Journal international de bioethique = International journal of bioethics最新文献

{"title":"Medicine: business or profession?","authors":"Xiaomei Zhai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As professionals, doctors have a contractual relationship with society that trains them and confers on them exclusive power to practice medical care. In the contract, power and responsibility should be balanced. When the power is conferred by society to a profession, the profession should take responsibility for society, including the provision of high quality services, and maintain high standard principled conduct and integrity.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"25-32, 173-4"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30861306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An analysis of the changing doctor-patient relationship in China.","authors":"Xiaoshuo Hou,&nbsp;Ling Xiao","doi":"10.3917/jib.232.0083","DOIUrl":"https://doi.org/10.3917/jib.232.0083","url":null,"abstract":"<p><p>As China is undergoing marketization and privatization, the doctor-patient relationship (DPR) is changing, posing numerous social problems such as a trust crisis. In this article, the authors look at the characteristics of the DPR, and then present an historical account of the changing features of the Chinese DPR. In the final section, they explain how Chinese traditional culture is important for rebuilding the DPR in reform-era China and make suggestions for its health care reform.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"83-94, 177-8"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3917/jib.232.0083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30861312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to health care and social protection.","authors":"Philippe Martin","doi":"10.3917/jib.232.0045","DOIUrl":"https://doi.org/10.3917/jib.232.0045","url":null,"abstract":"<p><p>In France, the access to healthcare has been conceived as a social right and is mainly managed through the coverage of the population by the National Health Insurance, which is a part of the whole French social security scheme. This system was based on the so-called Bismarckian model, which implies that it requires full employment and solid family links, as the insured persons are the workers and their dependents. This paper examines the typical problems that this system has to face as far as the right to healthcare is concerned. First, it addresses the need to introduce some universal coverage programs, in order to integrate the excluded population. Then, it addresses the issue of financial sustainability as the structural weakness of the French system--in which healthcare is still mainly provided by private practice physicians and governed by the principle of freedom--leads to conceive and implement complex forms of regulations between the State, the Social security institutions and the healthcare providers.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"45-61, 174-5"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30861308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of the new system of resource allocation on French public healthcare establishments].","authors":"Catherine Accary-Bézard","doi":"10.3917/jib.232.0063","DOIUrl":"https://doi.org/10.3917/jib.232.0063","url":null,"abstract":"<p><p>The reform of the tarification according to activity is now in place with a \"T2A\" rate said to be 100%, ie the hospitals are paid based on the national tariffs for a stay in hospital. The reform will continue with a list of stays for which, each year, a single tariff between the public sector and the private sector is applied. This single tariff results from the \"inter-sector tariff convergence\" policy which is applied.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"63-8, 175-6"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30861309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Bioethics committee in the university teaching hospital in Bordeaux].","authors":"Lin Daubech","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Set up in 2011, the ethics committee at the teaching hospital in Bordeaux, although it is now obsolete in its organisation because of the \"standardisation\" in early 2012 of regional ethics groups, was nevertheless an original structure which deserves to be analysed for several reasons. First of all, why have a hospital ethics committee? Then, to do what? Finally, it is interesting to give a few indications about the working of this committee.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"71-6, 176"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30861310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Transcultural discussion in bioethics drawn from research experience in China: building up a theoretical and methodological framework for further research cooperation].","authors":"Evelyne Micollier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>My article discusses bioethics in transcultural context and builds on an experience of conducting research in China in partnership with Chinese scholars and institutions. Key points are about the creation of ethical committees and their prerogatives, the regulation of experimenting in human and animal, and of donating and transplanting organs. Ethical issues are approached according to an anthropological reading. Three transversal lines for further research are suggested: global/local ethical governance applied to research ethics; implications of transnationalizing and delocalizing research practices with regards to governance; theoretical positioning--conceptual pluralism versus pragmatic pluralism--following actual confrontation to transcultural variations in research ethics. Moreover, this work claims for conceptualizing and implementing an ethics in context while assessing intangible (non-relative) principles based on knowledge production and a global patrimony.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"105-16, 179-80"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30860269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of development of population-based study in the biomedical field on laws and regulations: a cross-strait experience on biobank development.","authors":"Fan Chien Te,&nbsp;Wu Chunyan,&nbsp;Shi Zhiyuan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Together with the completion of the Human Genome Project, biomedical research has marched into the \"Post-Genomic Era.\" In order to take advantage of this extracted gene related information extensively and precisely so as to realize man's biological phenomena as well as the mechanism of pathogenesis, consequentially, a large scale sample collection of different geological areas and/or ethnic groups becomes necessary for the future population based genetic research of a country and, in turn, the construction of population-based genetic database (Biobank). In recent years, both mainland China and Taiwan have not only made great progress in information and computation technologies, but have also gradually taken a close look into the quality of medicine delivery. Thus, it becomes unavoidable for both sides to create each one's population-based genetic databases (Biobank). Theoretically speaking, the Biobank development shall benefit the study on the correlation between genes and disease and also the solution for disease treatment as well. At the same time, medical diagnostic technology has also been significantly improved. It is believable that the population-based genetic database might be utilized to promote medical quality and to reduce the cost of public health delivery. Further; in the near future, it might become the \"raw materials \"for medical research application. However when taking promotion of public welfare as the premises for a Biobank development, the severe and multi challenge occurred against the traditional legal rules in terms of the privacy protection, public trust development, the compliance of informed consent principle, the implementation of benefit-sharing doctrine and the possible discrimination concern about the population/participants selection and some other ELSI issues. In this paper, the major legal issues encountered by the Biobank development will first be reviewed accompanied by the background information concerning the Biobank development scenario crossing the Taiwan Strait. Also, mainly following the realm of comparative policy or legal approaches, the paper learning from the fruits of this comparative study, tries to propose some recommendations for future legislative consideration by both mainland China and Taiwan. It's been this author's wish that, when establishing a large scale population based Biobank, the promotion of public trust shall be placed as the primary goal together with the emphasis on supporting publicity and transparency on the administrative practices, so as to encourage the public participation in observing the principle of altruism and, in turn, benefit the future biomedicine development.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"143-63, 181-3"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30860272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare sector reform and its influence on public hospitals in mainland China.","authors":"R. Qiu","doi":"10.3917/JIB.232.0015","DOIUrl":"https://doi.org/10.3917/JIB.232.0015","url":null,"abstract":"The government has launched the healthcare sector reform since the 1980s. From the beginning, the reform has been controversial. What is then the real purpose of the reform? Is it only to reduce the government's burden of health care or establish a just and effective healthcare system? Can healthcare be geared by the market or should the government play a guiding role in it?","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"50 1","pages":"17-24, 173"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare sector reform and its influence on public hospitals in mainland China.","authors":"Renzong Qiu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The government has launched the healthcare sector reform since the 1980s. From the beginning, the reform has been controversial. What is then the real purpose of the reform? Is it only to reduce the government's burden of health care or establish a just and effective healthcare system? Can healthcare be geared by the market or should the government play a guiding role in it?</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"17-24, 173"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30861305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The research ethics committees: the French example of the Comités de Protection des Personnes].","authors":"Jean-Pierre Duprat","doi":"10.3917/jib.232.0117","DOIUrl":"https://doi.org/10.3917/jib.232.0117","url":null,"abstract":"<p><p>Succeeding to the CCPPRB as created by the statute of December 20, 1988, the CPP are the ethics committees foreseen by international texts dealing with research involving human beings. They were ruled by the statute of 9 August 9, 2004 and are partly modified by the last statute of March 5, 2012, settling a new classification of research, each category under a different set of rules. To solve difficulties arising from the number of committees (40), a new National Committee for research is created, working closely with the minister. Another purpose of the reform was to include the observational research to extend the area of research with opened access to international level for publications.</p>","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"23 2","pages":"117-29, 180"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30860270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}