医疗中分享决策的伦理依据  

The Ethical Grounds of Shared Decision Making in Medical Practice

作　　者：王继超 翟晓梅 WANG Ji-chao;ZHAI Xiao-mei(School of Humanities and Social Sciences,Peking Union Medical College,Beijing 100730,China)

机构地区：[1]北京协和医学院人文和社会科学学院,北京100730 [2]中国医学科学院/北京协和医学院生命伦理学研究中心,北京100730

出　　处：《医学与哲学》2020年第15期32-35,共4页Medicine and Philosophy

摘　　要：医疗中分享决策的伦理依据来自医生在医学专业方面的知识、技能和临床经验的优势,患者基于人的生命权、身体权、健康权以及合理的平等诉求所拥有的患者权利,医学的专业性和医学目的的内在要求,医生对患者的义务,以及患者家属享有的权利义务。只有在医学专业认可的治疗选择范围内,患者的意愿才应该被考虑。分享决策是一个动态开放的过程,其所面临的最大的伦理挑战是医疗资源公平分配的问题,医疗机构和医疗制度也有责任为分享决策提供支持。The ethical grounds for shared decision making in medical practice derive from doctors'knowledge,skills and clinical experience,the rights of patients based on their rights of life,body,health and reasonable equality,the essential requirements of medical professionalism and the goals of medicine,the obligations of doctors to patients,and the rights and obligations of patients'families.Patient's preference should be considered only within the range of treatment options approved by medical professionals.Shared decision making is a dynamic and open process,and the biggest ethical challenge of which is the issue of equitable distribution of medical resources.Medical institutions and medical systems also have a responsibility to support shared decision making.

关 键 词：分享决策 医学专业性 临床伦理 

分 类 号：R-05[医药卫生]