中國“病人自主權”的歷史演變——20 世紀80 年代之前
Patient Autonomy in China before the 1980s: A Historical Perspective
Keywords:歷史演變, 病人自主權, 古代醫學, 醫學專業化, 醫院制度
LANGUAGE NOTE | Document text in Chinese; abstract also in English.
This essay offers a historical outline of the evolution of patient autonomy and related social and medical concepts in China from the imperial era to the 1980s. The author contends that the idea of patient autonomy was totally absent from traditional Chinese culture, as every area of society, from family to medicine, was structured according to a distinctively paternalistic model and regulated by ritual guidelines (lifa). Although the Western medical practices that arrived in China in the 1840s somewhat altered the Chinese approach to medicine, and the physician-patient relationship was viewed in a more egalitarian manner after the establishment of “new China” in 1949, the effects of these changes were minimal due to the political ideology of the time. The author argues that taking a historical perspective on the issues of patient autonomy and the rights of patients in China will aid understanding of the current challenges facing medicine in China and suggest ways of resolving ethical dilemmas and ambiguities at both a theoretical and a practical level.
DOWNLOAD HISTORY | This article has been downloaded 122 times in Digital Commons before migrating into this platform.
How to Cite
Copyright (c) 2018 International Journal of Chinese & Comparative Philosophy of Medicine
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The CC BY-NC 4.0 license permits use, distribution and reproduction in any medium, provided the original work is properly cited and not used for commercial purposes. Copyright on any article is retained by the author(s) and the publisher(s).