[智利医疗保健系统中的社会参与:生物伦理学的反思性贡献.]
Camilo Guerrero-Nancuante1, Andrea Melo2, Paulina Gundelach2
1Magíster en Salud Pública. Estudiante, Doctorado en Salud Pública, Escuela de Salud Pública Dr. Salvador Allende, Universidad de Chile. Académico, Escuela de Enfermería, Universidad de Valparaíso, Viña del Mar, Chile.
Salud colectiva
|November 24, 2023
概括
智利医疗保健系统中的社会参与是咨询性的,缺乏真正的审议和权力分配. 生物伦理学呼吁整合社区的影响力,以实现更公平的医疗保健结构.
科学领域:
- 生物伦理学生物伦理学
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 对于医疗保健系统的集体干预,社会参与对健康至关重要.
- 生物伦理学强调了社会参与对社会群体,医疗保健结构和民主制度的好处.
- 审议是健康社会参与中具有约束力的决策的关键.
研究的目的:
- 从生物伦理的角度来思考智利医疗保健系统中社会参与的历史.
- 分析社会参与的性质及其对医疗保健系统内权力动态的影响.
- 提出生物伦理战略,以加强社区在医疗保健中的影响力.
主要方法:
- 智利历史医疗保健政策和实践的生物伦理分析.
- 批判性审查社会参与模式及其实施.
- 检查医疗保健话语中的"公民"概念.
主要成果:
- 智利医疗保健中的社会参与主要是咨询性的,缺乏真正的审议和公平的权力分配.
- 医疗保健中的"公民"概念已经被工具化,促进了个人主义和以客户为导向的方法.
- 现有的结构限制了社区持续影响医疗保健系统的能力.
结论:
- 智利的医疗保健系统需要对生物伦理进行重新评估,以促进有意义的社会参与.
- 纳入生物伦理原则可以使社区能够对医疗保健决策产生一致的影响.
- 颠覆当前的工具化模式需要转向审议和权力分配参与.
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