Ethical dimensions of the fetus as a patient

Ethical dimensions of the fetus as a patient
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DOI:
10.1016/j.bpobgyn.2016.12.007
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发表时间:
2017-08-01
影响因子:
5.5
通讯作者:
McCullough, Laurence B.
McCullough, Laurence B.
中科院分区:
医学2区
文献类型:
--
作者:
Chervenak, Frank A.;McCullough, Laurence B.

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在这一章中,我们提出了一个帐户的胎儿作为一个病人的伦理概念,以指导临床判断和决策的产科医生和病人的关系。我们阐述了这一概念,并探讨其临床意义的基础上的专业责任模式的产科伦理。我们将强调预防性的伦理方法,这是基于对病人护理中潜在的伦理冲突的认识,并采取道德上合理的策略,以防止这些冲突的发生。预防伦理学的目标是维持一个强大的产科医生和病人的关系。在胎儿是患者的所有情况下,通过平衡对妊娠患者的基于慈善和基于道德的道德义务与对胎儿患者的基于慈善的道德义务来实现这一目标。(C)2017由Elsevier Ltd.出版
In this chapter, we present an account of the ethical concept of the fetus as a patient to guide clinical judgment and decision-making in the obstetrician-patient relationship. We explicate this concept and explore its clinical implications on the basis of the professional responsibility model of obstetric ethics. We will emphasize a preventive ethics approach, which is based on the recognition of the potential for ethical conflict in patient care and adopts ethically justified strategies to prevent those conflicts from occurring. The goal of preventive ethics is to sustain a strong obstetrician-patient relationship. This goal is accomplished by balancing beneficence-based and autonomy-based ethical obligations to the pregnant patient with beneficence-based ethical obligations to the fetal patient in all cases in which the fetus is a patient. (C) 2017 Published by Elsevier Ltd.