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缓和医疗与安乐死:差异或协同

Palliative Care and Euthanasia: Difference or Synergy

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【作者】 张迪

【Author】 ZHANG Di;Center for Bioethics/School of Humanities and Social Sciences, Chinese Academy of Medical Science & Peking Union Medical College;

【机构】 中国医学科学院&北京协和医学院生命伦理学研究中心/人文和社会科学学院中国人民大学伦理学与道德建设研究中心

【摘要】 通过对"缓和医疗"和"安乐死"两个概念的梳理、辨析,明确两者的定义,从目的、对象、手段、道德义务和利益攸关方态度等五个方面对两者进行比较,指出两者不存在包含关系,尽管两者在理论上存在交叉和协同关系,但在中国语境下不应强调这两类关系。建议将缓和医疗与安乐死视作两个独立的概念,明确两者不存在包含关系,不强调他们存在交叉和协同关系,并建议弃用"消极安乐死"这一概念,弃用"姑息"一词,以消除误解并推动缓和医疗的发展。

【Abstract】 This paper clarifies the definition and combs the relationship between palliative care and euthanasia. They are compared in terms of target, subject, approach, moral obligation and attitudes of interested party. Although they are intersective and synergetic theoretically, the relationship should not be stressed in the Chinese context. It suggests that in academic and public discussions, palliative care and euthanasia should be regarded as two separate concepts, focusing on their inclusive relationship, rather than intersective and synergetic. It suggests that "passive euthanasia" and "Gu Xi" should be abandoned, to clear up misunderstandings on euthanasia, and promote the development of palliative care.

【关键词】 缓和医疗安乐死消极安乐死
【Key words】 palliative careeuthanasiapassive euthanasia
【基金】 2018年北京市社会科学基金青年项目(18ZXC009)
  • 【文献出处】 医学与哲学 ,Medicine & Philosophy , 编辑部邮箱 ,2021年10期
  • 【分类号】R48
  • 【被引频次】4
  • 【下载频次】2634
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