首页|技术、资本和权力对临床决策的影响机制探究

技术、资本和权力对临床决策的影响机制探究

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技术、资本、权力给医学决策带来了双重效应.技术至上观念的行动会忽视人文关怀,资本的逐利性诱发过度医疗,权力的误用、滥用也会削弱临床决策质量.三者间的良性互动能够推进技术的研发和临床应用,提升临床决策的方向和质量.用制度、美德消解资本任性、技术至上与权力滥用;通过构筑道德防线提升认知强自律,健全制度强他律,促成人本临床决策的实现.三条道德防线彼此关联,相互作用,最终实现驾驭资本、技术、权力,促成兼顾道德规范和充分个性化临床决策的顺利实现.
Reflection on the Impact of Technology,Capital,and Power on Clinical Decision-making
Technology,capital,and power have exerted both positive and negative influences on the clinical decision-making process.The primacy of technology might overshadow humanistic care.The profit-driven nature of capital might encourage overuse of diagnosis and treatment.The misuse of power can undermine the quality of clinical decisions.A benign interaction between these forces can significantly enhance clinical decision-making.Systems,virtues,and norms can then be leveraged to mitigate the capriciousness of capital,the supremacy of technology,and the abuse of power.Building a moral defense line can enhance cognitive self-discipline among healthcare professionals.Improving institutional heteronomy through clear guidelines and regulations can promote ethical behavior.Ultimately,this holistic approach can foster a human-centered approach to clinical decision-making that balances technological advancements with humanistic values.The three ethical lines are related and interact with each other,and finally achieve the control of capital,technology,and power,and promote the smooth realization of both ethical norms and fully personalized clinical decision-making.

technologycapitalpowerclinical ethics

仲凤行、陈安天、张新庆

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中国中医科学院医学实验中心 北京 100005

中国医学科学院阜外医院国家心血管病中心 北京 100037

北京协和医学院人文和社会科学学院 北京 100730

技术 资本 权力 临床伦理

中央高校基本科研业务费专项课题(2023)

3332023182

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(6)
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