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首页> 外文期刊>American journal of bioethics >The Principle of Equivalence Reconsidered: Assessing the Relevance of the Principle of Equivalence in Prison Medicine
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The Principle of Equivalence Reconsidered: Assessing the Relevance of the Principle of Equivalence in Prison Medicine

机译：重新考虑对等原则：评估监狱医学中对等原则的相关性

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摘要

In this article we critically examine the principle of equivalence of care in prison medicine. First, we provide an overview of how the principle of equivalence is utilized in various national and international guidelines on health care provision to prisoners. Second, we outline some of the problems associated with its applications, and argue that the principle of equivalence should go beyond equivalence to access and include equivalence of outcomes. However, because of the particular context of the prison environment, third, we contend that the concept of "health" in equivalence of health outcomes needs conceptual clarity; otherwise, it fails to provide a threshold for healthy states among inmates. We accomplish this by examining common understandings of the concepts of health and disease. We conclude our article by showing why the conceptualization of diseases as clinical problems provides a helpful approach in the delivery of health care in prison.
机译：在本文中，我们批判性地研究了监狱医学中的同等护理原则。首先，我们概述了在为囚犯提供医疗保健的各种国家和国际准则中如何利用等效原则。第二，我们概述了与应用有关的一些问题，并认为等价原则应超越获得等价原则，而应包括结果等价原则。但是，由于监狱环境的特殊背景，我们认为，等同于健康结果的“健康”概念需要概念上的明确;否则，它无法为囚犯的健康状况提供阈值。我们通过检查对健康和疾病概念的共识来实现这一目标。我们通过显示为什么将疾病概念化为临床问题来结束本文，从而为监狱中的医疗保健提供了有用的方法。

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