英国初级医生罢工和癌症患者:一个道德上有疑问的关联
1Department of Radiotherapy and Oncology, James Cook University Hospital, Middlesbrough, UK david.wilkinson2@nhs.net.
Journal of medical ethics
|May 8, 2024
概括
医生 医生 医生 医生
科学领域:
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
- 医疗保健的社会经济影响
背景情况:
- 在英国,医生罢工在法律上是允许的.
- 这些罢工的道德允许性受到辩论,特别是在国家卫生服务 (NHS) 的初级医生方面.
- 以前的论点赞成和反对医生罢工的道德理由存在.
研究的目的:
- 批判性地评估医生罢工的道德论据,特别是英格兰NHS的初级医生罢工.
- 通过低估对癌症患者的伤害来证明现有理由的核心缺陷.
- 提供对公共利益理由和超权行动概念的心理批评.
主要方法:
- 系统地审查和批评麦康奈尔和曼恩提出的论点.
- 分析长期罢工对弱势患者群体的影响,重点关注癌症护理.
- 基于公共利益和超级权益的理由的心理批评.
主要成果:
- 麦康奈尔和曼提出的医生罢工的道德允许性论点被发现是没有说服力的.
- 现有的理由低估了对患者,特别是癌症患者的重大伤害,削弱了罢工的道德理由.
- 在时间关键癌症护理的背景下,超强制性行动的概念被认为是不合适和荒谬的.
结论:
- 长期医生罢工的道德理由,特别是关于癌症患者护理的道德理由,受到严重破坏.
- 罢工的医生代表必须承认并减轻对癌症患者的伤害,以保持道德信誉.
- 迫切,合理的谈判是必要的,以解决围绕NHS初级医生罢工的伦理问题.
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