全球责任与个人梦想:解决医疗从业者迁移造成的伦理困境。

Q1 Arts and Humanities Global Bioethics Pub Date : 2020-06-16 DOI:10.1080/11287462.2020.1773054
Fahmida Hossain
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引用次数: 2

摘要

卫生保健专业人员从发展中国家向发达国家迁移是一种趋势。这种移徙使目的国受益,但往往对原籍国的卫生保健系统造成毁灭性影响。发展中国家的熟练从业人员放弃在本国的机会,移民到发达国家。这造成了人才真空,削弱了“母国”的卫生系统。本文从《世界生命伦理与人权宣言》(UDBHR)的四项原则(平等、正义与公平、团结与合作、利益共享)的角度分析了这种迁移的后果。结果:在道德想象和道德反思的光照下,我们可以作为世界公民相互理解。决策者必须制定指南,以恢复平衡并确保全世界的公平医疗保健。将道德教育纳入医学院和医院,实施临时移民签证,并帮助原籍国提供有吸引力的补偿,可以解决这一问题。健康是一项普遍人权;所有人的福祉必须得到解决,而不过度限制从业人员建立他们想象的生活的权利。另一方面,从业者应该将自己视为全球公民,并在考虑他们的移民时考虑他们的道德义务。
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Global responsibility vs. individual dreams: addressing ethical dilemmas created by the migration of healthcare practitioners.

Background The migration of health care professionals from developing to developed countries is a trend. This migration benefits the destination countries but is quite often devastating to healthcare systems within the home countries. Skilled practitioners from developing countries forego opportunities in their homelands to migrate to developed countries. This leaves a vacuum of talent, weakening the health systems in the 'home' countries. Methods This piece analyzes the consequence of such migration through the lens of the four principles of Universal Declaration of Bioethics and Human rights (UDBHR): equality, justice and equity, solidarity and cooperation, and sharing of benefits. Results In the light of moral imagination and moral reflection, we can understand one another as global citizens. Policymakers must develop guides to restore balance and ensure equitable healthcare worldwide. Incorporating ethics education in medical schools and hospitals, implementing temporary migration visas, and helping home countries offer attractive compensation can address this concern. Conclusions Health is a universal human right; the well-being of all must be addressed without overly limiting the rights of practitioners to build the lives they imagine. On the other hand, practitioners should consider themselves global citizens and consider their ethical obligations when considering their migration.

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来源期刊
Global Bioethics
Global Bioethics Arts and Humanities-Philosophy
CiteScore
5.00
自引率
0.00%
发文量
12
审稿时长
37 weeks
期刊最新文献
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