When four principles are too many: bloodgate, integrity and an action-guiding model of ethical decision making in clinical practice
When four principles are too many: bloodgate, integrity and an action-guiding model of ethical decision making in clinical practice
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DOI：
10.1136/medethics-2011-100136
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发表时间：
2012-04-01
影响因子：
4.1
通讯作者：
Muirhead, William
中科院分区：
文献类型：
--
作者：
Muirhead, William
医学伦理学分析仍然被Beauchamp和奇尔德里斯首先提出的原则主义解释所主导。本文认为，原则主义模式是不反映如何在临床实践中采取的伦理决策。医学伦理决策分为生物社会伦理决策和临床伦理决策。有人认为，原则主义是一个不适当的模式，临床伦理学，因为它既不是足够的行动指导，也不强调临床医生的职业操守。提出了一种替代模式，在临床伦理领域的决策。
Medical ethical analysis remains dominated by the principlist account first proposed by Beauchamp and Childress. This paper argues that the principlist model is unreflective of how ethical decisions are taken in clinical practice. Two kinds of medical ethical decisions are distinguished: biosocial ethics and clinical ethics. It is argued that principlism is an inappropriate model for clinical ethics as it is neither sufficiently action-guiding nor does it emphasise the professional integrity of the clinician. An alternative model is proposed for decision making in the realm of clinical ethics.