准备大众观点以纳入反射平衡:关于疾病严重程度的案例研究
Borgar Jølstad1, Mille Sofie Stenmarck2, Mathias Barra3
1The Health Services Research Unit-HØKH, Akershus University Hospital HF, Lørenskog, Norway; Centre for Medical Ethics (CME), Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway.
Social science & medicine (1982)
|March 31, 2024
概括
将公共道德判断纳入医疗保健优先级设置可以提高接受度. 本研究提出了一种方法来完善流行的观点,使它们适合道德决策过程,确保规范的健全性和公众的接受性.
科学领域:
- 生物伦理学生物伦理学
- 卫生政策 卫生政策
- 伦理哲学道德哲学
背景情况:
- 医疗保健优先设定原则往往是专家驱动的.
- 实施面临来自民主和政治因素的挑战,导致专家建议被拒绝.
- 专家推导的原则与公众的道德判断之间存在着紧张关系.
研究的目的:
- 探索将普遍观点纳入反映的平衡过程中,以确定医疗保健优先级.
- 开发一种方法来完善流行的观点,以满足考虑的判断的标准.
- 提高优先设定原则的规范性健全性和公众接受度.
主要方法:
- 检查了在反射平衡中包含流行观点的情况.
- 通过将它们与理论框架联系起来,提议加强流行的观点.
- 用疾病严重程度作为案例研究来证明方法的适用性.
主要成果:
- 流行的说法,当得到支持时,可以产生深思熟虑的判断.
- 这些深思熟虑的判断适合纳入公开告知反射平衡.
- 拟议的方法提供了一个完善流行道德观念的框架.
结论:
- 有一种方法可以将公众的道德判断纳入医疗保健优先级设置中.
- 这种方法可以导致既有道德稳定性又被公众接受的原则.
- 该框架适用于即使无法直接评估大众观点的考虑性,也适用.
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