Huycke L, All A C
Community Care HMO, Oklahoma City, Oklahoma, USA.
J Adv Nurs. 2000 Sep;32(3):562-71. doi: 10.1046/j.1365-2648.2000.01540.x.
Quality in health care and ethical principles The last three decades have seen rapid changes in the way United States of America (USA) health care has been delivered, financed and regulated. Four major stakeholders have emerged in the health care debate: patients, providers, payers and public regulatory agencies. These groups do not agree on a definition of quality health care. This paper suggests five ethical principles - autonomy, justice, beneficence, non-maleficence, and prudence - be included in the framework of quality health care. A framework that outlines possible relationships among these ethical attributes and four major stakeholders is presented.
医疗保健质量与伦理原则 在过去三十年中，美国医疗保健的提供、融资和监管方式发生了迅速变化。在医疗保健辩论中出现了四个主要利益相关者：患者、提供者、支付者和公共监管机构。这些群体对于优质医疗保健的定义并未达成一致。本文建议将五项伦理原则——自主、公正、 beneficence（此处英文单词有误，应是“beneficence”，意为“行善”）、不伤害和审慎——纳入优质医疗保健的框架。文中还提出了一个框架，概述了这些伦理属性与四个主要利益相关者之间可能存在的关系。
