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立陶宛医疗保健系统中的伦理问题处理:成就与挑战。

Dealing with ethical problems in the healthcare system in Lithuania: achievements and challenges.

作者信息

Bankauskaite V, Jakusovaite I

机构信息

European Observatory on Health Care Systems, MSC, Ps del Prado, 18-20, 2.024, E-28071 Madrid, Spain.

出版信息

J Med Ethics. 2006 Oct;32(10):584-7. doi: 10.1136/jme.2005.014761.

Abstract

Ethical problems in healthcare in Lithuania are identified, existing mechanisms that deal with them are analysed and policy implications are discussed. At least three groups of ethical problems exist in the Lithuanian healthcare system: problems in the healthcare reform process, in interprofessional interaction and in doctor-patient relationships. During the past 15 years, several diverse legal, political and administrative mechanisms have been implemented in Lithuania to tackle these problems. Despite major achievements, numerous problems persist, implying that the focus should be shifted to different mechanisms and interventions. It is necessary to broaden the conceptual understanding of ethics in healthcare and focus on management ethics to tackle ethical problems in Lithuania or in other countries in transition.

摘要

本文识别了立陶宛医疗保健领域的伦理问题,分析了应对这些问题的现有机制,并讨论了政策影响。立陶宛医疗保健系统中至少存在三类伦理问题:医疗改革过程中的问题、跨专业互动中的问题以及医患关系中的问题。在过去15年里,立陶宛实施了多种不同的法律、政治和行政机制来解决这些问题。尽管取得了重大成就,但仍存在许多问题,这意味着应将重点转向不同的机制和干预措施。有必要拓宽对医疗保健伦理的概念理解,并关注管理伦理,以解决立陶宛或其他转型国家的伦理问题。

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