Articulating the sources for an African normative framework of healthcare: Ghana as a case study
Articulating the sources for an African normative framework of healthcare: Ghana as a case study
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DOI：
10.1111/dewb.12265
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发表时间：
2020-06-08
影响因子：
2.2
通讯作者：
Dunn, Michael
中科院分区：
文献类型：
--
作者：
Atuire, Caesar A.;Kong, Camillia;Dunn, Michael
生物伦理正逐渐成为撒哈拉以南非洲国家提高高质量医疗保健服务努力的重要组成部分。然而，非洲的许多医疗服务用户熟悉有问题的医疗政策和糟糕的医疗服务提供的事件，这会给患者带来严重的后果。我们认为，医疗保健当局最近采用的以权利为基础的总体道德管理框架导致了对当前规范性工具的采纳和执行不力。以加纳为例，我们着眼于文化伦理背景，梳理出阿肯族和布尔萨族的善和伦理的概念。我们指出了建立一个能够引起服务使用者和从业者共鸣的规范框架的三个原则：本体论的社群主义；同理心的人文主义；以及善良的品格。最后，我们指出如何将这些核心原则与建立有效的规范框架和对医疗保健提供者的培训相衔接。
Bioethics is gradually becoming an important part of the drive to increase quality healthcare delivery in sub-Saharan African countries. Yet many healthcare service-users in Africa are familiar with incidences of questionable health policies and poor healthcare delivery, leading to severe consequences for patients. We argue that the overarching rights-based ethical administrative framework recently employed by healthcare authorities contributes to the poor uptake and enforcement of current normative tools. Taking Ghana as a case study, we focus on the cultural ethical context and we tease out the concepts of the good and the ethical among the Akan and Bulsa ethnic groups. We point out three tenets towards building a normative framework that can resonate with service-users and practitioners: ontological communitarianism; empathic humanism; and virtuous character. Finally, we indicate how these core tenets can be dovetailed into building an effective normative framework and into the training of healthcare providers.