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基层医疗中的道德困境:复杂性的影响。

Moral flux in primary care : the effect of complexity.

机构信息

Institute for Medical and Biomedical Education, St George's, University of London, London, UK

Health Education England, London, UK.

出版信息

J Med Ethics. 2021 Feb;47(2):86-89. doi: 10.1136/medethics-2020-106149. Epub 2020 May 14.

Abstract

In this article, we examine the inter-relationship between moral theory and the unpredictable and complex world of primary health care, where the values of patient and doctor, or groups of patients and doctors, may often clash. We introduce complexity science and its relevance to primary care; going on to explore how it can assist in understanding ethical decision making, as well as considering implications for clinical practice. Throughout the article, we showcase aspects and key concepts using examples and a case study developed from our day-to-day experience working as clinical practitioners in primary care.

摘要

在本文中,我们研究了道德理论与初级保健这一变幻莫测、复杂世界之间的相互关系。在这个世界中,患者和医生的价值观,或者一组患者和医生的价值观,常常会发生冲突。我们介绍了复杂性科学及其与初级保健的相关性;接着探讨了它如何帮助理解伦理决策,并考虑了对临床实践的影响。在整篇文章中,我们使用日常在初级保健临床实践中作为临床医生的经验,通过示例和案例研究来展示各个方面和关键概念。

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