谁的健康和哪个健康? 一个健康模式中的两个理论缺陷
Felicitas Selter1, Sabine Salloch1
1Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Hannover, Germany.
Bioethics
|June 9, 2023
概括
一个健康的方法需要更清晰的理论基础. 这项研究发现了在考虑谁的健康问题以及哪些健康概念在人类,动物和环境中公平适用时存在的缺陷.
科学领域:
- 跨学科研究跨学科的研究.
- 医学哲学 医学哲学
- 公共卫生 公共卫生
背景情况:
- 一个健康的方法整合了人类,动物和环境的健康.
- 一个健康的理论和规范方面的研究不足,导致应用的不确定性.
- 概念上的不一致性阻碍了One Health倡议的有效实施.
研究的目的:
- 批判性地分析一个健康模式中的理论缺陷.
- 检查在不同层面 (个人,人口,生态系统) 对健康的考虑.
- 评估各种健康概念对One Health的适用性.
主要方法:
- 分析"谁的健康"问题在一个健康.
- 检查健康概念:福祉,自然功能,能力和弹性.
- 哲学探讨医学和健康的哲学.
主要成果:
- 一个健康方法在公平考虑人类,动物和环境健康方面面临挑战.
- 没有一个单一的健康概念能够充分满足One Health内部所有实体的多样化需求.
- 在不同层次的分析中,在应用健康概念方面存在差异.
结论:
- 明确陈述理论和规范性假设对于"一个健康"倡议至关重要.
- 一个统一的健康概念可能是不可行或可取的,为一个健康.
- 根据特定实体或水平定制健康概念可能提供一个可行的解决方案.
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