Virtue Ethics among Physicians who serve Individuals with Chronic Spinal Cord Injury in Indonesia

IF 1.3 Q3 ETHICS

Asian Bioethics Review Pub Date : 2023-03-30 DOI:10.1007/s41649-023-00245-6

Maria Regina Rachmawati, Mubasyisyir Hasanbasri, Mohammad Hakimi

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Abstract

Individuals with chronic spinal cord injury (CSCI) require complex and lengthy health services based on ethical philosophy. The virtue character that is most relevant to the egalitarian concept is fairness. The aim of the study is whether the character of fairness becomes the character of a doctor serving individuals with CSCI. It is a mixed method cross-sectional explanatory study, with questionnaires sent to doctors and individuals with CSCI, interviews with doctors, and healthcare system field observation. Sixty-two doctors and 33 patients with CSCI participated in the study. The virtues most frequently chosen by doctors were love, gratitude, spirituality, zest, fairness, and kindness. The CSCI patients’ views regarding doctors’ characters were a postponement of personal interest, compassion, and loyalty to trust. All interviewed doctors indicated that they supported more than five of the 24 virtues. Doctors serve with ethical principles of virtue, even though the rewards received are inadequate. In fact, the use of health services by CSCI is still limited. Virtue ethics, especially the character of fairness, is necessary as a base of positive relationships between doctors and patients, to achieve equality of benefits for CSCI patients. Data obtained that the doctors’ character of fairness is still not the main choice.

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印尼为慢性脊髓损伤患者服务的医生的道德操守。

慢性脊髓损伤（CSCI）患者需要基于伦理哲学的复杂而漫长的健康服务。与平等主义概念最相关的美德特征是公平。本研究的目的是，公平的特征是否成为为CSCI患者服务的医生的特征。这是一项混合方法的横断面解释性研究，向患有CSCI的医生和个人发送问卷，对医生进行访谈，并对医疗系统进行实地观察。62名医生和33名CSCI患者参与了这项研究。医生最常选择的美德是爱、感恩、精神、热情、公平和善良。CSCI患者对医生性格的看法是推迟了个人兴趣、同情心和对信任的忠诚。所有接受采访的医生都表示，他们支持24种美德中的5种以上。医生的服务遵循道德原则，即使所得到的回报是不够的。事实上，CSCI对卫生服务的使用仍然有限。为了实现CSCI患者的利益平等，美德伦理，特别是公平性，是建立积极医患关系的基础。数据显示，医生的公平性仍然不是主要的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Bioethics Review Multiple-

CiteScore

6.20

自引率

3.40%

发文量

期刊介绍： Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.