机器人在外科手术中的生物伦理方面

Q4 Medicine
Jahr Pub Date : 2021-07-08 DOI:10.21860/j.12.1.7
E. Vvedenskaya
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引用次数: 0

摘要

本文讨论了手术机器人的生物伦理方面,并评估了这一过程对医生和病人之间关系的影响。一种工程模式正在逐渐取代传统的家长式的医患关系模式。如果说家长主义意味着医生对待病人的态度就像对待生病的孩子一样,这需要医生的同情、帮助和巨大的责任,那么在实施第二种模式时,医生就像一个技术执行者,只履行职位描述所规定的责任。一方面,技术型模式的主导地位带来了患者去人格化的威胁,并消除了医生与患者之间的联系。另一方面,这有助于医学概念的根本变化。为什么人们通常去看医生?为了确定诊断,开疗程,开处方,进行医疗操作?在医患关系中,人类将扮演一个完全不同的角色,机器将越来越多地执行这些动作。将医生从日常工作中解放出来,可以让他们更多地关注病人的护理,充分展示他们的人文素质。本文分析了外科医生在现代医学中的地位,试图确定外科手术属于“机器领域”还是“人的领域”。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bioethical aspects of robotics in surgery
The article discusses the bioethical aspects of robotics in surgery and assesses the impact of this process on the relationship between the physician and the patient. An engineering model is gradually replacing the traditional paternalistic model of the physician-patient relationship. If paternalism implies the doctor’s attitude to the patient as his sick child, which requires compassion, help, and great responsibility on the part of the doctor, then when implementing the second model, the doctor, like a technical executor, performs only the responsibilities provided by the job description. On the one hand, the dominance of a technical-type model carries the threat of depersonalizing the patient and eliminating contact between the physician and the patient. On the other hand, this contributes to a radical change in the concept of medicine. Why people usually go to doctors? For establishing a diagnosis, prescribing a course of treatment, a prescription, and performing medical manipulations? Machines, leaving a human with a completely different role in the relationship between the physician and the patient, will increasingly perform these actions. The release of doctors from routine tasks will allow them to pay more attention to patient care, fully demonstrating their human qualities. The article analyzes the surgeon’s place in modern medicine and makes an attempt to determine which category the surgery belongs to, “machine territory” or “human territory”.
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来源期刊
Jahr
Jahr Medicine-Medicine (miscellaneous)
CiteScore
0.60
自引率
0.00%
发文量
11
审稿时长
20 weeks
期刊介绍: JAHR – EUROPEAN JOURNAL OF BIOETHICS is a journal that deals with a wide range of bioethical topics. The aim of the Editorial Board is to publish articles related to bioethics in social sciences (sociology, psychology, law, political science, information and communication sciences, pedagogy, education and rehabilitation sciences, speech-language pathology, kinesiology, demography, social activities, security and defence sciences, economics), humanities (philosophy, theology, philology, history, art history, archaeology, ethnology and anthropology, religious sciences), biomedical (medicine, public health, veterinary medicine, dentistry and pharmacology), but also in other sciences. The journal is published twice a year.
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