基本医疗卫生立法忌思想僵化——评“卫生立法需直面五个矛盾”  

Blind-sided Should Be Avoided in the Legislation of Basic Health Care:A Review of“The Health Legislation Should Face to Five Contradictions”

作　　者：黄清华[1,2] HUANG Qing-hua(Guangzhou Study Center for Hexie Doctor-patient Relationship, Guangzhou 510095, China)

机构地区：[1]广州市和谐医患关系研究中心,广东广州510095 [2]同济大学法学院/知识产权学院,上海200092

出　　处：《医学与哲学（A）》2017年第3期66-70,共5页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：2016年同济大学社会科学跨学科研究基金资助项目(pip003)

摘　　要：实证表明,把"免费医疗制度"戴上"西方的"帽子,是思想僵化的表现。在现代社会,一国是否实行"全民免费医疗制度",主要取决于该国的政治愿意、政治选择和卫生体系的文化传统、公众的就医习惯等因素,与该国所处发展阶段没有必然联系。我国主要经济指标和人类发展指数情况较好,可持续发展指标、法治指标、人权与公众参与指标有大幅提高的空间。建议基本医疗卫生立法从这个实际出发,克服思想僵化,正确处理卫生公平与效率的关系;当两者不能兼得,应贯彻公平优先、兼顾效率原则。为此,要高度重视公民健康决策参与权,通过立法使之得到尊重、保护和实现。The empirical evidences show that it is blind-sided to put the hat of ＂the west＂ on the ＂free health care system＂. In modern society, a country＇s choice of whether to carry out the ＂universal＂ free health care system, mainly depends on the factors, such as the country＇s political will, political choices and cultural tradition, as well as the public＇s habits of how to see doctors. The choice is not linked with the country＇s development stage. While the main economic indicators and human development index of China are good, the index has a substantial increasing space in sustainable development, the rule of law, human rights and public participation. It is suggested that the legislation of basic health care should admit the reality, overcome the rigid in thought, and correctly handle the relationship between equity and efficiency of health. When we cannot both have equity and efficiency, the principle of ＂equity going first while considering efficiency＂ should be applied. Therefore, it is of great importance to respect, protect and implement the citizens＇ right to health decision-making participation through the legislation.

关 键 词：全民免费医疗制度 基本医疗卫生立法 健康决策参与权 

分 类 号：R-05[医药卫生] D922.16[政治法律—宪法学与行政法学]