消化内镜诊治新技术面临的伦理问题及对策

Ethics Issues and Strategy for New Endoscopy Techniques

消化内镜诊治技术发展中出现的伦理问题有:扩大内镜治疗指征,侵犯病人选择权;医疗费用增加,病人不能平等享受医疗;人员技术参差不齐,患者不能享受公平医疗;父权式医患关系盛行,忽视患者的自主权等。针对这些问题提出一些建议:以人为本,充分尊重患者选择权;规范医疗行为,提倡平等医疗;规范化训练,争取人人享受公平医疗;构建良好的医患关系,尊重患者的自主权。

Digestive endoscopic diagnosis and treatment technology in the development of ethical issues are： the expansion of endoscopic treatment indications, violation of patient choice; Health care costs increase, the pa- tient cannot enjoy medical equality; Staff is uneven, the patient can＇t enjoy the fair medical treatment; Paternalistic doctor -patient relationship, ignore the patient＇s autonomy and so on. Puts forward some Suggestions to solve these problems people - oriented, fully respect patients option ; Standard medical behavior, advocates the equal medical treatment ; Standardized training for everyone to enjoy fair medical treatment ; Build the good doctor - patient rela- tionship, respect the autonomy of patients.