病人自主权的伦理与法理  

Ethics and Legal Principles of Patient Autonomy

作　　者：吕建高[1,2] 

机构地区：[1]南京大学法学院 [2]南京工业大学法学院

出　　处：《环球法律评论》2010年第6期108-117,共10页Global Law Review

基　　金：国家社科基金项目<经济;社会和文化权利的法理学研究>(项目编号:08BFX005)的阶段性成果

摘　　要：病人自主已经取代父权主义成为现代生命法伦理学的首要原则,其内在属性表现为行动自由、真实、有效商议和道德反思。尊重病人自主的正当性并非取决于任何哲学家哲学论证的力度,相反,道德多元主义才是人们几乎无限尊重病人自主的主要推动力。主张病人自主具有至上地位并排除任何形式的医疗行善不利于保护病人的最佳利益,只有实现两者的有机结合才能真正提升病人自主。病人自主首先是个人的,但也是关系的。In modern biolegal ethics, patient autonomy has become the primary principle instead of paternalism. The internal properties of patient autonomy include such aspects as freedom of action, authenticity, effective consultation and moral reflection. The justification for respecting patient autonomy does not depend on the strength of philosophical arguments put forward by any philosophers. On the contrary, it is moral pluralism that has mainly promoted the infinite respect for patient autonomy. To claim the supremacy of patient autonomy and refuse the medical beneficence of any kind cannot effectively protect the patient＇ s best interests. Only by combining them closely can we enhance patient autonomy. Therefore, patient autonomy is first of all individual, yet it is also relational.

关 键 词：病人自主 医疗行善 父权主义 关系自主 

分 类 号：D90-052[政治法律—法学理论]