关键词：
Ethics
摘要：
Ethics and ethical issues are generally confined to discussions over priority setting, and occasionally health technology assessment, with other areas of health service research seldom engaging in ethical debate.
There is a fear of making ethical judgements across health services research, with resistance to the inclusion of what is seen as subjective opinion that has no place in a body of knowledge that models itself on the natural sciences.
[...]the rise of evidence-based medicine has led to an increasing focus on aggregated and statistically derived data 6 and the desire for generalisability to make findings appealing to policymakers. 7 Second, the perceived 'crises' facing healthcare funding and the problems of increasing demand (an ageing population; increasing technological developments; rise of chronic disease, etc) have led to calls for more efficiency and efficacy and to, what some authors see as, the dominance of micro-economic thinking. 8 Third, the rise of 'audit culture' 9 and the corresponding need for measurable metrics to demonstrate outcomes. 10 These elements can be broadly termed a form of scientism 11 that permeates health services research and seeks to produce objective knowledge that can be generally applied.
Including ethics as one of the key disciplines within health services research and incorporating ethical analysis alongside a consideration of the social, psychological, economic, clinical and logistical aspects of service delivery will, I believe, ultimately, enhance patient care.
欢迎来到三峡大学图书馆！
