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教育、实践与生物伦理学:道德实践面临的日益增长的障碍。

Education, practice and bioethics: growing barriers to ethical practice.

作者信息

Loewy Erich H

机构信息

Associate Department of Philosophy, University of California, Davis, UCDMC-PSSB 2100, 4150 V Street, Sacramento, California, USA.

出版信息

Health Care Anal. 2003 Jun;11(2):171-9. doi: 10.1023/A:1025609214578.

DOI:10.1023/A:1025609214578
PMID:14567480
Abstract

While Bioethics is now taught at all medical colleges in the United States as well as in other nations, and while discussions about Bioethics have become frequent in most medical journals there are increasing barriers to teaching and incorporating what has been taught into daily practice. I shall discuss some of these barriers and suggest that integrating the teaching of Bioethics throughout the curriculum after presenting some of the basic theory and methodology is the most effective way of teaching this vital subject. Furthermore, courses in health care ethics are often taught as something distinct and distinguishable from one's medical practice. I shall emphasize what I consider to be the failure of Bioethics to participate effectively in creating a context whereby what has been taught can be put into praxis. In this brief article I will discuss such barriers and suggest several approaches and remedies.

摘要

虽然生物伦理学如今在美国以及其他国家的所有医学院校都有教授,而且在大多数医学期刊中关于生物伦理学的讨论也日益频繁,但将所教授的内容融入日常实践面临着越来越多的障碍。我将探讨其中一些障碍,并建议在介绍一些基本理论和方法之后,将生物伦理学教学贯穿于整个课程体系中,这是教授这一重要学科的最有效方式。此外,医疗保健伦理学课程往往被当作与医疗实践截然不同的内容来教授。我将强调我所认为的生物伦理学未能有效参与营造一种能将所教授内容付诸实践的环境这一情况。在这篇简短的文章中,我将讨论此类障碍,并提出几种方法和补救措施。

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本文引用的文献

1
Bioethics at the crossroad.处于十字路口的生物伦理学。
Health Care Anal. 2001;9(4):463-77. doi: 10.1023/A:1013869021593.
2
Of healthcare professionals, ethics, and strikes.关于医疗保健专业人员、伦理道德与罢工。
Camb Q Healthc Ethics. 2000 Fall;9(4):513-20. doi: 10.1017/s0963180100904092.
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An ethical analysis of the barriers to effective pain management.对有效疼痛管理障碍的伦理分析。
Camb Q Healthc Ethics. 2000 Winter;9(1):54-70. doi: 10.1017/s0963180100901063.
4
Curiosity, imagination, compassion, science and ethics: do curiosity and imagination serve a central function?好奇心、想象力、同情心、科学与伦理:好奇心和想象力发挥着核心作用吗?
Health Care Anal. 1998 Dec;6(4):286-94. doi: 10.1007/BF02678364.
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Arch Intern Med. 1998 Feb 23;158(4):321-4. doi: 10.1001/archinte.158.4.321.
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JAMA. 1996 Mar 27;275(12):919-25.
7
Offering truth. One ethical approach to the uninformed cancer patient.提供真相:针对未被告知病情的癌症患者的一种伦理方法。
Arch Intern Med. 1993 Mar 8;153(5):572-6. doi: 10.1001/archinte.153.5.572.
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Teaching medical ethics to medical students.向医学生传授医学伦理学。
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