Which care? Whose responsibility? And why family? A Confucian account of long-term care for the elderly

Which care? Whose responsibility? And why family? A Confucian account of long-term care for the elderly
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DOI:
10.1080/03605310701626331
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发表时间:
2007-01-01
影响因子:
1.6
通讯作者:
Fan, Ruiping
Fan, Ruiping
中科院分区:
医学3区
文献类型:
--
作者:
Fan, Ruiping

文献摘要

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在世界各地,社会经济力量正在将长期护理的中心从家庭转移到机构环境,这不仅产生了经济成本,而且产生了巨大的道德成本。本文探讨了这些成本以及家庭角色的扭曲。这些反思为批判性地质疑香港和中国大陆对长期护理的道德担忧在多大程度上与美国相同提供了依据,尽管家庭之间确实存在相似之处。中国的道德价值观,如儒家道德和社会背景下的美德和孝道,不可能在不扭曲现代西欧观念的情况下被重塑。本文的结论是,为了发展真正的中国长期护理生命伦理学和当代社会特别是中国社会的长期护理政策的可辩护方法,必须认真对待儒家资源。
Across the world, socio-economic forces are shifting the locus of long-term care from the family to institutional settings, producing significant moral, not just financial costs. This essay explores these costs and the distortions in the role of the family they involve. These reflections offer grounds for critically questioning the extent to which moral concerns regarding long-term care in Hong Kong and in mainland China are the same as those voiced in the United States, although family resemblances surely exist. Chinese moral values such as virtue and filial piety embedded in a Confucian moral and social context cannot be recast without distortion in terms of modern Western European notions. The essay concludes that the Confucian resources must be taken seriously in order to develop an authentic Chinese bioethics of long-term care and a defensible approach to long-term care policy for contemporary society in general and Chinese society in particular.