临终关怀与安乐死的整合:比利时模式的实验与回答  

Questions and Answers on the Belgian Model of Integral End-of-Life Care:Experiment Prototype

作　　者：Jan L.Bernheim Wim Distelmans Arsène Mullie Micha el A.Ashby 于磊[8] 

机构地区：[1]布鲁塞尔自由大学 [2]根特大学临终关怀研究小组 [3]布鲁塞尔自由大学医学与药学系 [4]布鲁塞尔医院支持与姑息治疗部 [5]弗兰德斯联合会 [6]南方塔斯马尼亚卫生组织霍巴特皇家医院 [7]塔斯马尼亚大学医学院卫生科学系 [8]大连医科大学杂志社,辽宁大连116044

出　　处：《医学与哲学（A）》2014年第12期5-10,共6页Medicine & Philosophy:Humanistic & Social Medicine Edition

摘　　要：通过《生命伦理学探究杂志》顾问编辑Michael Ashby提出的一系列问题对比利时临终照护模式的构成进行分析。分析了关于比利时姑息治疗与安乐死之间互补及协同关系。在比利时模式的整合临终护理中,安乐死是姑息治疗途径的终点。安乐死合法化制定于2002年,而后,众多姑息治疗服务兴起。随着公众对卫生保健机构信心的提升和社会态度的广泛进步,对姑息治疗和安乐死的支持水平明显提高,这将使二者的协同发展成为可能。虽然目前比利时模式仍表现出一些缺陷,但一些解决方案正在制定过程中。This article analyzed the Belgian model of integral end-of-life care by way of answering to a series of questions posed by Journal of Bioethical Inquiryconsulting editor Michael Ashby to the Belgian authors.The complementary and synergistic relationship between palliative care and euthanasia in Belgium were discussed.In what has become known as the Belgian model of integral end-of-life care,euthanasia is an available option,also at the end of a palliative care pathway.The legal regulation of euthanasia in 2002 was preceded and followed by a considerable expansion of palliative care services.It is argued that this synergistic development was made possible by public confidence in the health care system and widespread progressive social attitudes that gave rise to a high level of community support for both palliative care and euthanasia.It still exhibits several imperfections,for which some solutions are being developed.

关 键 词：姑息治疗 安乐死 死亡与临终 比利时 

分 类 号：R-052[医药卫生]