Baylor College of Medicine, Center for Medical Ethics and Health Policy, Houston, TX, USA.
Weill Cornell Medicine, Division of Medical Ethics, New York, NY, USA.
Camb Q Healthc Ethics. 2024 Jan;33(1):6-16. doi: 10.1017/S0963180123000452. Epub 2023 Aug 25.
Recent global events demonstrate that analytical frameworks to aid professionals in healthcare ethics must consider the pervasive role of social structures in the emergence of bioethical issues. To address this, the authors propose a new sociologically informed approach to healthcare ethics that they term "social bioethics." Their approach is animated by the interpretive social sciences to highlight how social structures operate vis-à-vis the everyday practices and moral reasoning of individuals, a phenomenon known as social discourse. As an exemplar, the authors use social bioethics to reframe common ethical issues in psychiatric services and discuss potential implications. Lastly, the authors discuss how social bioethics illuminates the ways healthcare ethics consultants in both policy and clinical decision-making participate in and shape broader social, political, and economic systems, which then cyclically informs the design and delivery of healthcare.
最近的全球事件表明，帮助医疗保健专业人员的分析框架必须考虑社会结构在生物伦理问题出现中的普遍作用。为此，作者提出了一种新的社会学导向的医疗保健伦理方法，他们称之为“社会生物伦理学”。他们的方法受到解释性社会科学的启发，强调社会结构如何相对于个人的日常实践和道德推理发挥作用，这种现象被称为社会话语。作为一个范例，作者使用社会生物伦理学来重新构建精神科服务中的常见伦理问题，并讨论潜在的影响。最后，作者讨论了社会生物伦理学如何阐明医疗保健伦理顾问在政策和临床决策制定中参与和塑造更广泛的社会、政治和经济系统的方式，这些系统随后循环地为医疗保健的设计和提供提供信息。
