应用以系统为导向的道德决策框架来缓解健康的社会和结构性决定因素
1Department of Dental Public Health and Policy, Virginia Commonwealth University School of Dentistry, Richmond, VA, United States.
Frontiers in oral health
|July 31, 2023
概括
这项研究引入了一种新的伦理决策模型,该模型解决了系统性问题和健康的社会决定因素. 它通过考虑更广泛的社会因素,帮助医疗保健提供者更好地为服务不足的人群提供服务.
科学领域:
- 生物伦理学生物伦理学
- 卫生系统科学 卫生系统科学
- 公共卫生 公共卫生
背景情况:
- 当前的临床伦理决策模式侧重于个人选择,忽视影响患者结果的系统因素.
- 健康的社会和结构性决定因素对服务不足的人群产生重大影响,加剧了健康差异.
研究的目的:
- 提出一个以系统为导向的道德决策框架.
- 纳入和减轻健康的社会和结构决定因素的影响.
- 协助医疗保健提供者和领导者为服务不足的人群提供伦理护理.
主要方法:
- 对道德决策的四框方法的批评和推导.
- 伦理学和功利主义伦理理论的整合.
- 制定一个框架,用于导航护理的复杂伦理维度.
主要成果:
- 提出了一个以系统为导向的伦理决策框架.
- 该框架以义务,责任和功利主义为中心,以实现最佳的好处.
- 它有助于解决受健康社会决定因素影响的服务不足患者的需求.
结论:
- 医疗保健提供者必须认识到和解决影响弱势患者的社会问题.
- 面向系统的模型对于减轻健康的社会决定因素至关重要.
- 这一框架支持牙科专业对服务不足的人的义务.
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