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健康促进研究中随机对照试验的实施与自主性在人类健康和福祉中的作用之间的紧张关系。

Tensions between the conduct of randomised controlled trials in health promotion research and the role of autonomy in human health and well being.

作者信息

Buchanan David R

机构信息

306 Arnold House, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, USA. Email.

出版信息

Health Promot J Austr. 2015 Dec;26(3):263-268. doi: 10.1071/HE15032.

DOI:10.1071/HE15032
PMID:26569391
Abstract

The goal of developing increasingly effective interventions to change health-related behaviours, which is an inevitable result of the use of the scientific method, conflicts with respect for the autonomy and dignity of the individual. This paper recommends a new direction for the field of health promotion based on building people's capacity to exercise autonomy, in the ethically relevant meaning of the term, and thereby promote a more comprehensive understanding of the goals of the field, a state of health that includes the irreducible ethical dimension signified by human dignity.

摘要

开发越来越有效的干预措施以改变与健康相关行为的目标,这是运用科学方法的必然结果,却与尊重个人的自主性和尊严相冲突。本文基于培养人们行使自主性的能力(从该术语在伦理相关意义上来说),为健康促进领域推荐了一个新方向,从而促进对该领域目标的更全面理解,即一种包括由人类尊严所代表的不可简化的伦理维度的健康状态。

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