[巴西生物伦理学家眼中的卫生系统公平性]
[Equity in the health system according to Brazilian bioethicists].
作者信息
Fortes Paulo Antônio de Carvalho
机构信息
Faculdade de Saúde Pública, Universidade de São Paulo, S.Paulo, SP.
出版信息
Rev Assoc Med Bras (1992). 2010 Jan-Feb;56(1):47-50. doi: 10.1590/s0104-42302010000100015.
OBJECTIVE
To understand the meaning assigned to ethical thought that should guide Brazilian bioethicists regarding the equity of a Health System.
METHODS
Between July 2007 and July 2008, 20 bioethicists, directors and former directors of the 'Sociedade Brasileira de Bioética' (Bioethics Brazilian Society) and their regional administrations were interviewed.
RESULTS
Discourse analysis led to definition of these main points: To treat the unequals unequally according to their needs; Compensate equity and inequalities; Distributive justice and maximization of benefits; Justice and social merit and Justice and rights.
CONCLUSION
Research results disclose a pluralism of values that jeopardizes determination of moral equity in the health system., Exhausting dialogues among all interested parties are necessary to reach a possible consensus.
目的
了解巴西生物伦理学家在卫生系统公平性方面应遵循的伦理思想的内涵。
方法
2007年7月至2008年7月期间，对20位生物伦理学家、“巴西生物伦理学会”（Sociedade Brasileira de Bioética）及其地区管理部门的主任和前任主任进行了访谈。
结果
话语分析得出了以下要点的定义：根据需求不平等地对待不平等者；补偿公平与不平等；分配正义与利益最大化；正义与社会功绩以及正义与权利。
结论
研究结果揭示了价值观的多元性，这危及了卫生系统中道德公平的确定。所有利益相关方之间进行详尽的对话对于达成可能的共识是必要的。
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