儒家家庭主义视角下病危患者的生死抉择——由“琼瑶事件”引发的思考

摘要

"Qiong Yao incident" has triggered a discussion on the life-or-death choice in critically ill patients.Aimed at this problem,this paper analyzed the decision-making short cut of Confucian familism in Confucian life ethics,from the perspective of the implication of Confucian familism in medical ethics,the family consultation principle in medical decision making,the great significance of family-oriented medical decisions for patients and family members,and the family love in hospice care.In addition,it pointed out that hospice care in China is still in the preliminary exploration stage,so we should actively establish a road of hospice care which is suitable for China's national conditions.%通过“琼瑶事件”引发了关于面对重症患者的生死抉择问题的讨论,针对此问题,从儒家家庭主义在医学伦理学中的意蕴,医疗决策中的家庭协商原则,以家庭为导向的医疗决定对患者及家庭成员的意义,以及临终关怀的家庭之爱等方面分析探讨了儒家生命伦理学中的儒家家庭主义的决策进路.并指出中国的临终关怀服务仍处于初步探索阶段,因此应积极创建一条适合中国国情的临终关怀之路.