有鑑於哲學教育應推廣到各學門的基礎研究中，本文嘗試透過探討醫護人文教育的關懷倫理學基礎，來說明在醫學領域中推行哲學教育的重要性。隨著人對生理、心理及社會良好狀態的健康需求，醫學的進步因而必須包含醫療人文化的要求，以能在「以病人為中心」的理念中，達成以病人的福祉為優先考量的醫療倫理要求。相對於當前的醫學倫理僅強調依中層原則進行臨床的道德推理，本文將指出原則主義基本上仍是醫師面對兩難的倫理學，而仍非以病人為中心的倫理學。以尊重病人的自主性來詮釋「以病人為中心」的理念，也將會使醫病關係陷入一種二律背反的困境。本文嘗試依關懷倫理學的主張，把病人視為處於具體情境中的特殊他人，而在醫療實踐中強調建立與維持醫病之間互有感動回應之關係的重要性。透過「技術性的照顧關懷」、「態度性的關心關懷」與「關係性的存在關懷」之區分，本文也將特別凸顯關懷概念在護理做為「科學」、「技藝」與「倫理」中的核心地位。本文最後將指出，從醫學技術主義回歸人道關懷的可能性，即必須在醫療與照護活動不可分的醫療體系中，使關懷倫理能透過醫護人文教育的培養，而有達成其實現之理念轉變的哲學基礎。

The healthcare system oriented towards humanistic concern should provide their practitioners with educational foundations for the practice of patient-centred medicine. In this regard, I distinguish in this paper between two sorts of patient-centred ethics: bioethical principlism that call for respect the autonomy of patient; and feminist ethics of care that place emphasis on the maintenance of caring relationship between physician and patient. The author approves care ethics when challenging claims of principlism regarding their theory of moral reasoning. The moral reasoning by principles can be seen only as ethics of doctors' dilemmas, but not yet as patient-centred ethics. On the contrary, I argue further, the concept of caring can play an important role in medical ethics and especially in nursing ethics. After analyzing the appropriate model of patient-centred medicine, I try to show how return of medical professionalism to humanistic concern is possible.