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推我一下,帮我一下宝宝:关于他人导向的助推。

Nudge me, help my baby: on other-regarding nudges.

机构信息

Department of Medical Ethics and Philosophy of Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.

Division of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, The Netherland.

出版信息

J Med Ethics. 2017 Oct;43(10):702-706. doi: 10.1136/medethics-2016-103656. Epub 2017 Jan 25.

Abstract

There is an increasing interest in the possibility of using nudges to promote people's health. Following the advances in developmental biology and epigenetics, it is clear that one's health is not always the result of one's own choices. In the period surrounding pregnancy, maternal choice behaviour has a significant influence on perinatal morbidity and mortality as well as the development of chronic diseases later in life. One's health is thus a matter of one's own as well as one's maternal choices. Therefore, self-regarding and other-regarding nudges should be considered as viable strategies to promote health. In this article, we introduce the concept of other-regarding nudges. We use the harm principle and the principle of beneficence to justify these other-regarding nudges. We conclude by stressing the importance of a fair assessment of expectations towards the nudgee, when determining whether a nudge is aimed at preventing harm or promoting a good.

摘要

人们越来越关注利用“助推”来促进人们健康的可能性。随着发育生物学和表观遗传学的进步,很明显,一个人的健康并不总是取决于自己的选择。在怀孕前后,母亲的选择行为对围产期发病率和死亡率以及以后生活中慢性疾病的发展有重大影响。因此,一个人的健康不仅是自己的事情,也是母亲的选择。因此,应该将自利和利他的助推视为促进健康的可行策略。在本文中,我们介绍了利他助推的概念。我们使用伤害原则和慈善原则来证明这些利他助推是合理的。最后,我们强调在确定助推是旨在防止伤害还是促进利益时,对被助推者的期望进行公平评估的重要性。

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