Bielecki Andrzej, Nieszporska Sylwia
Wojtyła Institute - Scientific Foundation, Smoleńsk 29, 32-112, Kraków, Poland.
Faculty of Management, Częstochowa University of Technology, Armii Krajowej 19B, 42-200, Czestochowa, Poland.
Med Health Care Philos. 2017 Mar;20(1):23-35. doi: 10.1007/s11019-016-9717-2.
The studies of health care systems are conducted intensively on various levels. They are important because the systems suffer from numerous pathologies. The health care is analyzed, first of all, in economic aspects but their functionality in the framework of systems theory is studied, as well. There are also attempts to work out some general values on which health care systems should be based. Nevertheless, the aforementioned studies, however, are fragmentary ones. In this paper holistic approach to the philosophical basis of health care is presented. The levels on which the problem can be considered are specified explicitly and relations between them are analyzed, as well. The philosophical basis on which the national health care systems could be based is proposed. Personalism is the basis for the proposal. First of all, the values, that are derived from the personalistic philosophy, are specified as the basic ones for health care systems. Then, general organizational and functional properties of the system are derived from the assumed values. The possibility of adaptation of solutions from other fields of social experiences are also mentioned. The existing health care systems are analyzed within the frame of the introduced proposal.
对医疗保健系统的研究在各个层面上都进行得很深入。这些研究很重要,因为这些系统存在诸多弊病。首先从经济方面分析医疗保健,但也会研究其在系统理论框架内的功能。人们还试图确定一些医疗保健系统应基于的普遍价值观。然而,上述研究都是零散的。本文提出了一种关于医疗保健哲学基础的整体方法。明确规定了可考虑该问题的层面,并分析了它们之间的关系。提出了国家医疗保健系统可基于的哲学基础。个人主义是该提议的基础。首先,将源自个人主义哲学的价值观确定为医疗保健系统的基本价值观。然后,从假定的价值观中推导出系统的一般组织和功能特性。还提到了借鉴其他社会经验领域解决方案的可能性。在所提出的提议框架内分析了现有的医疗保健系统。