Gender, ageing, and injustice: social and political contexts of bioethics

Gender, ageing, and injustice: social and political contexts of bioethics
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DOI:
10.1136/jme.2003.006726
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发表时间:
2005-05-01
影响因子:
4.1
通讯作者:
Dodds, S
Dodds, S
中科院分区:
人文科学1区
文献类型:
--
作者:
Dodds, S

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“在生物伦理学方面已经做了大量工作,以解决在提供保健服务、客户与保健专业人员之间的互动以及在特定医院或保健服务部门内分配保健服务方面的不公正和性别压迫问题。仍然存在一些持续不公正的地方,只有从更广泛的分析角度才能充分解决,一个关注制定医疗保健政策和实践的社会和政治背景。女性主义生物伦理学家在提供这种分析方面有着很好的记录。使用当前的澳大利亚老年护理和福利政策,本文展示了一些方式,其中性别,年龄和社会不平等的问题形状生物伦理辩论,政策和实践中的老年护理和福利提供领域。作者提出了一个论点,表明性别不公正的基础医疗保健和福利政策。这一论点承认人类依赖关系的不可避免性,并质疑当前政治理论是否足以满足充分和平等的公民身份的要求。作者表明,充分分析老年人医疗保健的伦理取决于充分考虑医疗保健政策制定的社会和政治背景,以及对人类依赖性的充分理解。
`There has been considerable work in bioethics addressing injustice and gender oppression in the provision of healthcare services, in the interaction between client and healthcare professional, and in allocation of healthcare services within a particular hospital or health service. There remain several sites of continued injustice that can only be addressed adequately from a broader analytical perspective, one that attends to the social and political contexts framing healthcare policy and practice. Feminist bioethicists have a strong track record in providing this kind of analysis. Using current Australian aged care and welfare policy this paper demonstrates some of the ways in which issues of gender, age, and social inequity shape bioethical debate, policy, and practice in the areas of aged care and welfare provision. The author develops an argument that demonstrates the gender injustice underlying health care and welfare policy. This argument recognises the inevitability of human dependency relations, and questions the adequacy of current political theories to address the requirements for full and equal citizenship. The author shows that an adequate analysis of the ethics of aged healthcare depends on sufficient consideration of the social and political context within which healthcare policy is framed and an adequate understanding of human dependency.