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Abstract 摘要

China faces many healthcare problems. Many people, such as experts Prof. William Hsiao and Li Ling, attribute these problems to the unregulated marketization of the country’s healthcare system. This paper argues that although the unregulated marketization of its healthcare system contributes to many of China’s healthcare problems, a lack of professionalism is also an important factor. Furthermore, it argues that the Chinese medical profession requires both regulation and professionalism. It focuses on the moral aspect of medical professionalism (i.e., medical professional ethics) by discussing the rule- and virtue-based approaches to ethics. Alasdair MacIntyre initially observed the differences between these two approaches in his book, After Virtue. This paper discusses how the two approaches can be used to flesh out rule- and virtue-based medical professional ethics. It argues that rule-based medical professional ethics encounter severe difficulties from which virtue-based medical professional ethics are immune, and that there is therefore an urgent need to research virtue-based medical professional ethics.

中國的醫療制度存在着很多問題。很多人歸究於中國政府錯誤地將醫療推向缺乏足夠監管的市場。本文認為,中國的醫療制度存在着很多問題固然是由於缺乏足夠的市場監管。但是,亦涉及到醫療行業人員的專業失德的問題。本文即旨在探討醫療行業人員的“醫德”問題。本文對比兩種不同的“醫德”觀,它們分別為規則式的醫德觀和以德性為本的醫德觀。本文認為規則式的醫德觀會遇到很多困難,而以德性為本的醫德觀卻較能克服有關困難。

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