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The crisis of patient‐physician trust and bioethics: lessons and inspirations from China

机译：患者 - 医师信托和生物伦理的危机：来自中国的课程和启示

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Abstract >Trust is indispensable not only for interpersonal relationships and social life, but for good quality healthcare. As manifested in the increasing violence and tension in patient‐physician relationships, China has been experiencing a widespread and profound crisis of patient–physician trust. And globally, the crisis of trust is an issue that every society, either developing or developed, has to face in one way or another. Yet, in spite of some pioneering works, the subject of patient‐physician trust and mistrust – a crucial matter in healthcare especially because there are numerous ethical implications – has largely been marginalized in bioethics as a global discourse. Drawing lessons as well as inspirations from China, this paper demonstrates the necessity of a trust‐oriented bioethics and presents some key theoretical, methodological and philosophical elements of such a bioethics. A trust‐oriented bioethics moves beyond the current dominant bioethical paradigms through putting the subject of trust and mistrust in the central agenda of the field, learning from the social sciences, and reviving indigenous moral resources. In order for global bioethics to claim its relevance to the things that truly matter in social life and healthcare, trust should be as vital as such central norms like autonomy and justice and can serve as a potent theoretical framework. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“dewb12169-abs-abs-0001”> <标题类型=“main”>抽象</ title> < P>信任不仅适用于人际关系和社会生活，而且是优质的医疗保健。正如患者 - 医师关系的越来越大的暴力和紧张局势所示，中国一直经历了患者 - 医师信任的广泛和深刻的危机。在全球范围内，信任危机是一个问题，即每个社会都在发展或发展，必须以某种方式面对。然而，尽管有一些开创性的作品，但患者 - 医师的信任和不信任的主题 - 医疗保健的重要事项，特别是因为存在许多道德含义 - 在很大程度上在生物伦理中被边缘化为全球话语。绘制课程以及中国的灵感，本文展示了信任导向的生物伦理的必要性，并提出了这种生物伦理的一些关键理论，方法论和哲学元素。通过将信任和不信任的主题在现场的中央议程中，从社会科学学习，恢复土着道德资源，超越当前主导的生物伦理的范式。为了使全球生物伦理宣称其与真正在社会生活和医疗保健中真正重要的事情的相关性，信任应该是自主和正义等中央规范的至关重要，并且可以作为有效的理论框架。</ p> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32947/'>《Developing world bioethics》</a> <b style="margin: 0 2px;">|</b><span>2018年第1期</span><b style="margin: 0 2px;">|</b><span>共9页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nie Jing‐Bao&option=202" target="_blank" rel="nofollow">Nie Jing‐Bao;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Li Lun&option=202" target="_blank" rel="nofollow">Li Lun;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Gillett Grant&option=202" target="_blank" rel="nofollow">Gillett Grant;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Tucker Joseph D.&option=202" target="_blank" rel="nofollow">Tucker Joseph D.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Kleinman Arthur&option=202" target="_blank" rel="nofollow">Kleinman Arthur;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5696.html" title="医学伦理学">医学伦理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=China&option=203" rel="nofollow">China;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=global bioethics&option=203" rel="nofollow">global bioethics;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=healthcare&option=203" rel="nofollow">healthcare;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=patient‐physician relationship&option=203" rel="nofollow">patient‐physician relationship;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=trust&option=203" rel="nofollow">trust;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=trust‐oriented bioethics&option=203" rel="nofollow">trust‐oriented bioethics;</a> </p> <div class="translation"> 机译：中国;全球生物伦理;医疗保健;患者 - 医师关系;信任;以信任为导向的生物伦理; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704025207327.html">The crisis of patient‐physician trust and bioethics: lessons and inspirations from China</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nie Jing‐Bao&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Nie Jing‐Bao,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Li Lun&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Li Lun,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Gillett Grant&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Gillett Grant,</a> <a href="/journal-foreign-32947/" target="_blank" rel="nofollow" class="tuijian_authcolor">Developing world bioethics .</a> <span>2018</span><span>,第1期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：患者 - 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translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：用于患者的呼吸装置，具有在吸气和呼气阶段向患者供应呼吸气体的患者软管系统，输送装置提供的呼吸气体使鼓风机冷却 </span> </p> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130431672539.html">Device for de-pseudonymization of pseudonym patient data, includes data record identification code which has patient pseudonym and physician pseudonym, where patient pseudonym manufactures allocation to associated patient identifying data</a> <b>[P]</b> . <span> 外国专利：  DE102007017291A1 </span> <span> . 2008-10-16</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：用于对化名患者数据进行假名化的设备，包括具有患者化名和医师化名的数据记录识别码，其中患者化名对相关的患者识别数据进行分配 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130424208372.html">Method for transmission 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