Cultural aspects of nondisclosure.
Cultural aspects of nondisclosure.
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保密的文化方面。
DOI：
10.1017/s0963180100005156
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Davis,AJ
中科院分区：
文献类型：
--
作者：
Orona,CJ;Koenig,BA;Davis,AJ
目前西方医学的一个基本假设是，良好的医疗保健涉及知情选择。事实上，作出知情的选择不仅被视为“良好做法”，而且也是每个人都有权享有的权利，这一观点只是最近才在医学领域得到发展，此外，就伦理决定而言，关于家庭作用的大部分讨论都是在当代生物伦理学的自主范式范围内进行的;也就是说，家庭成员提供情感支持，但不为有能力的成年患者做出决定。家庭被一致认为是一个重要的代理决策者为不称职的病人，但大多数生物伦理学家会回避任何决策的作用，为家庭的精神上有能力的成年病人。在讨论自主权的基础上，西方医学的基本假设是，良好的医疗保健涉及知情个人的选择。
A basic assumption in current western medicine is that good healthcare involves informed choices. Indeed, making informed choices is not only viewed as “good practice” but a right to which each individual is entitled, a perspective only recently developed in the medical field.Moreover, in the case of ethical decisions, much of the discussion on the role of the family is cast within the autonomy paradigm of contemporary bioethics; that is, family members provide emotional support but do not make decisions for the competent adult patient. The family Is uniformly viewed as an Important proxy decision maker for incompetent patients; but most bioethicists would eschew any decision-making role for the family of mentally competent adult patients. Underlying the discussion of autonomy is the basic assumption in western medicine that good healthcare Involves choices by Informed individuals.