2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/38538「No law can ever force parents to love their unborn child, but they should be obliged to listen to an expert for an hour or so in order to make a correctly informed decision about whether to carry a pregnancy to term. Every child deserves that chance regardless of his or her genetic constitution.」 (Wolfram Henn, M.D.) These words were from a clinical geneticist and medical ethicist from Homburg-Saar, Germany printed in Time Dec 19, 2005. Dr. Henn timely reflects the importance of bioethical consultation. The discussion of bioethics in the last two decades has focused more on the issues such as the ethicability of cloning, genetic engineering, stem cell research…etc. To implement bioethics into clinically day-to-day practice seems have side-tracked somehow. By the efforts of some bioethicists such as Dr.George Agich, Dr. M.H. Sass… the bioethical consultation has received attention in bioethical field in the last few years. This study project proposes to examine how Taiwan is doing in terms of bioethical consultation and its future development. There are four aims : firstly to study the theoretical foundation of ethics consultation, secondly, to research the method and technique of bioethical consultation, thirdly, to find out whether or not our medical schools include this consultation in their bioethical courses and fourthly, a research to see if ethical consultation mechanism can be established in Taiwan. Since bioethical consultation started in USA and Germany by Dr. George Agich and Dr.H.M.Sass, I have requested and obtained their consent to work together to make this study project an international endeavor. Dr.Sass even wrote a letter to further certify his willing co-operation with this project. I hope that the fourth international conference of the bioethical consultation can be convened in Taiwan in 2008 ( the conference is held every other year and its third meeting has been scheduled for 2006 to be held in Canada. Its first conference was held in USA and the second at Basel University in Swiss). This proposed study is for a three years term. The first year is aimed at gathering all information, studying different theories and analyzing them to find a most suitable one for Taiwan. The second year will do a survey to health professionals from where they obtain the assistance when being confronted with a dilemmas. This second year will also examine our medical ethics education to see if any functioning consultation technique or discussion is included in curriculum. The third year will attempt to try consultation mechanism to see how it will work in Taiwan. This last year hopefully can also be the year for Taiwan to host an international conference on bioethical consultation.醫學倫理從20 世紀末期因醫療科技之急速發展衝擊下持續發展至今，其軌跡已可 明顯看出朝不同方向同時推進；首先，研究倫理(Research Ethics)，針對新醫療技術 之嘗試與突破的倫理論述，比如幹細胞研究、複製技術、基因醫療…等等。再則，在臨 床應用上，從事倫理之思辯，以思考出一個醫療難題中最佳的選擇。由於不過這個思考 不能只停留在紙上談兵的論述上，而必須密切與臨床結合，因之這個發展最近開始強調 醫學倫理諮詢的重要性，並從美國發展推廣至歐洲。第三則是應用哲學之倫理學理的研 究，從理論意念及方法論上著手。在醫學倫理學之思考上此三方向同時進行，但對台灣 來說，第二個走向應是我們更應強調的。這也包含醫學教育在醫學倫理課程之改進上。 台灣近十年來對醫學倫理重要性之認識，已有長足進步，但對倫理諮詢則尚無雛 型，如何把醫學倫理之人性化理想落實在臨床上是醫學倫理最主要之目的。本研究計畫 將針尋目前我國醫事人員如何應用醫學倫理在臨床上，特別是面對兩難時，取得資訊及 協助。醫事倫理諮詢之建構，如何落實之探討，已是今天醫學倫理不可或缺的新強調了， 台灣也必須朝此方向發展。 先進國家中，醫院中多設有臨床倫理諮商師，除了給予病患必要的協助，更重要的 是對執行業務的醫師提供醫療專業上有關倫理議題的諮詢。台灣社會各界近年來對於醫 療專業人員欠缺醫學倫理的批評日殷，尤其在發生邱小妹事件後，又發生宋品潔事件， 林進興公佈胡自強病情事件，各界對於醫學倫理如何落實於臨床更形迫切，研究醫療倫 理諮商應是目前台灣醫學教育與醫療界不可忽視的。Project