Vollmann J, Dörries A
Institut für Geschichte der Medizin, Freien Universität, Berlin.
Z Arztl Fortbild (Jena). 1996 Oct;90(6):527-32.
Physician's patients are often faced with a conflict of interests between the benefit and other interests (society, institutions). This problem has emerged in medical history since the 18th century when the traditional loyalty towards the individual patient was challenged by a social orientations in the physician's ethos. Current bioethical theories regarding this professional conflict of interest are discussed and applied to allocation problems in HMO-health plans. It is argued that the conflict of interests can only be solved if doctors set their professional priority on the healing relationship towards the individual patient.
医生的患者常常面临利益（自身利益与其他利益，如社会、机构利益）冲突。自18世纪以来，这个问题就出现在医学史上，当时医生道德规范中的社会导向对传统上对个体患者的忠诚提出了挑战。本文讨论了当前关于这种职业利益冲突的生物伦理理论，并将其应用于健康维护组织（HMO）医保计划中的资源分配问题。文章认为，只有当医生将对个体患者的治疗关系作为职业首要任务时，利益冲突才能得到解决。
