The neglected repercussions of a physician advertising ban
The neglected repercussions of a physician advertising ban
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医生广告禁令被忽视的影响
DOI：
10.1136/medethics-2012-101078
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发表时间：
2013
影响因子：
4.1
通讯作者：
S. Zwier
中科院分区：
文献类型：
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作者：
S. Zwier
虽然医生广告的负面影响是一个激烈和持续的辩论的主题，几乎没有关于医生广告禁令的伦理影响的学术讨论。本文件提请注意这些影响，因为它们存在于今天的世界上大多数地方，特别关注对公众的三个严重影响：（a）对医生的利益的不确定性，即，病人必须相信医生把病人的福祉之前可能的收益时，作出医疗决定;（B）对替代疗法的不确定性，即病人必须信任医生的治疗决定;以及（c）关于唯一的病人-医生关系的不确定性，即病人必须与一名医生发展和保持良好的关系。在现代世界的大多数地方，医生广告禁令继续告诉公众，这些都是无关紧要或不适当的问题，这意味着它们实际上是留给公众来解决的。
Although the adverse implications of physician advertising are the subject of a fierce and sustained debate, there is almost no scholarly discussion on the ethical repercussions of physician advertising bans. The present paper draws attention to these repercussions as they exist today in most of the world, with particular focus on three serious implications for the public: (a) uncertainty about the physician's interests, namely, that patients must trust the physician to put patient wellbeing ahead of possible gains when taking medical decisions; (b) uncertainty about alternative treatments, namely, that patients must trust in the physician's treatment decisions; and (c) uncertainty about the exclusive patient–physician relationship, namely, that patients must develop and maintain a good relationship with one physician. Physician advertising bans continue to tell the public in most of the modern world that these are irrelevant or inappropriate issues, meaning that they are effectively left to the public to resolve.