نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری فلسفه اخلاق دانشگاه قم
2 دانشیار دانشگاه قم رشته فلسفه اخلاق
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Triage in clinical medicine is commonly defined as the process of prioritizing patients when resources are scarce—a process typically interpreted through the lens of maximizing outcomes. This article, employing a philosophical–analytical approach, challenges the prevailing assumption and argues that the normative logic of triage is not necessarily reducible to utilitarianism. The methodology draws on conceptual analysis, examination of core principles in bioethics, and normative interpretation of standard decision-making scenarios in emergency settings. The findings indicate that the internal structure of triage aligns more closely with natural law theory. This is because triage decisions consider not only clinical outcomes (such as the probability of survival) but also the clinician’s intention, the moral limits of action, and the intrinsic value of human life. Case-based analysis of difficult triage decisions shows that many of them can be coherently explained only through the principle of double effect, which distinguishes between intended harms and unavoidable side-effects in moral evaluation. The study concludes that triage can be interpreted consistently within a natural-law framework—a perspective that highlights the need to revise policy guidelines and clinical-ethics training to enhance both theoretical coherence and practical decision-making in crisis conditions.
کلیدواژهها [English]
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