Clinical trials in palliative care: an ethical evaluation

被引：23

作者：

Janssens, R ^{[1
]}

Gordijn, B ^{[1
]}

机构：

[1] Catholic Univ Nijmegen, Dept Eth Philosophy & Hist Med, Nijmegen, Netherlands

来源：

PATIENT EDUCATION AND COUNSELING | 2000年 / 41卷 / 01期

关键词：

human experimentation; beneficence; social justice; autonomy;

D O I：

10.1016/S0738-3991(00)00115-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

On first sight, clinical trials do not seem to fit well within the concept of palliative care. Tn palliative care, the needs and wishes of the patient set the norm while participation in experimental trials is potentially harmful for the patient. The dilemma seems hard to solve as optimal care for the dying and improvement of treatment for future patients are both imperative. Yet, the one seems to exclude the other. however, on closer examination it becomes less evident that clinical trials in palliative care confront: us with an unsolvable dilemma. Some patients' lives may gain meaning through participation in trials out of solidarity with future patients. In order to clarify this, the notions of authenticity and hope can be illuminative. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：55 / 62

页数：8

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