为守门人提供正义
1Department of General Practice and Primary Care, Medical Ethics Medical College of St Bartholomew's, London, UK.
Lancet (London, England)
|March 5, 1994
概括
英国的基金持有计划要求医生面对医疗保健配给制度. 医生必须拥抱正义,因为逃避这一职责是不现实的和不公正的.
科学领域:
- 医学伦理 医学伦理
- 医疗保健管理的管理
- 一般的做法一般的做法
背景情况:
- 英国的基金持有计划需要一般医生的伦理考虑.
- 医疗保健中的守门行为引发了关于资源分配的道德问题.
研究的目的:
- 探索英国基金持有计划中守门的道德含义.
- 分析在资源有限的情况下,正义在医疗实践中的作用.
主要方法:
- 在医疗保健配给中的伦理职责的概念分析.
- 检查持有基金对全科医生道德决策的影响.
主要成果:
- 医生不能现实地避免参与医疗保健配给.
- 正义的概念是医生道德义务的核心.
结论:
- 医生必须培养正义的美德,以道德地导航配给.
- 医疗保健系统应该设计以促进公正的行动,并尽量减少医生道德冲突.
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