Physician-assisted suicide
Physician-assisted suicide
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DOI：
10.7326/0003-4819-135-3-200108070-00015
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发表时间：
2001-08-07
影响因子：
39.2
通讯作者：
Sulmasy, DP
中科院分区：
文献类型：
--
作者：
Snyder, L;Sulmasy, DP
长期以来，医学专业守则禁止医生参与协助病人自杀。然而，尽管有道德和法律上的禁止，近年来要求放开这一禁令的呼声越来越高。医学界应该就支持和反对改变公共政策的论点阐明自己的观点，并决定改变是否谨慎。在解决这样一个有争议的问题时，医生、政策制定者和社会必须充分考虑患者的需求、特定患者群体的脆弱性、信任和专业问题，以及临终卫生保健的复杂性。在定义我们的职业规范和道德准则的问题中，医生协助自杀是一个突出的问题。美国内科医师学会（ACP-ASIM）不支持医生协助自杀合法化。医生协助自杀的常规做法引发了严重的伦理和其他问题。合法化会破坏医患关系和维持这种关系所必需的信任；在医学专业在社会中的作用之后；危及我们的社会对生命的重视，尤其是对残疾、无能和弱势群体的生命的重视。ACP-ASIM仍然彻底致力于改善临终病人的护理。
Medical professional codes have long prohibited physician involvement in assisting a patient's suicide. However, despite ethical and legal prohibitions, calls for the liberalization of this ban have grown in recent years.The medical profession should articulate its views on the arguments for and against changes in public policy and decide whether changes are prudent. In addressing such a contentious issue, physicians, policymakers, and society must fully consider the needs of patients, the vulnerability of particular patient groups, issues of trust and professionalism, and the complexities of end-of-life health care. Physician-assisted suicide is prominent among the issues that define our professional norms and codes of ethics.The American College of Physicians-American Society of Internal Medicine (ACP-ASIM) does not support the legalization of physician-assisted suicide. The routine practice of physician-assisted suicide raises serious ethical and other concerns. Legalization would undermine the patient-physician relationship and the trust necessary to sustain it; after the medical profession's role in society; and endanger the value our society places on life, especially on the lives of disabled, incompetent, and vulnerable individuals. The ACP-ASIM remains thoroughly committed to improving care for patients at the end of life.