澳大利亚的堕胎服务:作为生物伦理问题的服务提供。

IF 1.6 Q2 ETHICS
Monash Bioethics Review Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI:10.1007/s40592-024-00215-0
Nathan Emmerich
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引用次数: 0

摘要

尽管过去十年来澳大利亚在堕胎合法化和非刑罪化方面取得了重大进展,但最近的研究和政府报告明确指出,在提供服务方面仍然存在问题。本文对这些问题进行了研究,并提出了这样一种观点,即这些问题可以而且应该被视为(生物)伦理问题。虽然出于良心拒绝--基于明确的伦理保留而选择不提供服务的权利--是医疗保健专业人员在法律和道德上可以采取的立场,但这并不意味着医疗保健工作者可以在没有明确伦理依据的情况下简单地选择不提供服务。此外,简单的不提供服务似乎违背了医疗专业的基本原则,也违背了医疗专业经常提出的将病人的需求放在第一位的主张。本文认识到,过去三十年来取得的进步在很大程度上要归功于兢兢业业的医疗专业人员,他们用自己的职业生涯履行了医疗专业在妇女健康和生殖保健领域的集体责任,因此本文将这一问题归结为医疗专业人员、医疗专业和医疗机构管理者的集体道德失范。在承认一系列复杂的因素导致了目前的局面,需要采取各种措施来确保提供适当的、全面的服务,以及缺乏生命伦理学家对这一问题的批判性评论和分析的同时,我得出结论,有必要(重新)评估澳大利亚各级服务机构提供堕胎服务的情况,并由医疗保健专业和医疗保健专业人员带头这样做。医疗保健专业长期以来一直致力于优先考虑病人的需要而不是自身的利益,这就清楚地表明了这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The provision of abortion in Australia: service delivery as a bioethical concern.

Despite significant progress in the legalization and decriminalization of abortion in Australia over the past decade or more recent research and government reports have made it clear that problems with the provision of services remain. This essay examines such issues and sets forth the view that such issues can and should be seen as (bio)ethical concerns. Whilst conscientious objection-the right to opt-out of provision on the basis of clear ethical reservations-is a legally and morally permissible stance that healthcare professionals can adopt, this does not mean those working in healthcare can simply elect not to be providers absent a clear ethical rationale. Furthermore, simple non-provision would seem to contravene the basic tenants of medical professionalism as well as the oft raised claims of the healthcare professions to put the needs of patients first. Recognizing that much of the progress that has been made over the past three decades can be attributed to the efforts of dedicated healthcare professionals who have dedicated their careers to meeting the profession's collective responsibilities in this area of women's health and reproductive healthcare, this paper frames the matter as a collective ethical lapse on the part of healthcare professionals, the healthcare professions and those involved in the management of healthcare institutions. Whilst also acknowledging that a range of complex factors have led to the present situation, that a variety of steps need to be taken to ensure the proper delivery of services that are comprehensive, and that there has been an absence of critical commentary and analysis of this topic by bioethicists, I conclude that there is a need to (re)assess the provision of abortion in Australia at all levels of service delivery and for the healthcare professions and healthcare professionals to take lead in doing so. That this ought to be done is clearly implied by the healthcare profession's longstanding commitment to prioritizing the needs of patient over their own interests.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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