MEDICAL-ETHICS - 4 PRINCIPLES PLUS ATTENTION TO SCOPE
MEDICAL-ETHICS - 4 PRINCIPLES PLUS ATTENTION TO SCOPE
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DOI：
10.1136/bmj.309.6948.184
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发表时间：
1994-07-16
影响因子：
--
通讯作者：
GILLON, R
中科院分区：
文献类型：
--
作者：
GILLON, R
“四项原则加范围”的方法提供了一种简单、易懂和文化中立的方法来思考卫生保健中的伦理问题。这种方法是在美国发展起来的，它基于四个共同的、基本的道德承诺--尊重自治、仁慈、非恶意和正义--以及对其适用范围的担忧。它提供了一个共同的基本道德分析框架和一个共同的基本道德语言。尽管它们没有提供有序的规则，但这些原则可以帮助医生和其他卫生保健工作者在反思工作中出现的道德问题时做出决定。
The ''four principles plus scope'' approach provides a simple, accessible, and culturally neutral approach to thinking about ethical issues in health care. The approach, developed in the United States, is based on four common, basic prima facie moral commitments-respect for autonomy, beneficence, non-maleficence, and justice-plus concern for their scope of application. It offers a common, basic moral analytical framework and a common, basic moral language. Although they do not provide ordered rules, these principles can help doctors and other health care workers to make decisions when reflecting on moral issues that arise at work.