Kvesić Ante, Galić Kristina, Vukojević Mladenka
Mostar University Hospital, Bijeli Brijeg bb, 88 000, Mostar, Bosnia and Herzegovina.
Philos Ethics Humanit Med. 2019 Sep 14;14(1):12. doi: 10.1186/s13010-019-0082-7.
Every successful health care system should be based on some general humanistic ideals. However, the nationally organized health care systems of most European countries usually suffer from a deficiency in common ethical values based on universal human principles. When transitional societies, such as that of Bosnia-Herzegovina are concerned, health care organizational models are even more dysfunctional. The sources of a dysfunction in medical care system of Bosnia-Herzegovina are manifold and mutually controversial, including a lack of shared principles, an inappropriate involvement of politicians in medical care and practice, administrative difficulties arising from superficial communication systems, as well as economic limits concerned with the financing of health care. The deficiency of a moral culture of medicine, which is correlated to a general collapse of morality is also responsible for many problems affecting various aspects of life including medical care. Hence, medical ethics from a virtue perspective is becoming an important ingredient of any improvement deigned to provide better-quality medical care.The aim of this paper is to underline the influence of humanism on the organization of health care systems and the ethics of medical interrelations in the society of Bosnia-Herzegovina. It is not intended to diagnose or resolve the problems, but to analyze them. It is also a critique of specific socio-political-economic influences on this health care system, inquiring if well-educated individuals in the virtues, which are involved in medical practice and education, would counteract them.In conclusion, humanism creates a universal ethical structure, which is based on human values such as fidelity, trust, benevolence, intellectual honesty, courage, compassion and truthfulness. These values should represent the standard around which medical care is organized. Since the health care system in Bosnia-Herzegovina is not entirely founded upon humanistic ideals, addressing the socio-political-economic conditions that constantly undermine those values is a prerequisite for any much-needed improvements of the medical care.
每一个成功的医疗体系都应基于一些普遍的人文理想。然而,大多数欧洲国家由国家组织的医疗体系通常缺乏基于普遍人类原则的共同道德价值观。当涉及到像波斯尼亚和黑塞哥维那这样的转型社会时,医疗组织模式甚至更加功能失调。波斯尼亚和黑塞哥维那医疗体系功能失调的根源是多方面的且相互矛盾,包括缺乏共同原则、政治家对医疗护理和实践的不当干预、表面沟通系统导致的行政困难,以及与医疗保健融资相关的经济限制。医学道德文化的缺失与道德的普遍崩溃相关,这也导致了影响包括医疗保健在内的生活各个方面的许多问题。因此,从美德角度出发的医学伦理学正成为旨在提供更高质量医疗保健的任何改进措施的重要组成部分。本文旨在强调人文主义对波斯尼亚和黑塞哥维那社会医疗体系组织以及医疗人际关系伦理的影响。其目的不是诊断或解决问题,而是进行分析。这也是对该医疗体系特定社会政治经济影响的批判,探讨参与医疗实践和教育的受过良好美德教育的个人是否会抵消这些影响。总之,人文主义创造了一种普遍的伦理结构,它基于诸如忠诚、信任、仁爱、理智诚实、勇气、同情和诚实等人类价值观。这些价值观应成为组织医疗保健的标准。由于波斯尼亚和黑塞哥维那的医疗体系并非完全基于人文理想,解决那些不断破坏这些价值观的社会政治经济状况是医疗保健任何急需改进的先决条件。