Health Care Reform and Social Values
Journal of Medicine and Philosophy. 1999 Dec; 24(6): 638-652.
Hong Kong is undergoing a public debate on the need to reform and future directions of reforming its health care system. This paper highlights the debates and considerations brought up by the Hospital Authority, the largest provider of public health care in Hong Kong, on the ethical principles and societal values underlying the upcoming reform. It is recognized that the exact meanings behind each ethical principle and value must be debated and clarified during the reform process. In a modern day society like Hong Kong, societal values are likely to be diversified. A health care system also has to fulfil different and often conflicting objectives of equity, efficiency, quality and choice. It would be difficult for a health care system to satisfy these different values and objectives based on a single value parameter. The Hong Kong experience shows that a society may prefer a combination of strategies in addressing different societal values. The re-structuring of the health care system in Hong Kong should therefore be based on a balanced and optimum combination of various financing and delivery strategies.
Advisory Committees; Economics; Evaluation; Goals; Government; Health; Health Care; Health Care Delivery; Health Care Reform; Health Insurance; Health Services; Health Services Accessibility; Insurance; Justice; Long-Term Care; Obligations of Society; Primary Health Care; Public Health; Public Opinion; Public Policy; Public Sector; Social Values; Values;
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Po-wah, Julia Tao Lai (1999-12)This paper aims to provide a rendition of the care ethic in Confucian philosophy and to argue that social policy developments in Hong Kong society, including health care policy, have been significantly shaped and justified ...