Eubios Journal of Asian and International Bioethics 5 (1995), 147-9.
Eubios Journal of Asian and International Bioethics 6 (1996), 71-73.
Ed.- To aid the dissemination of Chinese medical ethics some
abstracts and contents from the JCME were put on the www. Their
editorial office is:
Dr Yu Lin, Prof. Shi Dapu
Journal of Chinese Medical Ethics
Xi'an Medical University
Xi'an, Shaanxi 710061, CHINA
8 Progress for the advanced medical techniques and traditional medical ethics - Shi Dapu
There appears to be a moral crisis. So long as there is advancement in
medical science and techniques, especially the great advances in
biomedical techniques with each passing day, they pound heavily at the
traditional ethical sense regarding the problems of life and death,
humans and human nature. The breakthrough in medical techniques and the
stability of traditional ethics and conservative thinking, are
unbalanced and there are conflicts in many ways, including: 1) The wide
use of advanced medical techniques has brought changes in the relations
between the medical services and the positions held by traditional
ethics. 2) The different points of view regarding the quality of life
by the advances in medical techniques and the traditional medical
ethics. The traditional morality of medicine is characterized by the
holy nature of human life, the right to live. Though advanced medical
science has improved the value of human life, it has made the quality
lower. 3) There are various principles regarding the rational
distribution of health care resources in the eyes of traditional
medical ethics and advanced medical techniques. 4) The advanced medical
techniques have brought traditional medical ethics into question and
consideration. 5) The cardinal principle for the development of
advanced medical techniques in medical science. The integration of
science and techniques and moralities can come into being only when a
better readjustment of the relations between them is made, by joint
efforts of people, moral supervisions and legal contracts. These may
result in less negative effects.
Other papers included:
Morals and the way to keep fit - Zhu HanMing, Chen GuJia
Chinese medical ethics and its cultural background - Men Wei
Lao Zhunag's morals of the way to keep fit - Lu, XiCheng
America's course plan about death education - Huang Tian Zhong
Japanese practice ethics and disease - Yu ShouYun, Zhen Xin
Contents included:
2 Humanitarianism: Eternal theme of medical ethics - Shen MingXian
4 Market economics and the relationship of doctors and patients - Li Yi Ting
29 Discussing the important problem of contemporary sexual medicine - Meng Ji Xian
33 Life ethics and secular humanitarinism - HT Engelhardt
38 Moral risk evaluation of biological techniques - Hans Martin Sass
42 Ethical consideration of resurgence - James G. Adams
47 The thought and investigation of the model of hospice care - Guo Qing Xiou et al.
51 Social ethical countermeausres against senile hypertension - Quan Zheng Liang
61 The 28th meeting of the World Medical Scientific Organization Council was opened - Qiu RenZong
10 The cause - analysis and countermeasures of the balance - loss
of medical morals during the transition time from the planned economy
to the market-economy - Liang Xingbang, Zhang Wei (Xian Medical
University)
To develop the market economy is not to cancel or wear
down the purpose for health care workers to serve patients, instead it
strengthens the service. This article discusses the reasons why medical
morale has lost its balance during the transtion time from a planned
economy to a market economy, and it suggests some counter measures to
construct medical morale.
11 Hospital ethics committees are a vital organization - Zhang Hongzhu, Chilian Zhang
14 Discussing several matters of medical humanitarianism - Shen MingXian
17 Getting a glimpse of medical ethics at present - Cong YaLi
22 Discussing the contradictions and unity of developing medical
causes and medical morals using market mechanisms - Chang HuaRong, Wang
hai
Based on the cultural background of a market economy, the
effects of market economics on developing medical causes were examined.
There were two effects, one positive and the other negative. However,
the general tendecy is good. Under the given conditions the developing
medical cause and medical morals can be in unity.
23 Discussing the relationship of doctors and patients in a socialist market economy - Zhao Yongyao YuLin
27 Necessity of strengthening medical morality for health
administrative cadres - Cheng Ailing, Wu Xiaotao (Xian Medical
Unversity)
At present there are the phenomena of asking for money
from patients, writing out unneccessary prescriptions and getting
medicines without payment among physicians. This is not in accord with
humanitarism for patients in China. As everyone knows, the medical
morality of health administrative cadres are involved whether the
quality of the health services correspond to the needs of the patients
or not. So the authors discuss how to strengthen the medical morality
for training of cadres.
28 Moral conflict and medical moral education in the relationship of doctors and patients - Zhu EuJiang
32 Life ethics and secular humanism - HT Englehardt
37 The rules and standards of medical ethics committees in Dong Jing Medical University with Doctors and patients asking for death - Timothy E. Quil
41 Moral risk evaluation in biological technology - Hans Martin Sass
44 Chinese traditional culture and Chinese unique view of fertility - Wang XiaoYan
48 The modern significance of Chinese traditional dying wisdom - Zheng XiaoJang
58 Ethics of thought of the AIDS epidemic tendency and it's harm - Wang MingXu, Liu Xiao Hong (Xian Medical University)
The paper discusses the AIDS epidemic and its tendency, the harmfulness
of AIDS to the health and socio-economic development of human beings.
The dangers of AIDS in China are pointed out, and prevention and
treatment of AIDS is urgently needed.
6 The Problems and Contermeasures in Medical Moral Construction Engineering at Present - Caorongrong,
Thoracic Hospital in Shanghai City
Under a market economy, it is of important significance to realize
correctly the double nature of the health service which affects medical
morals positively and negatively, and to find out the relationship
between the natures. The counter-measures to construct medical moral
engineering are as followings: to lay-out the integral framework,
develop every side, and carry out several steps to grasp the guidance
of values, and strengthen the principles of medical morals and to
increase the degree of taking part in and gain the aid of media and
social opinion.
9 Standard Service: One of Targets of Medical Moral Construction Engineering - Shenxianghui,
Ruijin Hospital, Shanghai Second Medical University
The realization of standard service under the present status of
medical morals depends on the construction of medical moral engineering
at every level and in diversified forms, strengthening management and
increasing the interest and efficiency of construction of medical
morals. Therefore, standard service is the object of medical moral
construction engineering under a market economy, meanwhile, the
deepening of standard service also depends on medical moral
construction engineering.
16 Hospital Culture and Medical Moral Engineering - Heguopin et al, Shanghai Second Medical University
From the ways of medical model, inter-personnel relationships and
medical moral construction, the paper discusses the nature, core roles
and structure of contemporary hospital culture.
21 Moral Construction Engineering - Fanshanrong, Children's Hospital in Shanghai city
It is necessary to deal correctly with the relationship between
"the big and small environment" in caring out medical moral
construction engineering. The experiences in the Children's Hospital in
Shanghai city are as follows: (1) to change the big environment and
build a good small environment, (2) to extend the influence of
personality and increase the effectiveness of medical morals, (3) to
develop efficaciously medical moral education in diversified forms and
ensure it by systems, (4) to encourage mentality and construct medical
moral engineering, (5) to strengthen education in legal matters and
increase the quality of health staff.
23 To Carry out a System Checking Medical Morals and to Strengthen Medical Moral Construction Engineering - Liiaitiing et al, The First Worker's Hospital of Liaohe Oil Field
In the First Worker's Hospital of Liaohe Oil field, a system for checking medical morals has been devised and carried out, medical moral construction has been carried forward and therefore, medical morals and style have been improved.
28 A Study on Human Ethical Engineering - Renoangrong et al, Xian Medical University
The paper discusses the relationship between ownership types of economy and ethics in contemporary society in China. It designs an ethical system which is "individual, mass and society" with the theory of system engineering, discusses research aims, content and methods of the system, defines "human ethical engineering", points out that "medical ethical engineering" is an important field in "human ethical engineering", and thus, constructs the form to research human ethical engineering.
31 Education, Activity, Administration and Research - Gu Weimin, Renji Hospital, Shanghai Second Medical University
Under socialist market economy, the construction of medical moral
engineering directed by a theory of system engineering should be based
on political education, conveyed by competition, combined with
administration and led by the research of theory.
33 Ethics and Nature of the Health Service Market - Wang Mingxu, Ya Kahou
The health service market is an objective reality. But it is a
failure itself. We must bring into play the role of government
macro-control and market micro-regulation. We should strengthen the
construction of medical ethics and medicine so as to strengthen the
management of the health service market further.
35 Difficulties and Counter-measures in Medical Moral Education Engineering - Jangguohe, Janxi Health Bureau
The education of medical morals in health staff on posts remains
at a low level. For example, it often pays attention to doctors and
nurses and not to administrators etc, it is replaced by the education
of service manners, and its forms are out of date, dull, stiff and
short of assessment indices. It should develop medical moral education
from hospital to society, organize and study the theories of medical
morals systematically, research ethical problems from the easy to the
difficult, propagate medical moral emotions, work out the standards and
strengthen medical moral behaviour so as to carry out medical moral
construction engineering forward on all sides.
36 Medical Moral Culture in 21th Century Life, Justice
and Responsibility - Sunmuyi, Applied Ethics Center, Nanjing Railway
Medical College in Southeast University
Four prerequisites to construct a Chinese culture mold of medical
morals are as follows: (1) correct direction; (2) based on people's
living needs; (3) the status of medical science and technology
development; (4) to revive new moral culture by medicine.
39 Humanitarianism: Choice of Medicine and Medical Ethics - Shiveixing, ZheJiang Medical University
Medical humanitarianism stresses very much the voluntary view and
medical ideal, stresses the spiritual motive role which is thought to
be decided by the nature of medicine, the special profession.
Humanitarianism never excludes utility and benefit. Medical
humanitarianism is the unity on the contemporary voluntary view and
utilitarianism, and it is medical humanitarianism not utilitarianism
that should play a role in the medical practice
43 An Explanation on "The Organization Rules of Hospital Ethics Committee of China (Draft)" - Ji Zhong
This paper gives a detailed explanation on the purpose,
significance and content of "The Organization Rules of Hospital Ethical
Committee of China" drafted by the medical ethics committees in
Qianjing city.
46 Ethical Problems in Applying Techniques to Distinguish Fetus Sex - Liuqin, Beijing Medical University
The paper discusses whether to maintain a non-healthy fetus, the
reproductive control of patients with hereditary diseases, the aim to
apply the technique to distinguish fetus' sex and personal morals and
social ethical problems for health staff. It is pointed out that the
technique can be applied only to check hereditary diseases as to be a
benefit to bearing a good child and increasing people's quality, and
the technique should be controlled properly so as not to serve feudal
ethics.
48 To Understand "Showing Love Care on One's Deathbed"
and "Euthanasia" in View of "Health for All" in 2000 - Mamingzhi,
Shanghai Medical University
The rights and interests of health care include that of health
resources and services. The former includes materials and services, and
the latter includes the rights and interests of health staff to supply
services and of patients. The task for health care is meant to keep the
individual and the masses from the effect of natural factors, society
and in itself.
52 Medical Moral Consciousness and Medical Behaviour under Market Economy - Zhang Xiulan et al, Tianjin Shigong Medical College
The paper discusses three questions as follows: (1) the linkage of
market economy to medical moral consciousness; (2) reasons to develop
the new medical moral consciousness and behaviours; (3) reason analysis
of bad medical moral consciousness and behaviours, under a market
economy.
57 A discussion on Anaesthetist's Moral Training - Liguoming, The People's Hospital in Jingtan city, Jonysu Province
Besides performing medical moral rules, anaesthetists should be of
special morals and deal with the relation to patients and surgeon.
61 Bioethics and Secular Humanism - H. T. Engelhardt (Transl.)
3 Medical Ethics and Big Culture - Shi Da Pu, Yulin (eds.)
The paper discusses the relationship between medical ethics and
big culture. On the one hand, medical ethics can improve the
development of human culture as its major manifestation. On the other
hand, medical ethics needs nourishment and enrichment of culture.
7 Behaviour Standard of Hospital Administrators - Guo
Liang, Zhang hongzhu, Tianjin Hospital System Engineering Research
Institute
The Hospital Administrative Moral Standard has the effects of
guidance, encouragement, harmonization and rectification.
Administration should reflect principles of respect, justice and
benefit. It should connect with the purpose and the way of setting up
the hospital, with the aim of educating health staff. The institution
of the standards should combine administrative power with its function.
The nucleus is to rectify opinion, action, discipline and attitudes of
the health staff.
10 Hospital Administrative Morals and Medical Quality - Huang Weichan, Shanghai Hospital, Second Army Medical Hospital
The Market Economy has some negative influence on hospital
administrative morals and has some restrictive effect on the
improvement of medical quality. So new concepts of hospital
administrative morals are required to overcome the negative elements of
socialist market economy. At present, the urgent requirement of
hospital administrative morals is to handle the relationship between
the two benefits correctly, using medical quality as a nucleus.
12 Medical Moral Conflicts between Medical Health Reform and the Guide of Value - Liu Yaoguang, Hunan Medical University
The paper analyses five medical moral conflicts of medical health
reform. It indicates that connotation of the guide of value is
collectivism and service to patient's heart and soul. In order to guide
values positively, 5 points should be noted: a) to correctly recognize
the dialectical relationship of medical health reform and medical moral
engineering and keep equal emphasis on them; b) to fully exert medical
education functions of guiding benefits; c) to insist on socialist
justice principle; d) to lead socialist competition into the reform; e)
to carry out principle of "cutting benefits apart" and set up a
mechanism of increasing the tendency for benefits.
16 The Safeguard for Patients' Right and the Morality of Hospital Administration - Zhu Wuj Jiang, Shenjiang Medical College
Advancing patient's right adapts to the great democratic tendency
in the world today. The principle of patients' freedom is an important
component part of the basic principles in modern medical ethics.
Patients' rights have both the properties of law standardization and
the significance of moral sense. In the new situation of the market
economy, strengthening the moralities of hospital administration plays
an important role in safeguarding the patients; right and interests,
correcting the general mood of trade and improving our service.
19 Patients' Right Defence and Hospital Moral Duties - Ma Xiansong, Tongji Hospital, Tongji Medical University
Doctor-patient rights conflict should be noted at present.
Hospital administrators should strengthen the "sense of patient's
rights" and make economic administrative aims and patients' right
protection consistent, while making administrative choices. They should
realise the combination between rights and duties of health staff and
reach the harmonization of society, patients and hospital benefits
22 Research into Medical Consumers' Rights and Duties: A
summary of research into rights and duties of domestic, and alien
patients - Guoqingxiu, Feng zhiping, Wang lifei, Geijing Army Medical
Senior Training School
After summing up history and current situation of alien patients
rights and duties, the paper emphasises domestic patients' rights and
duties. It will have great theoretic and practical significance towards
perfecting our newly built medical model, confirming medical consumers;
benefits and improving medical morals.
26 The Important Effect of Philosophical Ethical Nucleus
on Modern Hospital Administration - Dongping et al, Capital Medical
University
Administrators and administrees all live in a certain mood of
hospital culture. So the philosophical ethical nucleus of hospital
culture is the marrow of modern hospital administrative knowledge;
hospital administrators sense of values, especially the moral principle
and style of thinking, deeply impresses and conditions the modern
hospital administrative principles and methods, determines its
enforcement and effect.
29 The Status and Effect of Medical Moral Construction
on Hospital Classified Administration - Sixifeng, Central Hospital of
Zhengzhou Railway Bureau
The paper indicates the important status and effect of medical
moral construction of medical classified administration from three
aspects: 1) medical morals is an important content in hospital
classified administration; 2) medical morals is its guarantee; 3)
medical morals is the basis of constructing and developing achievements
in classified administration.
30 To Analyse the Essence of "Bonus Phenomenon" - Yuan Wenwei
32 To Accumulate the Minimum Effect on Medical Moral
Construction Engineering - Guoleinzhu, Liuwei, The Third Central
Hospital in Tianjin City
The paper indicates the methods and the effects of using common
people to relate to common people, using behaviour standards to
standardize people's behaviour, using great strength to improve the
quality of the administration of medical morals, using good effect of
cadre's behaviour to raise the medical moral level of the whole staff.
35 Detailed Regulations of Principles of the Ethical Committee of Trianjin First Central Hospital
37 Features of Educating Medical Students for the
Effective Medical Ethics - Zhaojjian,Wangyuyin, Fanweidong, Leiyiming,
Xi'an Medical University
In order to fit in will the needs of socialist cultural and
ideological progress, medical moral education should be strengthened
and its methods should be improved. The only way to improve the methods
is to liberate the thoughts, renew ideas, from new style ideas and
educate students comprehensively for medical morals.
41 Relationship between Humanity and Nature and its Ethical Principle - Li Zhong, Sunming, Chongqing Medical University
Humanity and nature are interdependent. So only respecting nature
fully utilizing and exploiting nature scientifically can be of benefits
to humanity, or it will be no end of trouble for the future.
43 Medical Ethical Problems brought by New Technological Revolution - Ligenlin, Hangpeilin, Capital Medical University
The paper indicates the problems and challenges that new
technological invention brings to medical ethics. Also, it gives three
representative opinions of new technological relations and discusses
their contradictions and unity.
46 Research and Analysis of Question Papers on
Classified Health Staff's Opinions of Euthanasia - Fanyinong,
Huangrong, Shanghai Second Medical University
According to the research and analysis on 317 classified health
staff's opinions of euthanasia, results show that health staff of every
class all have rather sound opinions of euthanasia and they generally
use humanism at the level to assess euthanasia cases. Clinically,
passive euthanasia has objective feasibility. Thus a study on its
feasibility is suggested, and strengthening legal measures is suggested
to be an urgent matter to improve enforcement.
51 The Effect of Affection and Training on Doctor-Patient Communication - Chenghong
53 Ethical Researches into AIDS - Qiaolidong, The Fourth Army Medical University
The paper indicates the clinical ethical problems that AIDS brings and the according counter-measures.
55 Qualities and Training of Nurses showing Love on One's Deathbed - Liu yuexia, Beijing Army Medical Senior Training School
The paper discusses what qualities the nurse showing love on one's
deathbed should have, and researches the methods of training, by
showing nurse's effect in supplying a service of showing love on one's
deathbed and showing their qualities.
59 Nurses' Cultural Ethical Accomplishment and Nursing quality - Fang huiling, Shangluo Regional Hospital
Through the research and analysis of patients' group ages,
cultural level and profession structure, etc, combined with the
requirement of new medical mode, the paper raises the cultural ethical
accomplishment nurses should have, and gives examples to discuss the
relationship between this accomplishment and nursing quality.
63 Bioethics and Secular Humanism - H.T. Engelhardt (Transln)
6 Research and Enforcement of a Check on Medical Moral
Quantification in Tianjin City - Zhang Guixin, Zhou Zhongyuan, Li
Jiliang
Tianjin Health Bureau has researched into methods of
checking medical moral quantification. They made a standard of
checking, built up a group to examine, planned the time and methods for
checks, and worked out regulations concerns rewards and disciplinary
sanctions.
9 Usage of Fuzzy Poly-Gradational Comprehensive Assessment in Medical Moral Education - Xue Qinxiang, Dang Jingpin
The paper discusses the way of using "Fuzzy Poly-Gradational
Comprehensive Assessment" to analyze and evaluate the results more
scientifically and reasonably.
10 Conception of checking and assessment of hospital medical moral quantification - Chen Fangging
16 Satisfaction degree of society is an important index of assessing medical moral engineering - Jain Yao Lin et al.
Xiabei District Central Hospital in Shanghai has developed medical moral engineering effectively with good results.
15 Rules of hospital medical moral checks and assessment
19 To rebuild a new medical moral civilization model - Shi Dapu, Yu Lin
Through analysis of the current situation of medical moral engineering,
this paper effectively puts forward several thoughts of the modern
medical moral civilization model, and proposes suggestions for medical
moral theory.
22 Medical ethics problems brought about by advanced medical techniques and the study of its countermeasures - Chen Jiulong
Starting with ethical puzzles brought about by advanced medical
techniques the paper discusses the way to avoid defects that arise by
the use of advanced techniques.
25 Research into euthanasia culture - Liu Yuexia
26 Ethical research into health service disposition service of "showing love and care on one's deathbed" - Zhang Zhao et al.
27 An analysis of "Customers - Health - Skilled Worker Group - Society" Ethical Systematic Engineering - Ren Yanrong
Staring with general health opinion, the paper analyses the
relationship between human "needs and benefits", and indicates that to
be hygienic and healthy is the goal that any specified person, staff
group and society is chasing. This is the historical mission shouldered
by skilled health workers. Also the paper indicates the ethical
systematic engineering of "Customers - Health - Skilled Worker Group -
Society" and a basic model of moral behaviour of skilled health workers
obtaining self "need" and "benefiting" customers.
28 Using the "standards of productive forces" to research euthanasia legislation in China - Li Tianjian
30 Ethical analysis of the quality of life - Liu Xiangchen et al.
31 Familial adenoma polyps coloni and the psychological and ethical affects on family members - Ma Hongji et al.
37 Security - its Ethical significance, Defense and Usage - Wang Yanguang
From the angle of medical ethics, this paper discusses the significance
and the ethical basis of the security principle. Using this theory, the
paper analyses and defends the value conflicts related to the principle
of security.
39 Mistaken diagnosis and treatment and medical moral engineering - Jia Zhaoxin
How shall we pay special attention to the medical morality and
practices, and reduce the number of accidents in diagnosis and
treatment from the present? The following proposals are given: 1) To
stress education and pay attention to practice, 2) The party committees
and party branches all should take it seriously and make sure these are
followed, 3) To attach great importance to the value of medical
personnel, 4) To strengthen the management and set up a medical legal
system.
42 Ethics perspective of medicine management behaviour in hospital - Yian Jue (Xi'an Medical University)
This article gives investigation reports of medical management in
hospital of provinces, regions (cities) and the county level. The
result shows that there are many channels to introduce medicine;
unreasonable utilization of expensive imported and capital medicines
cause the increase in health costs which makes the economic burden to
the patients greater. The article also puts forward some ethical
countermeasures to enhance the medical management of the hospital.
43 Medical moral construction and its countermeaures in stock hospitals - Guo Zhihai et al.
47 Research into strengthening the internal cohesive power of hospitals - Geng Jun et al.
48 The art of creating good morals - Chen Maogen
51 Sexual moral education in Taiwan - Yu Lin
52 Bioethics and secular humanism (translation) - HT Engelhardt
60 Take good care of the homeland where humans live - Hydegle and Modern Environmental Ethics - Wang Wer
The paper discusses the thoughts of ecological philosophy and the environmental ethics of the German philosopher, Hydegle.
64 Market economy and the Army medical moral construction
engineering - Xiong Qiguui (General Hospital, Guanzhou Military Region)
The paper indicates the effects of the market economy on the morals of
the Army medical system, and suggests several appropriate
countermeasures.
