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本文引用的文献

1
Medicine as a corporate enterprise, patient welfare centered profession, or patient welfare centered professional enterprise?医学是一个企业化的行业、以患者福祉为中心的职业,还是以患者福祉为中心的专业企业?
Mens Sana Monogr. 2005 Nov;3(2):19-51. doi: 10.4103/0973-1229.27881.
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The metrics of the physician brain drain.医生人才流失的衡量标准。
N Engl J Med. 2006 Feb 2;354(5):528-30; author reply 528-30.
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The "PharmFree" campaign: educating medical students about industry influence.“无药商影响”运动:向医学生传授有关行业影响的知识。
PLoS Med. 2006 Jan;3(1):e30. doi: 10.1371/journal.pmed.0030030. Epub 2006 Jan 31.
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Postgraduate entrance system.研究生入学制度。
Indian J Pediatr. 2005 Nov;72(11):992. doi: 10.1007/BF02731680.
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Postgraduate lifestyle: stress and satisfaction.研究生生活方式:压力与满意度。
Indian J Pediatr. 2005 Nov;72(11):991. doi: 10.1007/BF02731679.
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Corruption in medicine.
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Informal payment for health care: evidence from Hungary.医疗保健的非正式支付:来自匈牙利的证据。
Health Policy. 2006 Jun;77(1):86-102. doi: 10.1016/j.healthpol.2005.07.024. Epub 2005 Sep 2.
8
Show me the money: the ethics of physicians' income.给我看看钱:医生收入的伦理问题。
J Vasc Surg. 2005 Aug;42(2):377-9. doi: 10.1016/j.jvs.2005.05.018.
9
Taking more than a fair share? The migration of health professionals from poor to rich countries.占用了过多份额?卫生专业人员从穷国向富国的流动。
PLoS Med. 2005 May;2(5):e109. doi: 10.1371/journal.pmed.0020109. Epub 2005 May 31.
10
Is there any solution to the "brain drain" of health professionals and knowledge from Africa?对于非洲卫生专业人员和知识的“人才外流”问题,有什么解决办法吗?
Croat Med J. 2005 Feb;46(1):21-9.

医学与金钱:是朋友还是敌人?

Medicine and money: friends or foe?

作者信息

Muula Adamson S

机构信息

Department of Community Health, University of Malawi, College of Medicine, Malawi and Department of Epidemiology, University of North Carolina at Chapel Hill, United States.

出版信息

Mens Sana Monogr. 2006 Jan;4(1):78-88. doi: 10.4103/0973-1229.27607.

DOI:10.4103/0973-1229.27607
PMID:22013334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3190462/
Abstract

The relationship between medicine and money is a delicate one that all people involved need to handle responsibly. If one becomes a physician for the mere fact of pursuing money, s/he may soon find that another profession or activity may have fulfilled such a need in a better way. While in the practice of medicine the interest of the patient is paramount, this does not suggest that the welfare of the physician should be neglected at all. It is much about a balance of priorities between the legal and ethical pursuit of money and the promotion of the health of society. Physicians are not called to a life of self-denial, poverty and destitution, as others may be tempted to suggest. The service of patients and the honest reward from one's labour are not incompatible. Where conflict of interest arises, it is prudent for a physician to always remember never to harm oneself, the profession and the patient more than what can be gained.

摘要

医学与金钱之间的关系微妙,所有相关人员都需谨慎对待。如果一个人仅仅为了追求金钱而成为医生,他/她可能很快就会发现,另一种职业或活动或许能更好地满足这种需求。在行医过程中,患者的利益至关重要,但这并不意味着医生的福祉应被完全忽视。这很大程度上关乎在合法道德地追求金钱与促进社会健康之间如何平衡优先事项。医生并非如他人可能暗示的那样,要过一种自我否定、贫穷困苦的生活。为患者服务与从自身劳动中获得诚实的回报并非相互矛盾。当出现利益冲突时,医生务必始终谨记,绝不能让自身、职业和患者受到的伤害超过所获利益。