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通过人类繁荣、公正和团结促进医疗保健公平。

Promoting Equity in Health Care through Human Flourishing, Justice, and Solidarity.

机构信息

Center for Bioethics and Medical Humanities, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.

出版信息

J Med Philos. 2023 Feb 17;48(1):98-109. doi: 10.1093/jmp/jhac015.

Abstract

In this article, we develop a non-rights-based argument based on beneficence (i.e., the welfare of individuals and communities) and justice as the disposition to act justly to promote equity in health care resource allocation. To this end, we structured our analysis according to the following main sections. The first section examines the work of Amartya Sen and his equality of capabilities approach and outlines a framework of health care as a fundamental human need. In the subsequent section, we provide a definition of health equity based on the moral imperative to guarantee that every individual ought to have the freedom to pursue health goals and well-being. In the later part of the article, we outline a non-right approach to health care based on three pillars: (1) human flourishing, (2) justice as a disposition not a process, and (3) solidarity.

摘要

在本文中,我们基于善(即个人和社区的福利)和正义(即公正行事的倾向)提出了一个非基于权利的论点,以促进医疗资源分配中的公平。为此,我们根据以下主要部分构建了我们的分析。第一节考察了阿玛蒂亚·森的工作及其能力平等方法,并概述了将医疗保健视为基本人类需求的框架。在接下来的一节中,我们根据保障每个人都有追求健康目标和幸福的自由的道德义务,给出了健康公平的定义。在本文的后一部分,我们概述了一种基于以下三个支柱的非医疗保健方法:(1)人类繁荣,(2)正义是一种倾向而不是一种过程,以及(3)团结。

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