'IN GOOD CONSCIENCE': CONSCIENCE-BASED EXEMPTIONS AND PROPER MEDICAL TREATMENT
'IN GOOD CONSCIENCE': CONSCIENCE-BASED EXEMPTIONS AND PROPER MEDICAL TREATMENT
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DOI：
10.1093/medlaw/fwv007
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发表时间：
2015-03-01
影响因子：
1.7
通讯作者：
Neal, Mary
中科院分区：
文献类型：
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作者：
Fovargue, Sara;Neal, Mary
由于对出于良心拒绝参与特定医疗保健做法的适当限制不明确，人们担心，在没有明确参数的情况下，基于良心的豁免可能会越来越普遍，给卫生专业人员、患者和机构带来无法承受的负担。在这里，我们确定了三个因素，澄清了基于良心的豁免的适当范围：“适当的医疗”作为其领土范围的阈值区;以及一个事实，即行使一个有效的良心-这些限制因素应该让那些担心承认良心权利不可避免地会冒着猖獗的主观性风险的人放心和自身利益的问题。与此同时，它们划定了一个强有力的良心地带：如果良心主张涉及到具有最低限度地位的待遇，并满足良心品格的标准以及良心表现的条件，它就应该得到有力的法律的保护。
Lack of clarity about the proper limits of conscientious refusal to participate in particular healthcare practices has given rise to fears that, in the absence of clear parameters, conscience-based exemptions may become increasingly widespread, leading to intolerable burdens on health professionals, patients, and institutions. Here, we identify three factors which clarify the proper scope of conscience-based exemptions: the liminal zone of 'proper medical treatment' as their territorial extent; some criteria for genuine conscientiousness; and the fact that the exercise of a valid conscience-based exemption carries certain duties with it. These restricting factors should reassure those who worry that recognising rights of conscience at all inevitably risks rampant subjectivity and self-interest on the part of professionals. At the same time, they delineate a robust conscience zone: where a claim of conscience relates to treatment with liminal status and satisfies the criteria for conscientious character, as well as the conditions for conscientious performance, it deserves muscular legal protection.