[Analysis of the ethical principles of beneficence and no harm in medical oaths in relation with the Hippocratic one].
The principles of beneficence and no-maleficence, already set forth in the Hippocratic Oath, have been the foundation of medical ethics for the last twenty-five centuries. The principle of beneficence is currently maintained in most wordings of the pledges of medical schools of the United States, Canada and Argentina; it is not the same with the principle of non-maleficence. The aim of this paper is to determine whether these principles are described in medical oaths at different times. These principles did not remain in an oaths. Of twenty-nine analyzed texts, nine describe both principles simultaneously, eleven only mention beneficence; three only express non-maleficence, and six indicate neither of them. Most wordings that describe these principles are modifications of the Hippocratic Oath. Two contemporary wordings describe the achievement of the greatest benefit with minimum harm. Two current wording also subordinate the principle of beneficence to the principle of respect for the patient's autonomy, and eight wordings indicate not only patients' benefit in particular but that of society in general. It is not possible to ignore that it is no enough to fulfill only these two principles. Physicians should encourage the development of patients' responsibility in managing their own health and respect their autonomy.
Rancich
A M
AM
Departamento de Graduados, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Argentina. rancich@netverk.com.ar
Pérez
M L
ML
Gelpi
R J
RJ
Mainetti
J A
JA
D004992:Ethics, Medical; D006625:Hippocratic Oath; D006801:Humans
Análisis de los principios éticos de beneficencia y de no-maleficencia en los juramentos médicos, en relación con el hipocrático.