Global health and moral values
Global health and moral values
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DOI：
10.1016/s0140-6736(04)17063-3
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发表时间：
2004-09-18
期刊：
影响因子：
168.9
通讯作者：
Chen, L
中科院分区：
文献类型：
--
作者：
Alkire, S;Chen, L
公共卫生的形成取决于所信奉的道德。例如，基于权利或公平的办法预计将不同于功利主义或人道主义的办法。此外，一项倡议的道德权宜之计只是部分合理的。至关重要的是由知识和机构利益形成的因素。关于为什么应该推进特定全球方案的道德合理性可能需要与在许多不同道德观点的人之间达成共识的必要性相平衡。然而，正如我们在结论中所指出的，道德上的明确性以及知识和机构利益可以有效地塑造什么、什么时候以及如何最好地进行卫生倡议。
Public Health shaped differently depending on the morals espoused. A rights-based or equity approach, for example, would be expected to differ from a utilitarian or humanitarian approach. Also, an initiative is only partly justified by its moral expediency. Of critical importance are factors shaped by knowledge and by institutional interests. Moral soundness about why particular global programmes should be advanced may need to be balanced against the imperative of achieving consensus among people of many different moral views. Yet, as we argue in the conclusion, moral clarity—as well as knowledge and institutional interests—can usefully shape what, when, and how health initiatives should best proceed.