病人权利与医患关系课件.pptVIP

Patient rights and Doctor-patient relationship病人權利與醫患關係 Dr. Derrick K. S. Au 區結成醫生 Kowloon Hospital Hong Kong Eye Hospital The oldest code of medical ethics: Hippocratic Oath (4th Century BC) Several parts of the oath have been revised over the years, e.g. - “To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him…” “Nor will I give a woman a pessary to procure abortion;” “I will not cut for stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in his art.” Code of Professional Conduct (Hong Kong Medical Council) Medicine as a profession is distinguished from other professions by a special moral duty of care to save lives and to relieve suffering. Medical Registration Ordinance (Cap. 161) confers upon the medical profession considerable freedom of self regulation, the profession is obliged to abide by a strict code of conduct which embodies high ethical values, protects patients’ interests, and upholds professional integrity. Trust is essential to the practice of medicine. There can be no medicine in the absence of trust. The patient’s trust imposes upon the doctor a corresponding duty to be trustworthy and accountable. .hk/code.htm Ethics: What is right? Moral (道德)- comes from Latin ‘mos’(mores); Ethics (倫理) - comes from Greek ‘ethos’ Both have meaning of customs (風俗), or generally accepted social norm But ‘What is right’ is not just a matter of social norm (e.g. slavery was a social norm at one time) Professional norm is not always right, it does revise over time What is legally permitted is not always right Ethical principles Commonly quoted ethical principles: Autonomy 自主原則 Beneficence 行善原則 Justice 正義原則 Nonmaleficence 不傷害原則 These are useful but by themselves are not adequate for ethical decision making Rights The great religions of the world have all sought to establish moral cod