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- Title
The crisis of patient-physician trust and bioethics: lessons and inspirations from China.
- Authors
Nie, Jing‐Bao; Li, Lun; Gillett, Grant; Tucker, Joseph D.; Kleinman, Arthur; Nie, Jing-Bao
- Abstract
Trust is indispensable not only for interpersonal relationships and social life, but for good quality healthcare. As manifested in the increasing violence and tension in patient-physician relationships, China has been experiencing a widespread and profound crisis of patient-physician trust. And globally, the crisis of trust is an issue that every society, either developing or developed, has to face in one way or another. Yet, in spite of some pioneering works, the subject of patient-physician trust and mistrust - a crucial matter in healthcare especially because there are numerous ethical implications - has largely been marginalized in bioethics as a global discourse. Drawing lessons as well as inspirations from China, this paper demonstrates the necessity of a trust-oriented bioethics and presents some key theoretical, methodological and philosophical elements of such a bioethics. A trust-oriented bioethics moves beyond the current dominant bioethical paradigms through putting the subject of trust and mistrust in the central agenda of the field, learning from the social sciences, and reviving indigenous moral resources. In order for global bioethics to claim its relevance to the things that truly matter in social life and healthcare, trust should be as vital as such central norms like autonomy and justice and can serve as a potent theoretical framework.
- Subjects
CHINA; PHYSICIAN-patient relations; HEALTH care industry; BIOETHICS; MEDICAL personnel; MEDICAL ethics; MEDICAL care; CULTURAL pluralism; PREJUDICES; PRIVACY; SOCIAL classes; TRUST; ETHICS
- Publication
Developing World Bioethics, 2018, Vol 18, Issue 1, p56
- ISSN
1471-8731
- Publication type
journal article
- DOI
10.1111/dewb.12169