Medical Ethics and Humanities: Effect of the Implementation of National Health Insurance on Medical Ethics
| Autor: | Yu Yi-Ting, 余依婷 |
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| Rok vydání: | 1998 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 86 Medicine has encountered dramatic social changes in the past few decades. Major issues such as the transformation of medical practice from individuals to institutions, the expeditious progress of technology, the formation of global multicultural society and the rise of self-awareness of the right to know have resulted in serious ethical dilemmas. These multidimensional ethical conflicts reflect the fact that we adopted different approaches while we dealt with them. Nevertheless, the fundamental of medicine remains the same and the core nature of ethics is untouched. Therefore, we need to take a new look at how these changing issues affect our perspective of medical ethics. The implementation of National Health Insurance (NHI) at Taiwan in 1995 represents a good example. Despite of the survey result that satisfactory rate to NHI among the general public has steadily increased, crucial issues regarding the finance, social obligation of the government, resources allocation etc. have surfaced and generated ethical dilemmas among the medical personnel, educational and clinical institutions, patients and the government. The interpretation of current ethical dilemmas was analyzed through Communitarianism theory and the history of medical ethics. Critical issues such as market mechanism intervention to the health care delivery, public policy and health care industry, and the allocation of scare medical resources are thoroughly discussed and presented in this thesis. The objectives of this thesis are to apply these ethical principles to resolve the conflict of interests in the clinical institutes as well as to establish a set of suitable guidelines for today''s medical practice. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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