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首页> 外文期刊>Medicine, health care, and philosophy >What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions
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What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions

机译：值得我们尊重的是什么？ 在慢性病管理的背景下重新审查尊重自主权

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The global increase in patients with chronic conditions has led to increased interest in ethical issues regarding such conditions. A basic biomedical principlerespect for autonomyis being reexamined more critically in its clinical implications. New accounts of this basic principle are being proposed. While new accounts of respect for autonomy do underpin the design of many public programs and policies worldwide, addressing both chronic disease management and health promotion, the risk of applying such new accounts to clinical setting remain understudied. However, the application of new accounts of respect for autonomy to clinical settings could support disrespectful attitudes toward or undue interference with patients with chronic conditions. Reconsidering autonomy and respect using Kantian accounts, this paper proposes respect for persons as an alternative basic bioethical principle to respect for autonomy. Unlike the principle of respect for persons in the Belmont Report, our principle involves respecting any patient's decisions, behaviors, emotions, or life-style regardless of his or her autonomous capabilities. Thus, attitudes toward patients should be no different irrespective of the assessment of their decisional or executive capabilities.
机译：慢性病患者的全球增加导致对有关此类条件的道德问题的兴趣增加。在其临床意义中，基本生物医学原理用于自主义体进行重新审视。提出了这一基本原则的新账户。虽然对自主权的新账户确实是在全世界许多公共计划和政策的设计中，解决慢性病管理和健康促进，但仍然将这种新账户应用于临床环境的风险仍然被解读。但是，新账户对临床环境的尊重尊重的应用可以支持对慢性病症患者的不尊重或过度干扰。本文重新考虑自治和尊重使用Kantian账户，提出尊重人们作为尊重自治的替代基本生物学原则。与贝尔蒙特报告中人员的原则不同，我们的原则涉及尊重任何患者的决定，行为，情绪或生活方式，无论他或她的自主能力如何。因此，无论对策略还是执行能力的评估，对患者的态度都不是不同的。

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