What does 'Respect' mean? Exploring the moral obligation of health professionals to respect patients

被引:70
作者
Beach, Mary Catherine
Duggan, Patrick S.
Cassel, Christine K.
Geller, Gail
机构
[1] Johns Hopkins Univ, Sch Med, Berman Inst Bioeth, Dept Hlth Policy & Management, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
[4] Amer Board Internal Med, Philadelphia, PA USA
基金
美国医疗保健研究与质量局;
关键词
ethics; respect for persons; respect for autonomy; professionalism;
D O I
10.1007/s11606-006-0054-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Respect is frequently invoked as an integral aspect of ethics and professionalism in medicine, yet it is often unclear what respect means in this setting. While we recognize that there are many reasonable ways to think about and use the term 'respect', in this paper, we develop a conception of respect that imposes a distinct moral duty on physicians. We are concerned mainly with the idea of respect for persons, or more specifically, respect for patients as persons. We develop an account of respect as recognition of the unconditional value of patients as persons. Such respect involves respecting the autonomy of patients, but we challenge the idea that respect for autonomy is a complete or self-sufficient expression of respect for persons. Furthermore, we suggest that the type of respect that physicians owe to patients is independent of a patient's personal characteristics, and therefore, ought to be accorded equally to all. Finally, the respect that we promote has both a cognitive dimension (believing that patients have value) and a behavioral dimension (acting in accordance with this belief).
引用
收藏
页码:692 / 695
页数:4
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