The role of conscience and virtue: contrasting two models of medicine.

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI:10.1007/s11019-024-10229-4
Jaime Hernandez-Ojeda, Xavier Symons
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Abstract

Today's medical ethics involve two different viewpoints based on how we understand the role of conscience in medicine and the purpose of healthcare. The first view, called the health-directed model, sees medicine as a way to improve health and promote healing, while also respecting the values of both patients and doctors. In this model, doctors need some discretionary space to decide how to achieve the best health outcomes in their practice. On the other hand, the service-provider model sees the main goal of medicine as providing a service, especially healthcare, with a strong focus on protecting patient autonomy. In this view, doctors are required to provide care even when it goes against their personal beliefs.The goal of this article is to explore the foundations and arguments of these two medical models. Understanding the key ideas behind these models is important for deciding whether to support or oppose conscientious objection in medical ethics. Additionally, the article aims to figure out which model makes a stronger case and to offer advice on how to engage with the opposing view from a virtue ethics perspective.

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良知与美德的作用:两种医学模式的对比。
当今的医学伦理涉及两种不同的观点,它们基于我们如何理解良知在医学中的作用以及医疗保健的目的。第一种观点被称为 "健康导向模式"(health-directed model),认为医学是改善健康和促进治疗的一种方式,同时也尊重患者和医生的价值观。在这种模式下,医生需要一定的自由空间来决定如何在诊疗过程中实现最佳的医疗效果。另一方面,服务提供者模式认为医学的主要目标是提供服务,尤其是医疗保健服务,重点是保护病人的自主权。本文旨在探讨这两种医学模式的基础和论点。了解这两种模式背后的主要观点,对于决定在医学伦理中支持还是反对依良心拒服兵役非常重要。此外,文章还旨在找出哪种模式更有说服力,并就如何从美德伦理学的角度与对立观点打交道提出建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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