在文化上尊重穆斯林病人的自主权:通过尊重公正来培养病人的能动性。

Theoretical medicine and bioethics Pub Date : 2024-04-01 Epub Date: 2024-02-07 DOI:10.1007/s11017-023-09655-x
Kriszta Sajber, Sarah Khaleefah
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引用次数: 0

摘要

虽然西方生物医学伦理强调尊重自主权,但与西方医疗保健系统互动的穆斯林患者的医疗决策更有可能受到关系伦理和宗教承诺的驱使,这些承诺反映了公平、互惠和正义的理想。基于对伊斯兰和西方生物医学伦理学体系的深入跨文化比较,以及对概念一致性和差异性的评估,我们认为,在与穆斯林患者合作时,尊重的伦理学应扩展到促进以患者与正义相关的习俗、信仰和义务为基础的决策。我们概述了伊斯兰生物医学伦理学传统中关于提高自主性实践的哲学争论,并举例说明了建议将重点从以自主性为中心转移到以正义为中心的方法,以促进文化上胜任的代理能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Culturally competent respect for the autonomy of Muslim patients: fostering patient agency by respecting justice.

Although Western biomedical ethics emphasizes respect for autonomy, the medical decision-making of Muslim patients interacting with Western healthcare systems is more likely to be motivated by relational ethical and religious commitments that reflect the ideals of equity, reciprocity, and justice. Based on an in-depth cross-cultural comparison of Islamic and Western systems of biomedical ethics and an assessment of conceptual alignments and differences, we argue that, when working with Muslim patients, an ethics of respect extends to facilitating decision-making grounded in the patient's justice-related customs, beliefs, and obligations. We offer an overview of the philosophical contestations of autonomy-enhancing practices from the Islamic tradition of biomedical ethics, and examples that demonstrate a recommended shift of emphasis from an autonomy-centered to a justice-focused approach to culturally competent agency-promotion.

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