《价值观与伦理学(提高医疗质量与安全的要素)》
Ethics involves examining values and identifying what is good, right, and justified – and why. Diverse values and ethical issues run through healthcare improvement, but they are not always recognised or given the attention they need. While much effort goes into understanding whether intervention X effectively leads to change Y, questions such as 'is X ethically acceptable?', 'does Y count as an improvement?', 'should Y be prioritised?', and 'if so, why?' are sometimes neglected. This Element demonstrates the ethical considerations and rich array of values that inevitably underpin both the goals of healthcare improvement (what aspects of quality or what kinds of good are pursued) and how improvement work is undertaken. It outlines an agenda for improvement ethics with the aim of helping those involved in healthcare improvement to reflect on and discuss ethical aspects of their work more explicitly and rigorously.
伦理涉及探讨价值并识别什么是好的、正确的和正当的——以及为什么。医疗保健改进中蕴含着多元的价值观和伦理问题,但它们并不总是被认可或获得应有的关注。尽管投入大量精力来理解干预X是否有效导致了变化Y,但有时会忽略诸如“X在伦理上是可接受的吗?”、“Y算是一种改进吗?”、“我们应该优先考虑Y吗?”以及“如果应该的话,为什么呢?”等问题。这一要素展示了医疗保健改进目标(我们追求的质量方面的哪些方面或何种类型的善)和改进工作如何进行中的不可避免的伦理考量及其丰富多样的价值体系。它概述了一个旨在帮助参与医疗保健改进工作的人员更明确、更严格地反思和讨论其工作中伦理方面的工作议程。
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