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弊大于利?医疗志愿服务和国际学生实习项目中存在问题的伦理道德

More harm than good? The questionable ethics of medical volunteering and international student placements.

作者信息

Bauer Irmgard

机构信息

Division of Tropical Health and Medicine, College of Healthcare Sciences, James Cook University, Townsville, Qld 4811 Australia.

出版信息

Trop Dis Travel Med Vaccines. 2017 Mar 6;3:5. doi: 10.1186/s40794-017-0048-y. eCollection 2017.

Abstract

It has been argued that much of international medical volunteering is done for the wrong reasons, in that local people serve as a means to meet volunteers' needs, or for the right reasons but ignorance and ill-preparedness harm the intended beneficiaries, often without volunteers' grasp of the damage caused. The literature on ethical concerns in medical volunteering has grown tremendously over the last years highlighting the need for appropriate guidelines. These same concerns, however, and an appreciation of the reasons why current aid paradigms are flawed, can serve as indicators on how to change existing practices to ensure a better outcome for those who are in need of help. Such paradigm change envisages medical assistance in the spirit of solidarity, social justice, equality, and collegial collaboration.

摘要

有人认为,许多国际医疗志愿服务的动机是错误的,因为当地人成了满足志愿者需求的手段;或者动机是正确的,但由于无知和准备不足,对预期受益者造成了伤害,而志愿者往往并未意识到所造成的损害。在过去几年里,关于医疗志愿服务伦理问题的文献大量增加,凸显了制定适当指导方针的必要性。然而,同样这些问题以及对当前援助模式存在缺陷原因的认识,可以作为指标,指示如何改变现有做法,以确保为那些需要帮助的人带来更好的结果。这种模式转变设想以团结、社会正义、平等和合作的精神提供医疗援助。

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