守门人的正义。

Justice for gatekeepers.

作者信息

Toon P D

机构信息

Department of General Practice and Primary Care, Medical Ethics Medical College of St Bartholomew's, London, UK.

出版信息

Lancet. 1994 Mar 5;343(8897):585-7. doi: 10.1016/s0140-6736(94)91527-x.

DOI:10.1016/s0140-6736(94)91527-x

PMID:7906335

Abstract

Fundholding schemes in UK general practice force doctors to consider the moral implications of gatekeeping. The view that doctors can avoid involvement in rationing is unrealistic and ignores the doctor's duty to act justly. Rather, doctors need to cultivate the virtue of justice, while health-care systems should encourage just action and not create temptations.

摘要

英国全科医疗中的基金持有计划促使医生考虑把关的道德影响。认为医生可以避免参与配给的观点是不现实的，并且忽视了医生公正行事的职责。相反，医生需要培养公正的美德，而医疗保健系统应该鼓励公正的行为，而不是制造诱惑。