Aguilera Dreyse Bernardo, López Gaete Gonzalo
Centro de Bioética, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile; Departamento de Bioética y Humanidades Médicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile. Address: Centro de Bioética, Universidad del Desarrollo, Avenida Las Condes 12461, Torre 3, piso 2, oficina 202, Las Condes, Santiago, Chile, CP: 7590943. Email:
Centro de Bioética, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Medwave. 2017 Dec 22;17(9):e7105. doi: 10.5867/medwave.2017.09.7105.
This article discusses whether physicians have social obligations and whether these obligations imply a moral duty to work in the public sector. The article focuses on the context of the Chilean health system, which has an unequal distribution of physicians to the detriment of the public sector, thus making the issue a particularly pressing one. After addressing arguments from different ethical theories and some empirical evidence, the article concludes that the physician has some social obligations in relation to a fair distribution of health resources, and that professional excellence should incorporate cultivating virtues related to social justice. In addition, it is argued that the moral duty to work in the public sector can be placed in the context of prima facie obligations which admit exceptions and allow the possibility of conflict with other professional obligations.
本文探讨了医生是否负有社会义务，以及这些义务是否意味着在公共部门工作的道德责任。文章聚焦于智利卫生系统的背景，该系统中医生分布不均，对公共部门不利，因此使这个问题尤为紧迫。在讨论了不同伦理理论的观点和一些实证证据后，文章得出结论，医生在卫生资源公平分配方面负有一些社会义务，并且专业上的卓越应包括培养与社会正义相关的美德。此外，有人认为，在公共部门工作的道德责任可以置于显见义务的背景下，这种义务允许有例外情况，并可能与其他职业义务产生冲突。
