临床伦理咨询对医患关系的调节作用

摘要

医患之间因对疾病的感受和看法、思维逻辑差异而导致价值观差异,易引发医患矛盾,临床伦理咨询借助伦理调节功能疏解医患价值观差异或道德冲突.与我国既有医患关系调解机制相比,临床伦理咨询具有事先防范医患冲突或纠纷、多学科专家合力会诊、应对负载价值的医患矛盾等特点.尽管临床伦理咨询具有理论意义和实践价值,但仍面临着道德相对主义的理论挑战以及伦理委员胜任力、咨询效力和支持系统等实践问题.%The differences of feelings and views of disease and logical thinking between doctor and patient lead to differences in values which might result in doctor-patient conflicts,and clinical ethics consultation ease the differences in values or moral conflict between doctors and patients using ethical adjustment function.Compared with the present mediation mechanism of doctor-patient relationship in China,clinical ethics consultation has the characteristics of preventing the doctor-patient conflict or dispute,multi-disciplinary experts' consultation and coping with the doctor-patient contradiction of value-laden.Although clinical ethics consultation has theoretical significance and practical value,it still faces the theoretical challenge of moral relativism,and the practical prob-lems such as competence of ethical committee,consultation effect and support system.