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Corruption or professional dignity: An ethical examination of the phenomenon of “red envelopes” (monetary gifts) in medical practice in China

机译：腐败或专业尊严：对中国医疗实践中“红色信封”（货币礼品）现象的伦理检查

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Abstract >In the medical practice in China, giving and taking “red envelopes” (monetary gifts) is a common phenomenon although few openly admit it. This paper, based on our empirical study including data collected from interviews and questionnaires with medical professionals and patients, attempts to explore why “red envelopes” have become a serious problem in the physician‐patient relationship and how the situation can be improved. Previous studies show that scholars tend to correlate the spread of “red envelopes” in health care sector to the commercialization trend, the general erosion of traditional values, and the lowering of the moral level in the medical field. However, in this paper, the authors argue that medical professionals’ choice of taking “red envelopes” is actually more a way to compensate for their problematic self‐image and marred dignity in real practice. Medical professionals in China as a whole are in an embarrassing situation where the work pressure and income, and the sense of pride that used to be part of their profession are not comparable to each other. Under this circumstance, we believe that the effective way to deal with the “red envelopes” issue does not lie solely in introducing more stringent regulations or granting medical professionals higher payments, but rather in protecting and enhancing the professional dignity of all those working in healthcare. And on top of that, there must also be effort to cultivate a more favorable moral environment. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“dewb12152-abs-abs-0001”> <标题类型=“main”>抽象</ title> <在中国的医疗实践中，给予和采取“红色信封”（货币礼品）是一种常见的现象，但很少有人公开承认。本文基于我们的实证研究，包括由医疗专业人士和患者的访谈和问卷收集的数据，试图探索为什么“红色信封”在医生 - 患者关系中成为一个严重的问题以及如何改善情况。以前的研究表明，学者倾向于将卫生保健部门的“红色信封”的传播与商业化趋势，传统价值观的一般侵蚀相关联，以及医学领域的道德水平降低。然而，在本文中，作者认为，医疗专业人员选择采取“红色信封”实际上是一种弥补他们有问题的自我形象和在实际实践中造成尊严的方法。中国的医疗专业人员整体上都处于尴尬的情况，工作压力和收入以及曾经是他们职业的一部分的骄傲感不相互媲美。在这种情况下，我们认为，处理“红色信封”问题的有效途径并不完全介绍更严格的法规或授予医疗专业人员的款项，而是为了保护和提高所有在医疗保健中的所有人的专业尊严。最重要的是，还必须努力培养更有利的道德环境。</ p> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32947/'>《Developing world bioethics》</a> <b style="margin: 0 2px;">|</b><span>2018年第1期</span><b style="margin: 0 2px;">|</b><span>共8页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zhu Wei&option=202" target="_blank" rel="nofollow">Zhu Wei;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Wang Lijie&option=202" target="_blank" rel="nofollow">Wang Lijie;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Yang Chengshang&option=202" target="_blank" rel="nofollow">Yang Chengshang;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5696.html" title="医学伦理学">医学伦理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=China&option=203" rel="nofollow">China;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=corruption&option=203" rel="nofollow">corruption;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=medical profession&option=203" rel="nofollow">medical profession;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=professional dignity&option=203" rel="nofollow">professional dignity;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=red envelopes&option=203" rel="nofollow">red envelopes;</a> </p> <div class="translation"> 机译：中国;腐败;医学行业;专业尊严;红色信封; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" 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target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 王继超</a> <span> . 2016</span> </span> </div> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/patent-detail/06130410684719.html">SPECIAL ENVELOPE FOR MONETARY GIFT WHICH CAN BE REUSED AS JACKET WITH BOOKMARK</a> <b>[P]</b> . <span> 外国专利：  JP2017088240A </span> <span> . 2017-05-25</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：可以作为带有书签的夹克重复使用的货币礼品的特殊信封 </span> </p> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/patent-detail/06130438756968.html">MONETARY GIFT ENVELOPE WITH MESSAGE CARD, FOR CELEBRATION OR CONDOLENCE</a> <b>[P]</b> . <span> 外国专利：  JP2006298475A </span> <span> . 2006-11-02</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：带有礼品卡的礼品盒，用于装饰或装饰 </span> </p> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130447584171.html">ENVELOPE FOR MONETARY GIFT FOR CONDOLENCE</a> <b>[P]</b> . <span> 外国专利：  JP2002019840A </span> <span> . 2002-01-23</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：货币礼物的包容性 </span> </p> </li> </ul> </div> </div> </div> <div class="theme cardcommon" style="overflow: auto;display:none"> <h3 class="all_title" id="enpatent55">相关主题</h3> <ul id="subject"> </ul> </div> </div> </div> </div> <div class="right rightcon"> <div class="details_img cardcommon clearfix" style="margin-bottom: 10px;display:none;" > </div> </div> </div> <div id="thesis_get_original1" class="downloadBth" style="bottom: 19px;z-index: 999;" onclick="ywcd('0704025207329','4',7,2,1,'',this,24)" class="delivery" prompt="010401" 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