Children’s autonomy in medical decision-making

Q4 Medicine Jahr Pub Date : 2019-07-29 DOI:10.21860/J.10.1.9
M. C. Tai
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引用次数: 1

Abstract

Should children be allowed to express their opinion in regards to medical treatment or experiment? In the past, the practice seemed to assume that children are not matured enough to make decision affecting their well-being, their guardians therefore are given the power to decide for them. In this article the author will argue that this practice should be changed and children should be allowed to get involved. The author quoted findings of Grootens-Wiegers P., Hein I. M., van den Broek J. M. and de Vires M. C. in regards to children’s ability from developmental and neuroscientific aspects that children actually start knowing their like, dislike, good and bad… from a very young age. Though these processes are gradual, the finding tells us that children are not as immature as we used to think. The author thus argues that children’s autonomy must be respected in some way when medical decision is to be made. At least, they must be told what options are available and seek their opinion.
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儿童在医疗决策中的自主权
孩子们应该被允许表达他们对医疗或实验的意见吗?在过去,这种做法似乎假设儿童还不够成熟,无法做出影响他们福祉的决定,因此他们的监护人被赋予了替他们做决定的权力。在这篇文章中,作者将认为这种做法应该改变,孩子们应该被允许参与进来。作者引用了Grootens-Wiegers P.、Hein I. M.、van den Broek J. M.和de Vires M. C.的研究结果,从发育和神经科学的角度来看,儿童实际上从很小的时候就开始知道自己喜欢、不喜欢、好与坏。虽然这些过程是渐进的,但研究结果告诉我们,孩子们并不像我们过去认为的那样不成熟。因此,提交人认为,在作出医疗决定时,必须以某种方式尊重儿童的自主权。至少,必须告诉他们有哪些选择,并征求他们的意见。
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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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