Tan Chay-Hoon, Macneill Paul
a National University of Singapore , Singapore .
b University of Sydney , Australia.
Med Teach. 2015;37(9):850-5. doi: 10.3109/0142159X.2015.1045856. Epub 2015 Jun 15.
This paper presents an analysis of the effect of globalisation and attendant economic factors on the global practice of medicine, medical education, medical ethics and medical professionalism. The authors discuss the implications of these trends, citing case scenarios in the healthcare insurance, medical tourism, pharmaceutical industries, and the educational systems as well as in clinical practice, to illustrate the impact of globalisation and economics on professionalism. Globalisation, on the one hand, offers benefits for the global practice of medicine and for medical education. On the other, globalisation can have negative effects, particularly when the main driver is to maximise profitability across national boundaries rather than concern for human well-being. Appraising the effect of globalisation on professionalism involves assessing its effects at the intrapersonal, interpersonal, and institutional levels, and its effect on society at large.
本文分析了全球化及相关经济因素对全球医学实践、医学教育、医学伦理和医学职业精神的影响。作者讨论了这些趋势的影响，并列举了医疗保险、医疗旅游、制药行业、教育系统以及临床实践中的案例，以说明全球化和经济因素对职业精神的影响。一方面，全球化为全球医学实践和医学教育带来了益处。另一方面，全球化可能产生负面影响，尤其是当主要驱动力是跨国界实现利润最大化而非关注人类福祉时。评估全球化对职业精神的影响涉及评估其在个人、人际和机构层面的影响，以及对整个社会的影响。
