破解无手术指征剖宫产困局  

Ways to Solve the Dilemma of High Cesarean Delivery Rate without Surgical Indication

作　　者：钱亚芳[1] QIAN Ya-fang(Hangzhou Medical College,Hangzhou 310053,China)

机构地区：[1]杭州医学院,浙江杭州310053

出　　处：《医学与哲学（B）》2018年第7期6-8,16,共4页Medicine & Philosophy(B)

基　　金：2017年浙江省社会科学规划后期资助项目(17HQZZ10)

摘　　要：女性生育事涉国家、社会、个人,中国的高剖宫产率一直为世人诟病。法学界对于高剖宫产率鲜有论述,尹口博士从司法实证角度切入探讨医生应对无手术指征剖宫产的要求,论点虽新颖,但是其从患者自主权以及功利主义角度等方面论述医生应对策略,这对于降低高剖宫产率及根本上维护患者利益并无益处。本文以伦理、法律、政策作为切入点,认为放任无手术指征剖宫产有违最小损害原则、滥用患者自主权、导致卫生资源浪费,并从医学、政策、司法实践角度提出破解无手术指征剖宫产困局对策,以此文与尹口博士商榷。The interests of our country,our society and we ourselves are closely related as far as childbirth is concerned.High cesarean delivery rate in our country has always been pitilessly denounced by people.There also lacks any judicial interpretation or discussion on the phenomena.Dr.Yin Kou once suggested to probe from the judicial empirical study point of view to tackle how the doctors respond to the requirements of cesarean delivery without any surgical indication.However,from the perspectives of patient autonomy and utilitarianism,this paper discusses the coping strategies of doctors,which is not conducive to reducing the high rate of cesarean section and fundamentally safeguarding the interests of patients.After taking into account of our countries'ethic,law,and policy,the author of this thesis tend to view cesarean delivery rate without surgical indication as violating principle of minimum damage,abusing patients'right and thus squandering public health resources.The author then puts forward approaches to solving the dilemma on the medical,policy-making and juridical practice basis.This thesis is also intended for further discussion with Dr.Yin Kou.

关 键 词：剖宫产 最小损害原则 患者自主权 

分 类 号：R05[医药卫生] R719.8