Chen Xiaoyang, Fan Ruiping
Qilu Hospital, Jian, People’s Republic of China.
J Med Philos. 2010 Oct;35(5):573-86. doi: 10.1093/jmp/jhq046. Epub 2010 Sep 20.
This essay illustrates what the Chinese family-based and harmony-oriented model of medical decision making is like as well as how it differs from the modern Western individual-based and autonomy-oriented model in health care practice. The essay discloses the roots of the Chinese model in the Confucian account of the family and the Confucian view of harmony. By responding to a series of questions posed to the Chinese model by modern Western scholars in terms of the basic individualist concerns and values embedded in the modern Western model, we conclude that the Chinese people have justifiable reasons to continue to apply the Chinese model to their contemporary health care and medical practice.
本文阐述了中国以家庭为基础、以和谐为导向的医疗决策模式是怎样的,以及在医疗保健实践中它与现代西方以个体为基础、以自主为导向的模式有何不同。本文揭示了中国模式在儒家家庭观念和儒家和谐观中的根源。通过回应现代西方学者就现代西方模式中所蕴含的基本个人主义关切和价值观向中国模式提出的一系列问题,我们得出结论,中国人有合理的理由在当代医疗保健和医疗实践中继续应用中国模式。