The Mutual Rejection between Doctors and Patients in Cancer Treatment and Clinical Decision-making
In complex clinical scenarios,disagreements and even mutual rejection between patients and doctors may arise due to differences in medical knowledge background,quality of life demands,economic status,and personal values.Based on the five principles of medical ethics(patient benefit as priority,autonomy,non-maleficence,fairness,and beneficence)and the four dimensions of ethical reasoning(medical indications,patient preferences,quality of life,and situational characteristics),this article systematically explores the ethical logic behind the mutual refusal between doctors and patients and the possible decision-making paths through the analysis of multiple actual cases in tumour diagnosis and treatment.This article emphasizes the importance of understanding the priority and balance of ethical principles,social resources,medical policies,and ethics advisory committees in complex doctor-patient conflicts,and calls for the establishment of a more comprehensive ethical support system to help doctors achieve the dual goals of science and ethics in conflict resolution.
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