Medical ethics for children: applying the four principles to paediatrics
Medical ethics for children: applying the four principles to paediatrics
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DOI：
10.1136/jme.2006.018747
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发表时间：
2008-03-01
影响因子：
4.1
通讯作者：
Baines, P.
中科院分区：
文献类型：
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作者：
Baines, P.
我认为，对不称职的儿童应用四项原则的方法存在困难。最重要的原则-尊重自主权-并不直接适用于无行为能力的儿童，对这一原则进行最适当的修改并不明确。慈善原则-即人们应该为儿童的利益行事-由于难以评估儿童的利益是什么以及为儿童选择利益的人应该遵守什么标准而变得复杂。四项原则办法的另一个问题是，亲权并不明确地遵循四项原则。
I will argue that there are difficulties with the application of the four principles approach to incompetent children. The most important principle - respect for autonomy - is not directly applicable to incompetent children and the most appropriate modification of the principle for them is not clear. The principle of beneficence - that one should act in the child's interests - is complicated by difficulties in assessing what a child's interests are and to which standard of interests those choosing for children should be held. A further problem with the four principles approach is that parental authority does not follow clearly from the four principles.