Churchill L R
University of North Carolina at Chapel Hill, USA.
Theor Med. 1997 Mar-Jun;18(1-2):113-26.
Edmund Pellegrino claims that medical ethics must be derived from a perception of the patient's "damaged humanity," rather than from the self-imposed duties of professionals. This essay explores the meaning and examines the challenges to this patient-centered ethic. Social scientific and bioethical interpretations of medicine constitute one kind of challenge. A more pervasive challenge is the ascendancy of managed care, and especially investor-owned, for-profit managed care. A list of questions addressed to patients, physicians and organizations is offered as one means of assessing this threat and moving toward morally trustworthy relationships.
埃德蒙·佩莱格里诺声称，医学伦理必须源自对患者“受损人性”的认知，而非源自专业人员自我施加的职责。本文探讨了这一以患者为中心的伦理的含义，并审视了它所面临的挑战。对医学的社会科学和生物伦理解读构成了一种挑战。一个更普遍的挑战是管理式医疗的兴起，尤其是投资者所有的营利性管理式医疗。本文提供了一系列针对患者、医生和机构的问题，作为评估这一威胁并迈向道德上值得信赖的关系的一种方式。
