Lurie S G
Department of Medical Humanities, University of North Texas Health Science Center, Fort Worth 76107.
Soc Sci Med. 1994 May;38(10):1367-74. doi: 10.1016/0277-9536(94)90274-7.
Occupational medicine presents ethical dilemmas between worker health and corporate goals, for both physicians and managers. Physicians in occupational practice recognize conflict between 'moralist' and 'utilitarian' ethical positions. This paper analyzes the relation of professional roles to ethical interpretations by occupational physicians, based on their own and medical ethicists' formulations of dilemmas. Physicians' conflicting responsibilities to workers as patients and to corporate practices and policy are reviewed in the context of occupational risk and the critical anthropology of health.
对于医生和管理人员而言，职业医学在工人健康与企业目标之间呈现出伦理困境。从事职业医学工作的医生认识到“道德主义”和“功利主义”伦理立场之间的冲突。本文基于职业医生自身以及医学伦理学家对困境的阐述，分析职业医生的专业角色与伦理解读之间的关系。在职业风险和健康批判人类学的背景下，审视医生对作为患者的工人以及企业实践与政策所承担的相互冲突的责任。
