice. This will continue unless there is increased awareness of the need for protection of human rights in teaching situations. Unnecessary exposure of patients, failing to obtain explicit consent, causing harm to vulnerable or disadvantaged groups and inappropriate use of information, though normally regarded as unacceptable professional practices, may go unrecognised in meeting educational needs, widening rather than narrowing theory-practice gaps.
本文探讨了将患者用于医疗保健教育实践所引发的伦理问题。它展示了在教育策略中利用患者来弥合理论与实践差距的一些方式，如何可能对患者以及医患关系造成伤害，从而未能达到可接受的专业实践标准。除非在教学情境中对保护人权的必要性有更高的认识，这种情况将持续下去。不必要地暴露患者信息、未获得明确同意、对弱势群体造成伤害以及不恰当地使用信息，尽管通常被视为不可接受的专业行为，但在满足教育需求时可能未被认识到，这会扩大而非缩小理论与实践的差距。
