Ethical Guidelines for the Delivery of Health Services by DHES: An Appendix

摘要

Medical practice has the potential for many ethical dilemmas. They range from such everyday concerns as the ways physicians communicate to patients, inform them about their illnesses , and explain options to profound decisions concerning the prolongation or termination of life. Moreover, these issues exist at every level of practice and administration from the individual decisions of the physician to the formulation of global health policy. Notions of health and illness, types of financing , mechanisms for remuneration , the concept of a medical care service, the definition of practitioners eligible for payment - all of these come to shape the delivery of services and their impact on patients' lives. The decision of policymakers , for example, to pay for hemodialysis, hip replacements, and other technical procedures for the aged , but not for social care, counseling, or homemaker services , has major impact on the life opportunities of the old for independent living and involve important ethical issues.