Barina Rachelle
Albert Gnaegi Center for Health Care Ethics, Saint Louis University, Salus Center 3545 Lafayette Ave., St. Louis, MO, 63104, USA,
HEC Forum. 2015 Jun;27(2):93-106. doi: 10.1007/s10730-015-9277-5.
This paper examines the meaning of space and its relationship to value. In this paper, I draw on Henri Lefebvre to suggest that our ethics produce and are produced by spaces. Space is not simply a passive material container or neutral geographic location. Space includes the ideas on which buildings are modeled, the ordering of objects and movement patterns within the space, and the symbolic meaning of the space and its objects. Although often unrecognized, space itself is value-laden, and its values are suggested as people interact within that space. By reflecting on the spaces of health care, we will see that we not only must attend to the quandaries caused by the delivery of health care in non-acute places, but also to the values that produce and are produced by spaces. These values influence our moral imagination and shape us as people.
本文探讨了空间的意义及其与价值的关系。在本文中，我借鉴亨利·列斐伏尔的观点，认为我们的伦理塑造空间，同时也被空间所塑造。空间并非仅仅是一个被动的物质容器或中立的地理位置。空间包括建筑所依据的理念、空间内物体的排列和运动模式，以及空间及其物体的象征意义。尽管空间本身的价值常常未被认识到，但随着人们在该空间内互动，其价值便得以彰显。通过反思医疗保健空间，我们会发现，我们不仅必须关注在非急症场所提供医疗保健所引发的困境，还要关注塑造空间以及被空间所塑造的价值。这些价值影响着我们的道德想象力，并塑造着我们的人格。
