In harm's way: AMA physicians and the duty to treat
In harm's way: AMA physicians and the duty to treat
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DOI：
10.1080/03605310590907066
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发表时间：
2005-04-01
影响因子：
1.6
通讯作者：
Clark, CC
中科院分区：
文献类型：
--
作者：
Clark, CC
2001年6月，美国医学会(AMA)发布了《医学伦理原则》的修订版和扩展版(上一次出版是在1980年)。鉴于这份新的和更全面的文件，本文旨在考虑《美国医学会法典》中医生自主权和社会义务之间的长期紧张关系。特别是，人们会争辩说，在社会紧急情况下，治疗的义务凌驾于AMA的自主权利之上，即使在涉及医生个人风险的情况下(例如，生物恐怖袭击、艾滋病毒感染、SARS)。本论据将通过《AMA规则》的历史、评论和先例来阐述其逻辑和语言。它还将表明，有充分的理由相信《守则》的逻辑在道德上是合理的。文章最后将提出一些哲学建议，建议为提供援助的义务建立一个框架，并将这些义务扩大到面临个人风险的医生。
In June 2001, the American Medical Association (AMA) issued a revised and expanded version of the Principles of Medical Ethics ( last published in 1980). In light of the new and more comprehensive document, the present essay is geared to consideration of a longstanding tension between physician's autonomy rights and societal obligations in the AMA Code. In particular, it will be argued that a duty to treat overrides AMA autonomy rights in social emergencies, even in cases that involve personal risk to physicians ( e. g., bioterrorist attack, HIV infection, SARS). The argument will be made by way of the logic and language of the AMA Code through its history, commentaries, and precedents. It also will be shown that there are substantial reasons to believe that the logic of the Code is sound in morally relevant ways. The essay will conclude with some philosophical proposals suggesting a framework for the duty to render aid and the extension of those duties to physicians facing personal risks.