Defensive Medicine or Economically Motivated Corruption? A Confucian Reflection on Physician Care in China Today  

Oleh:

Xiao-Yang Chen

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 32 no. 6 (Nov. 2007), page 635-648.
Topik: Confucian Virtues; Defensive Medicine; Market; Medical Corruption; Profit
Fulltext: MM80V32N6P635.pdf (102.72KB)

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Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.17 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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In contemporay China, physician tend more diagnostic work-ups and prescribe more expensive medications than are clary medically indicated. These practices have been interpreted as defensive medicine in response to a rising threat of potential medical malpractice law, this essay contends that the overuse of expensive diagnostic and theraputic interventions cannot be attributted to malpractice concern alone. These practice patterns are dueas well, if not primaly, to the corruption of medical decision making by physicians being motivated to earn supplementary income, given the contraints of an ill-structured govermental policy by over-use of expensive diagnostic and therapeutic interventions. To respond these diffulties of Chinese health policies that encourage these behaviours, but also to nurture a moral understanding that can place the pursuit of profit within the pursuit of virtue. This can be done by drawing on Confucian moral resources that integrate the pursuit of profit wiyhin an appreciation of benevolence. It is this Confucian moral account that can formulate a medical care policy suitable to China's contemporary market economy.

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