利益相关者对话实践与远程医疗的伦理困境之解决  

Stakeholder Dialogue Practice and the Resolution of Ethical Dilemmas in Telemedicine

作　　者：曹红梅[1,2] 杨本华[3] 顾海 CAO Hongmei(Center for Health Policy and Management Research,Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学卫生政策与管理研究中心,江苏南京210008 [2]南京大学医学院附属鼓楼医院,江苏南京210008 [3]安徽大学哲学学院,安徽合肥230031

出　　处：《河海大学学报（哲学社会科学版）》2022年第4期35-39,135,共6页Journal of Hohai University：Philosophy and Social Sciences

基　　金：国家自然科学基金(71904082)。

摘　　要：远程医疗伦理困境及其产生的原因主要是传统伦理评价中的理性缺陷,以及远程医疗利益相关者之间沟通的不确定性、异质性与对话普遍诉求难题。解决这一伦理困境需要运用对话伦理学的对话理性优势以克服传统伦理评价缺陷,以对话不断解决对话认识的开放性与异质性问题,并付诸远程医疗利益相关者之间不断进行的对话实践,最终达成伦理上的完善,由此建构一种不断在对话中进行且未来可行的动态多元远程医疗评价体系。The ethical dilemma of telemedicine and its causes are mainly the deficiencies of human rationality in traditional ethical evaluation,and the uncertainty of communication and the difficulty of reaching an agreement among telemedicine stakeholders.The solution to this ethical dilemma requires the use of the advantage of dialogue rationality of dialogue ethics to overcome the shortcomings of traditional ethical evaluation,the use of dialogue to continuously solve the problems of heterogeneous subjects,and the practice of continuous dialogue among telemedicine stakeholders to ultimately achieve ethical perfection,thus constructing a dynamic and pluralistic telemedicine evaluation system that is constantly conducted in dialogue and feasible in the future.

关 键 词：远程医疗 伦理困境 利益相关者 对话伦理学 对话实践 

分 类 号：B82-058[哲学宗教—伦理学]