结局相遇:对效率的概念和伦理分析
Kennedy Institute of Ethics journal
|November 25, 2024
概括
效率是一个经常被忽视的伦理价值,特别是在医疗保健中. 这项研究主张对效率进行独立的伦理审查,揭示其评估如何影响不同利益相关者.
科学领域:
- 生物伦理学生物伦理学
- 卫生经济学 卫生经济学
- 科学哲学的哲学科学哲学
背景情况:
- 效率经常被视为对其他道德价值观的次要,例如平等.
- 它的伦理相关性通常仅在与其他价值观相冲突时才被考虑.
- 对财务投入和程序输出的狭关注往往使效率评估中的关键个人和情感资源蒙上阴影.
研究的目的:
- 为独立的规范性检查效率作为一个丰富的伦理概念辩论.
- 探讨效率评估是如何带有价值的,并涉及深思熟虑的判断.
- 展示不同的效率构造如何影响各种利益相关者.
主要方法:
- 一个详细的医疗保健案例研究的分析.
- 检查效率评估的哲学基础.
- 探索个人,情感,财务,机构和程序因素如何影响效率判断.
主要成果:
- 效率评估不是中立的,而是涉及主观的,价值负担的判断.
- 在效率模型中描述人类系统的功能,可能会使某些群体处于不利地位.
- 不同的效率模型可以无意中延续现有的道德立场和不平等.
结论:
- 效率需要独立的伦理考虑,而不仅仅是与其他价值观的冲突.
- 医疗保健效率模型必须考虑个人和情感资源,以避免偏见.
- 构建和应用效率模型需要仔细考虑,以确保公平的结果,避免加强现有差异.
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