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[保加利亚医学伦理与道义学反思]

[Retrospections on medical ethics and deontology in Bulgaria].

作者信息

Radanov Stoycho

出版信息

Asklepii. 2002;15:106-13.

Abstract

The paper reviews the emergence and the development of the medical ethics and deontology from the foundations of the Bulgarian state till today. With the foundation of the Bulgarian state / 7th century / the traditions and the culture of Thracians, Slavs and Proto-Bulgarians have mixed, the ethnic rules at the beginning being traditional, closely connected with the customs and the beliefs of the ethnical groups taking part in the ethnogenesis of the Bulgarian people. After the baptizing the Christian faith is in the basis of the moral virtues of the folk healers. After the Liberation from the Turkish yoke the major legal and medical norms are being worked out, the first professional and ethical rules obligatory for all doctors and dentists have been adopted, lecturing on medical deontology and taking a Hippocratic oath have been introduced. During the totalitarian period - immediately after the Second World War the medical ethics and deontology are underestimated to a great extent. A correction is made later on after the Moral Code of the doctor in the Peoples' Republic of Bulgaria, taking of the Hippocratic oath is being renewed, and etc. In the period of democracy fundamental legal and deontological sources are established which are the key means to carry out the health reform, incl. also the deontological aspects of health care. A Code of the professional ethics of the doctors and dentists is adopted, lecturing in medical ethics is introduced, lecturing in deontology is renewed, the Hippocratic oath is being taken, various conventions are being conducted, and etc.

摘要

本文回顾了从保加利亚国家建立至今医学伦理与道义论的兴起与发展。随着保加利亚国家的建立(7世纪),色雷斯人、斯拉夫人和原始保加利亚人的传统与文化相互交融,起初的民族规则是传统的,与参与保加利亚民族形成过程的各个民族的习俗和信仰紧密相连。基督教信仰受洗后,成为民间医者道德美德的基础。从土耳其统治下解放后,制定了主要的法律和医学规范,通过了第一部对所有医生和牙医都具有约束力的专业和道德规则,引入了医学道义论讲座并要求宣誓遵守希波克拉底誓言。在极权主义时期——第二次世界大战刚结束后,医学伦理和道义论在很大程度上被低估。后来在保加利亚人民共和国制定了医生道德准则后进行了纠正,重新开始宣誓遵守希波克拉底誓言等。在民主时期,确立了基本的法律和道义论渊源,这些是实施卫生改革的关键手段,包括医疗保健的道义论方面。通过了医生和牙医职业道德守则,引入了医学伦理讲座,恢复了道义论讲座,举行了希波克拉底誓言宣誓仪式,开展了各种会议等。

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