巴西生物伦理学家与国家卫生系统中的普遍性和完整性原则。
Brazilian bioethicists and the principles of universality and integrality in the National Health System.
机构信息
Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo 715, São Paulo, SP, Brazil.
出版信息
Rev Saude Publica. 2009 Dec;43(6):1054-8. doi: 10.1590/s0034-89102009005000067. Epub 2009 Dec 4.
OBJECTIVE
To understand the meanings attributed by Brazilian bioethicists to the principles of universality and integrality in the Brazilian public health system.
METHODOLOGICAL PROCEDURES
A qualitative and exploratory research was carried out with 20 Bioethics professors in the field of public health from July 2007 to July 2008. Participants were directors and former directors of the Brazilian Bioethics Society and of its local departments. Semi-structured interviews with open questions were conducted and followed by content analysis.
ANALYSIS OF RESULTS
With regard to the principle of the universal access of Brazilians to the public system, most of interviewees were in favor of maintaining it. However, there were divergences of the principle of integrality, with the majority being inclined to restrict it.
CONCLUSIONS
Bioethicists hold a plurality of moral values and difficulties to morally decide on what would be a fair health system.
目的
了解巴西生物伦理学家对巴西公共卫生系统中普遍性和整体性原则的理解。
方法
2007 年 7 月至 2008 年 7 月，对公共卫生领域的 20 名生物伦理学家进行了定性和探索性研究。参与者是巴西生物伦理学会及其地方部门的主任和前任主任。采用开放式半结构访谈进行访谈，并进行内容分析。
分析结果
关于巴西人普遍获得公共系统的原则，大多数受访者赞成维持该原则。然而，整体性原则存在分歧，大多数人倾向于限制该原则。
结论
生物伦理学家持有多种道德价值观，难以在道德上决定什么是公平的卫生系统。
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