Centre for Population Health Sciences, The University of Edinburgh, Medical School, , Edinburgh, Scotland, UK.
J Med Ethics. 2014 May;40(5):341-2. doi: 10.1136/medethics-2013-101397. Epub 2013 Jun 20.
Last year in June, British doctors went on strike for the first time since 1975. Amidst a global economic downturn and with many health systems struggling with reduced finances, around the world the issue of public health workers going on strike is a very real one. Almost all doctors will agree that we should always follow the law, but often the law is unclear or does not cover a particular case. Here we must appeal to ethical discussion. The General Medical Council, in its key guidance document for practising doctors, Good Medical Practice, claims that 'Good doctors make the care of their patients their first concern'. Is this true? And if so, how is this relevant to the issue of striking? One year on since the events, we carefully reflect and argue whether it was right for doctors to pursue strike action, and call for greater discussion of ethical issues such as the recent strikes, particularly among younger members of the profession.
去年 6 月,英国医生自 1975 年以来首次罢工。在全球经济低迷的情况下,许多卫生系统都在为财政紧张而苦苦挣扎,全球范围内,公共卫生工作者罢工的问题是一个非常现实的问题。几乎所有的医生都会同意,我们应该始终遵守法律,但法律往往不明确或不涵盖特定情况。在这种情况下,我们必须诉诸于道德讨论。英国医学总会在其为执业医生制定的主要指导文件《良好医疗实践》中声称,“好医生首先要关心他们的病人”。这是真的吗?如果是这样,这与罢工问题有何关联?自事件发生一年后,我们仔细反思并争论医生采取罢工行动是否正确,并呼吁就最近的罢工等道德问题进行更多讨论,尤其是在该行业的年轻成员中。