摘要
尊重患者自主是医疗信息告知的道德基础与行动指南,医疗信息告知是否恰当要看其是否充分体现了尊重患者自主这一伦理本质,而医疗信息告知例外也应在尊重患者自主原则的指导下进行。在医疗信息告知可能给患者带来伤害的情形下,单纯诉诸于行善原则无法为医疗信息告知例外提供充分的伦理辩护。尊重患者自主辩护下的医疗信息告知例外有三种情况:患者无知情能力、急救、患者自愿放弃知情权。
Respect for patients' autonomy is the moral foundation of and action direction for medical informa tion disclosure. Whether medical information disclosure is carried out properly depends on its reflecting the ethical essence, at the same time, the exception for medical information disclosure should also be practiced according to the principle of respect for patient autonomy. When medical information disclosure may cause patients harms, sim ply resorting the principle of beneficence cannot defend the exception for medical information disclosure adequately. Exception for medical information disclosure based on respecting for patients' autonomy may happen when the pa tient had no ability of cognizance, in emergency and when the patients volunteer to give up the right to know.
出处
《中国医学伦理学》
2012年第6期785-787,共3页
Chinese Medical Ethics
基金
广东省哲学社会科学"十二五"规划项目
项目编号:GD11YZX02
广东省普通高校人文社会科学研究项目
项目编号:11WYXM016
关键词
尊重患者自主
医疗信息告知例外
患者知情权
行善原则
Respect for Patients'Autonomy
Exception for Medical Information Disclosure
Patient's right toknow
Principle of Beneficence