新医科语境下医学伦理的实践挑战与理论突围
作者简介:
陈化（1978-），男，博士，教授，硕士生导师，研究方向：科技伦理、生命伦理学。E-mail：huahua11234845@163.com
陈化（1978-），男，博士，教授，硕士生导师，研究方向：科技伦理、生命伦理学。E-mail：huahua11234845@163.com
Practice Challenges and Theoretical Breakthroughs in Medical Ethics in the Context of New Medical Science
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摘要: 在全球范围和中国语境下开启的新医科范畴，推进了医学伦理的纵深发展并打开新的向度。医学伦理作为动态平衡且不断发展的概念，伴随医学使命而生。在新医科语境下，医学伦理面临来自以利益为主线、以知识权力和专业技术两翼构成的三维挑战。这种挑战植根于医学能力的提升，社会资本的介入，医生的专业权力以及生物科技融合发展带来的专业话语。实践挑战的本质是理论困境，解决实践难题根本上需要理论突围。需要建构基于责任伦理为关键词、以公共伦理融合个体道德、以专业伦理深化常识道德的医学伦理体系。Abstract: The emergence of the new medical science category on a global scale and within the Chinese context has propelled the in-depth development of medical ethics, opening new dimensions. Medical ethics, as a dynamically balanced and constantly evolving concept, is born alongside the mission of medicine. In the context of the new medical science, medical ethics faces three-dimensional challenges stemming from a focus on interests, with knowledge power and professional technology constituting the two wings. This challenge is rooted in the improvement of medical capabilities, the intervention of social capital, the professional power of doctors, and the professional discourse brought about by the integration of biotechnology. The essence of practice challenges lies in theoretical dilemmas, and solving practical problems fundamentally requires theoretical breakthroughs. It is necessary to construct a medical ethics system based on responsibility ethics as the keyword, integrating individual ethics with public ethics, and deepening common-sense morality through professional ethics.
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Keywords:
- new medical science /
- medical ethics /
- practice challenges /
- theoretical breakthrough
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[1] FRENK J, CHEN L, BHUTTA Z A, et al. Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world[J]. Lancet, 2010, 376(9756): 1923-1958. doi: 10.1016/S0140-6736(10)61854-5
[2] 陈 化. 医学伦理学和生命伦理学的学科使命之辨[J]. 医学与哲学, 2020, 41(19): 22-27. doi: 10.12014/j.issn.1002-0772.2020.19.05
[3] HANSON M J, CALLAHAN D. The Goals of Medicine: The Forgotten Issues in Health Care Reform[M]. Washington: Georgetown University Press, 2000: 55-68.
HANSON M J, CALLAHAN D. The Goals of Medicine: The Forgotten Issues in Health Care Reform[M]. Washington: Georgetown University Press, 2000: 55-68.
[4] BROADBENT A. Prediction, understanding, and medicine[J]. J Med Philos, 2018, 43(3): 289-305. doi: 10.1093/jmp/jhy003
[5] HARRIS C. The continuing allure of cure: A response to alex broadbent's "prediction, understanding, and medicine"[J]. J Med Philos, 2018, 43(3): 313-324. doi: 10.1093/jmp/jhy005
[6] 杜治政. 医学伦理学不可忽视的课题: 利益伦理[J]. 医学与哲学:人文社会医学版, 2007, 28(9): 1-2.
[7] 穆滢潭, 袁 笛. 医疗治理体系、经济社会资本与居民健康: 基于CGSS2013数据的实证研究[J]. 公共行政评论, 2018, 11(4): 29-51.
[8] 黄筱菁. 调查组公布“魏则西事件”调查结果[EB/OL]. (2016-05-10)[2023-12-20]. https://www.sohu.com/a/74432029_123753.
[9] RHODES R. A Defence of medical ethics as uncommon morality[J]. J Med Ethics, 2019, 45(12): 792-793. doi: 10.1136/medethics-2019-105941
[10] 福 柯. 规训与惩罚[M]. 刘北成, 杨远婴, 译. 北京: 生活•读书•新知三联书店, 2020: 42-43.
[11] 蓝 江. 从相似性的图表到知识型的装置: 重读福柯的《临床医学的诞生》[J]. 求是学刊, 2022, 49(2): 26-35.
[12] 福 柯. 临床医学的诞生[M]. 刘北成, 译. 南京: 译林出版社, 2022: 61-63.
[13] 杜治政. 医学技术权力及其权力的异化: 下: 兼论技术、资本、权力的联盟与互动[J]. 医学与哲学, 2022, 43(6): 19-24. doi: 10.12014/j.issn.1002-0772.2022.06.04
[14] CHAN S. How to rethink the fourteen-day rule[J]. Hastings Cent Rep, 2017, 47(3): 5-6. doi: 10.1002/hast.698
[15] STEINBOCK B, LONDON A, ARRAS J. Ethical Issues in Modern Medicine: Contemporary Readings in Bioethics[M]. 8th ed. New York: McGraw-Hill Education, 2013: 1.
[16] 陈 竺. 系统生物学: 21世纪医学和生物学发展的核心驱动力[J]. 世界科学, 2005(3): 2-6.
[17] 郭晓奎. 对新医科的理解与认识[J]. 中国大学教学, 2023(7): 4-10.
[18] CAPPS B. One health ethics[J]. Bioethics, 2022, 36(4): 348-355. doi: 10.1111/bioe.12984
[19] 罗会宇, 马永慧. 人脑类器官的道德地位问题[J]. 自然辩证法研究, 2023, 39(5): 75-80.
[20] 李建会, 李长华. 大数据驱动下的生命科学研究范式变革[J]. 哲学动态, 2023(10): 97-105.
[21] 倪梁康. 在现象学—本体论与生态学—伦理学之间: 约纳斯与胡塞尔、海德格尔的思想联系[J]. 学术研究, 2018(1): 8-14.
[22] 雒少锋. 约纳斯论现代医疗的伦理边界[J]. 大连理工大学学报:社会科学版, 2020, 41(4): 121-128.
[23] 约纳斯. 技术、医学与伦理学: 责任原理的实践[M]. 张 荣, 译. 上海: 上海译文出版社, 2008: 36-37.
[24] DE BIE F R, KIM S D, BOSE S K, et al. Ethics considerations regarding artificial womb technology for the fetonate[J]. Am J Bioeth, 2023, 23(5): 67-78. doi: 10.1080/15265161.2022.2048738
[25] 何振乾. 约纳斯克服“人的形象” 危机的两条路径[J]. 伦理学研究, 2023(2): 86-92. doi: 10.3969/j.issn.1671-9115.2023.02.013
[26] 岳 瑨. 大数据技术的道德意义与伦理挑战[J]. 马克思主义与现实, 2016(5): 91-96.
[27] 田海平. 生命医学伦理学如何应对大数据健康革命[J]. 河北学刊, 2018, 38(4): 33-41.
[28] 陈 化, 马永慧. 从常识道德到专业伦理: 生命伦理学理论进路的变迁[J]. 中州学刊, 2021(10): 93-100.
[29] COHEN I G. What should ChatGPT mean for bioethics?[J]. Am J Bioeth, 2023, 23(10): 8-16. doi: 10.1080/15265161.2023.2233357
[30] 彭树涛. “新医科” 的理念与行动[J]. 上海交通大学学报:哲学社会科学版, 2020, 28(5): 145-152.
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