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Ethical Conflicts About Emergency Treatment in Disaster Medicine

Chinese Medical Ethics.2001;(2):28-29.

the paper discussed the unavoidable ethical conflicts during disaster medical treatment:Equal right to treatment enjoyed by everyone vs.priority for those who need emergency treatment;Humanity principle vs.relinquishment of invalid treament;Informed consent principle vs.emergency treatment;Life rescue vs.life quality improvement during treatment.

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Health Quotient-The Concept should be set up

Enchang LI

Chinese Medical Ethics.2001;(2):17-19.

We should explicitly put forward the concept of health quotient(HQ).That is to say,HQ reflection of the health consciousness,health knowledge and health level of individual and residents in a region;also the degree of HQ can be reflection through peoples' having health consciousness,health knowledge,health ability with those should have.The author thinks HQ is very important for people's health;furthermore,some suggestions how to raise HQ was proposed.

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An Ethical Discussion about Senile Patients of Dermatosis and Venereal Disease in the Diagnosis and Treatment

Guoxing ZHU ; Chun LU ; Huaiqiu HUANG

Chinese Medical Ethics.2001;(2):4-5.

This article discusses the ethical problems about Senile patients of dermatosis and venereal disease in the diagnosis and treatment.The problems mainly include:(1)moral responsibility is not strong and skills are not taken into account when inquiring history;(2)it is not careful enough and personality of patients may be hurt when making medical examination;(3)attitude is not solemn and operation not normative;(4)treatment is not normative and charcteristics of senile patients are not considered.We bring forward some suggestions including of:(1)moral responsibility must be strong enough and skills should be taken into account when inquiring history;(2)it must be careful engough and personality of patients may be respected when making medical examination;(3)attitude must be solemn and operation must be normative;(4)characteristics of senile patients must be considered and treatment should be reasonable;(5)life of senile patients should be respected and cherished,the quality of life should be attached importance to:

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Risk-Benefit Analysis and Assessment in Ethical Review:A Study Based on Literature Review

Haihong ZHANG

Chinese Medical Ethics.2014;(2):186-188.

The reasonable risk-benefit ratio is one of the most significant criteria in ethical review .However , there is not a well-organized standard for risk -benefit analysis and assessment .Also the commonly used Common Rule and Duty of Personal Care Approach have their own limitations , which revoked the Component Analysis Strate-gy, unfortunately, failed again.Alex John London, as a result, tried to construct a comprehensive approach , in which he clarified reasonable riskbased on the distinction of personal interest and basic interest , as well as brought in the concept of comparator activities .Compare to the theoretical contribution of London ,A seven-step framework for risk-benefit evaluationcreated by Annette Rid and David Wendler concerns more from the practi-cal aspect .

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Key Points of Ethic Review on Clinical Trials of Traditional Chinese Medicine

Mingjie ZI ; Rui GAO ; Weiliang WENG ; Tao LI ; Bo LI ; Xudong TANG

Chinese Medical Ethics.2014;(2):183-185.

According to the common standard of ethic review for clinical research , it is equal to each kind of research program whether western medicine or Traditional Chinese Medicine .It should be reviewed the ethic and scientific issues in the same time .However, on account of the two majority characteristics of Traditional Chinese Medicine , it would be concerned more evidence , such as the safety data before clinic , the syndrome differentiation and treatment of target disease , drug combination , dosage and course of treatment , the methods of outcome meas-urement, admixture of the drug, the selection of control drug including placebo and so on .

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Ethical Review on Informed Consent in Medical Research

Jinhong HU

Chinese Medical Ethics.2014;(2):180-182.

Ethics committee and informed consent are the main measures to safeguard the rights and interests of the subjects.Therefore, it needs to increase the ethical review intensity on informed consent , pay attention to the balance of benefit and risk , to maintain the subjects'rights and interests and security .Informed consent is one of the main ethical requirements for human body research .The following key points should be considered during the ethical review on informed consent:the completeness and sufficiency of the information;signed process;standardi-zation of the language;risk disposal, etc.

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Ethical Roles of Dispute Processing Personnel in Medical Dispute

Xiaofeng TAN ; Weibing WANG

Chinese Medical Ethics.2014;(2):295-296.

This paper focused on the role conflicts owing to the multiple identity of roles and professional limi -tations in the dispute processing personnel , analyzed the probability in the medical processes and results , appeal of the patients and pattern of medical dispute processing , and made the conclusion that the medical dispute processing personnel is volunteers promoting social harmony and a practitioner of new medical model from the social perspec -tive and should carry forward the dedication , fraternity, mutual assistance and progressive spirit , the concept of the biological -psychology -social medical model to analyze the loss of patients in dispute and appeal , truly safe-guard the health rights and interests of patients , and give some advices to perfect the role ethics dispute processing .

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A Qualitative Research of Medical Humane Care in Improving Doctor-patient Relationship

Peng HAN ; Xiaoyun CHEN ; Tieshan ZHANG ; Zhongguang YU ; Shuqiang XU

Chinese Medical Ethics.2014;(2):284-287.

Using the method of semi -structure interviews to pre-interview 6 experts and officially interview10 experts , then the record of the interview was compiled into the paper .Using the grounded theory method to encode material of the interview , a summary was made for each case base on data collation and analysis .This paper ana-lyzed the humanities concern the connotation of the application in the construction of a harmonious doctor -patient relationship and the specific measures .On the basis of the application of humanistic care in the construction of a harmonious doctor -patient relationship , significance and limitation is discussed .

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Medical Ethics Education for Standardization Training and Teacher Training of Resident Doctors in Zhejiang Province

Tianshi XU ; Ya ZHENG ; Zhijun XIA

Chinese Medical Ethics.2014;(2):276-277.

Under the background of resident standardization training pilot in Zhejiang province , this paper put forward the scheme of resident doctors standardization training and teacher training for the first time .This paper an-alyzed the necessity of medical ethics education in teacher training and standardization training and the requirements of teacher training in ethical education and ways for ethical education .Carrying out medical ethics education not only improves teachers'medical ethics knowledge , but also let them master the medical ethics teaching methods and skills.

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Correlation Analysis between Medical Professionalism Construction and Hospital Service Quality Improvement in Baoji

Lin XING

Chinese Medical Ethics.2014;(2):273-275.

Objective:To study the correlation between medical professionalism construction and hospital serv-ice quality improvement .Methods:Questionnaire was used to collect data about patients feedbacks of medical pro -fessionalism in the third-level hospitals in Baoji in 2013 .The correlation between doctors'performance and public services and improving the hospital service quality was analyzed .Results:Occupation responsibility , doctor-pa-tient integrity , doctors giving patients help , medical fees , service consciousness , attitude , quality and efficiency have related to improving the hospital service quality .Conclusion:The Hospital should strengthen the communica-tion between doctors and patients , pay attention to the humanistic quality training , improve the quality of hospital service .

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