{"title":"是时候扩展一个范例了:医疗保健可持续性和生态伦理评估。","authors":"Luca Valera","doi":"10.1111/bioe.70008","DOIUrl":null,"url":null,"abstract":"<p><p>This paper aims to rethink healthcare sustainability from an eco-ethical approach, mainly referring to van Rensselaer Potter's global bioethics and Arne Naess's ecosophy. In this sense, it seeks to address the ethical problem of allocating resources from a non-individualist and essentially bio-medical perspective, which interprets health (or disease) as a mere feature of the individual. On the contrary, starting from a planetary health approach (Potter) and an \"ecosophical\" view of human beings (Næss), individual health gains meaning in a broader context. At the ethical level, this implies: 1. a focus on the patient's wellbeing, more than his/her diagnosis and cure; 2. a conception of shared responsibility and agency of all stakeholders; 3. the pursuit of ecologically sound decisions that go beyond the individual; 4. promoting environmental stewardship, which may overcome the dichotomy between anthropocentrism and biocentrism; and 5. pursuing epistemic humility. All these pragmatic considerations may inspire the construction of environmentally sustainable health systems. In this regard, the paradigm proposed in this paper is principally directed to healthcare organizations, and not to the particular doctor-patient relationship, where the classical principles of bio-medical ethics might still be appropriate. This non-exclusionary approach allows the integration of the two facets of bioethics: Georgetown bio-medical ethics (Kennedy Institute) and Wisconsin global bioethics (Potter).</p>","PeriodicalId":55379,"journal":{"name":"Bioethics","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Time to expand a paradigm: Healthcare sustainability and eco-ethical assessment.\",\"authors\":\"Luca Valera\",\"doi\":\"10.1111/bioe.70008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This paper aims to rethink healthcare sustainability from an eco-ethical approach, mainly referring to van Rensselaer Potter's global bioethics and Arne Naess's ecosophy. In this sense, it seeks to address the ethical problem of allocating resources from a non-individualist and essentially bio-medical perspective, which interprets health (or disease) as a mere feature of the individual. On the contrary, starting from a planetary health approach (Potter) and an \\\"ecosophical\\\" view of human beings (Næss), individual health gains meaning in a broader context. At the ethical level, this implies: 1. a focus on the patient's wellbeing, more than his/her diagnosis and cure; 2. a conception of shared responsibility and agency of all stakeholders; 3. the pursuit of ecologically sound decisions that go beyond the individual; 4. promoting environmental stewardship, which may overcome the dichotomy between anthropocentrism and biocentrism; and 5. pursuing epistemic humility. All these pragmatic considerations may inspire the construction of environmentally sustainable health systems. In this regard, the paradigm proposed in this paper is principally directed to healthcare organizations, and not to the particular doctor-patient relationship, where the classical principles of bio-medical ethics might still be appropriate. This non-exclusionary approach allows the integration of the two facets of bioethics: Georgetown bio-medical ethics (Kennedy Institute) and Wisconsin global bioethics (Potter).</p>\",\"PeriodicalId\":55379,\"journal\":{\"name\":\"Bioethics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bioethics\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1111/bioe.70008\",\"RegionNum\":2,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ETHICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bioethics","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1111/bioe.70008","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ETHICS","Score":null,"Total":0}
Time to expand a paradigm: Healthcare sustainability and eco-ethical assessment.
This paper aims to rethink healthcare sustainability from an eco-ethical approach, mainly referring to van Rensselaer Potter's global bioethics and Arne Naess's ecosophy. In this sense, it seeks to address the ethical problem of allocating resources from a non-individualist and essentially bio-medical perspective, which interprets health (or disease) as a mere feature of the individual. On the contrary, starting from a planetary health approach (Potter) and an "ecosophical" view of human beings (Næss), individual health gains meaning in a broader context. At the ethical level, this implies: 1. a focus on the patient's wellbeing, more than his/her diagnosis and cure; 2. a conception of shared responsibility and agency of all stakeholders; 3. the pursuit of ecologically sound decisions that go beyond the individual; 4. promoting environmental stewardship, which may overcome the dichotomy between anthropocentrism and biocentrism; and 5. pursuing epistemic humility. All these pragmatic considerations may inspire the construction of environmentally sustainable health systems. In this regard, the paradigm proposed in this paper is principally directed to healthcare organizations, and not to the particular doctor-patient relationship, where the classical principles of bio-medical ethics might still be appropriate. This non-exclusionary approach allows the integration of the two facets of bioethics: Georgetown bio-medical ethics (Kennedy Institute) and Wisconsin global bioethics (Potter).
期刊介绍:
As medical technology continues to develop, the subject of bioethics has an ever increasing practical relevance for all those working in philosophy, medicine, law, sociology, public policy, education and related fields.
Bioethics provides a forum for well-argued articles on the ethical questions raised by current issues such as: international collaborative clinical research in developing countries; public health; infectious disease; AIDS; managed care; genomics and stem cell research. These questions are considered in relation to concrete ethical, legal and policy problems, or in terms of the fundamental concepts, principles and theories used in discussions of such problems.
Bioethics also features regular Background Briefings on important current debates in the field. These feature articles provide excellent material for bioethics scholars, teachers and students alike.