Value of choice.
Value of choice.
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选择的价值。
DOI：
10.1136/medethics-2020-106067
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发表时间：
2022
影响因子：
4.1
通讯作者：
Walker T
中科院分区：
文献类型：
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作者：
Walker T
在当代医学伦理学中，对病人选择价值的解释通常集中在选择行为上。有人认为，作为一个选择者可能是有价值的，因为它使一个人能够带来预期的结果，或者因为它是一种实现自主权的方式。本文认为，所有这些帐户错过了一些重要的东西。在某些情况下，有价值的是有选择的机会，而不是选择的行为。这是因为在许多情况下，无论一个人是否拥有或被拒绝，机会都传达了人们对他的看法。特别是，它传达了一个人是否被视为社会的平等和有能力的成员。清醒地认识到这一事实对医疗保健专业人员应该做的事情有影响，这些事情需要远离目前对自主权的关注。本文通过关注那些可能难以被承认为有能力和平等的社会成员的患者，引出了这些影响，因此他们的自主权有时也会受到质疑。
Accounts of the value of patient choice in contemporary medical ethics typically focus on the act of choosing. Being the one to choose, it is argued, can be valuable either because it enables one to bring about desired outcomes, or because it is a way of enacting one’s autonomy. This paper argues that all such accounts miss something important. In some circumstances, it is having the opportunity to choose, not the act of choosing, that is valuable. That is because in many situations whether one has, or is denied, that opportunity conveys how one is seen. In particular, it conveys whether or not one is seen as an equal and competent member of society. Adequately recognising this fact has implications for what healthcare professionals should do, ones that require a move away from the current focus on autonomy. The paper draws out these implications by focusing on patients who may struggle to be recognised as competent and equal members of society, and whose autonomy may thus itself sometimes be in question.