作者: Ralph Crawshaw
DOI: 10.1001/JAMA.1995.03520430089054
关键词: Nursing 、 Legitimation 、 Competence (law) 、 Profitability index 、 Welfare 、 Best interests 、 Covenant 、 Health care 、 Medicine 、 Central element
摘要: Medicine is, at its center, a moral enterprise grounded in covenant of trust. This obliges physicians to be competent and use their competence the patient's best interests. Physicians, therefore, are both intellectually morally obliged act as advocates for sick wherever welfare is threatened health all times. Today, this trust significantly threatened. From within, there growing legitimation physician's materialistic self-interest; from without, for-profit forces press physician into role commercial agent enhance profitability care organizations. Such distortions responsibility degrade physician-patient relationship that central element structure clinical care. To capitulate these alterations alter healer, carer, helper, advocate all. By