Which care? Whose responsibility? And why family? A confucian account of long-term care for the elderly
Journal of Medicine and Philosophy 32 (5):495 – 517 (2007)
| Abstract | Across the world, socio-economic forces are shifting the locus of long-term care from the family to institutional settings, producing significant moral, not just financial costs. This essay explores these costs and the distortions in the role of the family they involve. These reflections offer grounds for critically questioning the extent to which moral concerns regarding long-term care in Hong Kong and in mainland China are the same as those voiced in the United States, although family resemblances surely exist. Chinese moral values such as virtue and filial piety embedded in a Confucian moral and social context cannot be recast without distortion in terms of modern Western European notions. The essay concludes that the Confucian resources must be taken seriously in order to develop an authentic Chinese bioethics of long-term care and a defensible approach to long-term care policy for contemporary society in general and Chinese society in particular. | |||||||||
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Mark G. Kuczewski (1999). Ethics in Long-Term Care: Are the Principles Different? Theoretical Medicine and Bioethics 20 (1).
X. Chen & R. Fan (2010). The Family and Harmonious Medical Decision Making: Cherishing an Appropriate Confucian Moral Balance. Journal of Medicine and Philosophy 35 (5):573-586.
George J. Agich (1993). Autonomy and Long-Term Care. Oxford University Press.
Y. Cao, X. Chen & R. Fan (2011). Toward a Confucian Family-Oriented Health Care System for the Future of China. Journal of Medicine and Philosophy 36 (5):452-465.
Ruiping Fan (2002). Reconstructionist Confucianism and Health Care: An Asian Moral Account of Health Care Resource Allocation. Journal of Medicine and Philosophy 27 (6):675 – 682.
Julia Tao Lai Po Wah (2007). Dignity in Long-Term Care for Older Persons: A Confucian Perspective. Journal of Medicine and Philosophy 32 (5):465 – 481.
Ho Mun Chan & Sam Pang (2007). Long-Term Care: Dignity, Autonomy, Family Integrity, and Social Sustainability: The Hong Kong Experience. Journal of Medicine and Philosophy 32 (5):401 – 424.
H. Tristram Engelhardt Jr (2007). Long-Term Care: The Family, Post-Modernity, and Conflicting Moral Life-Worlds. Journal of Medicine and Philosophy 32 (5):519 – 536.
Xiaomei Zhai & Ren Zong Qiu (2007). Perceptions of Long-Term Care, Autonomy, and Dignity, by Residents, Family and Caregivers: The Beijing Experience. Journal of Medicine and Philosophy 32 (5):425 – 445.
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