礼仪实践:儒家医疗决策的起点与落点  

Etiquette practice:the starting point and landing point of Confucian medical decision-making

作　　者：张燕 邓蕊[1] ZHANG Yan;DENG Rui(School of Humanities and Social Sciences,Shanxi Medical University,Taiyuan 030000,China)

机构地区：[1]山西医科大学人文社会科学学院,山西太原030000

出　　处：《中国医学伦理学》2024年第12期1433-1437,共5页Chinese Medical Ethics

基　　金：2023-2024年度山西省大健康产业高质量发展科研专项课题(第二批)重大项目“山西省中青年(35-49岁)高血压患病因素、认知状况及防治策略质性研究”(DDJKZXKT2023146);2023年度山西省科技战略研究专项“研究者发起的临床研究伦理问题及伦理治理”(SXSKJ2023069);2023年山西省高等学校一般性教学改革创新立项项目“数智健康视域下山西省医学人文素质教育实验室建设研究”(J20230533)。

摘　　要：医疗不仅关乎个人生老病死,也是一种撕裂家庭既有关系的否定性力量。与西方原则主义生命伦理学相比,儒家生命伦理学强调在医疗实践中要以美德为基础,以家庭为本位,以礼仪实践为引导,为患者的医疗保健作出最适当的决策。作为道德实践学说,礼仪实践为儒家思想的道德追求确立了适当的起点和落点,并在家庭医疗决策、知情同意、应对死亡等方面体现为家庭共同决策的过程。剖析儒家生命伦理学的本质,厘清礼仪和原则之间的交互关系,是儒家传统解决当下医疗实践问题的重要前提。Medical care is not only related to individual life,aging,illness,and death,but also a negative force that tears apart existing family relationships.Compared with Western principled bioethics,Confucian bioethics emphasizes that in medical practice should be based on virtues,centered on the family,and guided by etiquette practices to make the most appropriate decisions for patients’healthcare.As a moral practice theory,etiquette practice has established an appropriate starting point and landing point for the moral pursuit of Confucianism,as well as is reflected in the process of family joint decision-making in aspects such as family medical decision-making,informed consent,and coping with death.There are important prerequisites for the Confucian tradition to address current medical practice issues,which involve analyzing the essence of Confucian bioethics and clarifying the interactive relationship between etiquette and principles.

关 键 词：儒家思想 医疗决策 礼仪实践 生命伦理学 

分 类 号：R-052[医药卫生]