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第 71  期

專題論文
Special Issue

  (34)
The Concept of Harm and Dilemma of Medical Tourism in the Time of Pandemic: A Case of Medical Referral from Cambodia to Taiwan
作者
Author Bunrong Kouy
Keywords medical tourism, medical referral, Cambodia, Taiwan, Harm See
摘要
Abstract Medical tourism is a practice, whereby individuals travel across national borders with the intention of receiving medical care. Medical tourists are motivated to travel abroad by a number of factors, including the affordability of care abroad, access to treatments not available at home, and waiting times for care at home. While medical tourists enjoy the benefits that medical tourism brings, there are ethical problems associated at a macro and micro level. At the micro level, there are questions related to access to information, doctor and patient responsibility, validity of informed consent, additional medical risks, and standards for good clinical practice, privacy and confidentiality.1 At the macro level, concerns are raised about commercialization of healthcare, access to health care, equity, state obligations and responsibilities, and the necessity of legislation. In this article, we could not discuss at length on each problem for the fact that the world is still suffering from pandemic with more variables and difficulties. Since either medical treatment carried locally or in a foreign country, medical services are supposed to provide benefits or at least not to cause serious harms to patients. Therefore, the author brings out a case of medical referral from Cambodia to Taiwan during COVID-19 pandemic that showcases an ethical dilemma of healthcare providers whether “to transfer at all means or to let die gradually” since there is a gap in medical practices between origin and target treatment destination resulting in irreversible treatment. We shall consider the choice of physician and hospital in charge as harm is the topic of discussion.
二十一世紀新冠肺炎全球流行病之倫理法律社會與政策之意涵 (ELSPI)
/ 李瑞全    Shui-Cheun Lee
1
攸關新冠病毒疫情之治人醫心生命文化反思
/ 蔡篤堅    Duujian Tsai
5
新冠病毒及疫情流行所產生之倫理爭議舉隅
/ 釋昭慧    Chao-Hwei Shih
27
COVID-19 大流行引發之醫療倫理議題
/ 陳祖裕    Cho-Yu Chan
59
新冠肺炎蔓延期間告別的勇氣與意義
/ 蕭玉霜    Yu-Shuang Hsiao
75
新冠肺炎流行期安寧緩和醫療所面臨的挑戰
/ 釋照量    Zhao-Liang Shi
99
大 COVID 時代的疫苗分配與接種政策倫理考量
/ 葉明叡    Ming-Jui Yeh
119
新冠肺炎疫苗研究倫理探討與公眾信任之建立
/ 陳妤嘉    Yu-Chia Chen
137
從儒家「人文關懷」的觀點反思新冠肺炎疫情對世界的衝擊
/ 金美華    Mei-Hua Chin
161
公共衛生倫理學之基本原則與全球流行病之實踐分析:儒家生命倫理學之效用與應用
/ 李瑞全    Shui-Chuen Lee
183
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