道德契约视域下乡村医务人员道德关系及道德行为的改进对策初探  

Discussion on the Improvement Measures of Ethical Relations and Moral Behaviors among Rural Medical Staff from the Perspective of Moral Contract

作　　者：彭迎春[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京100069

出　　处：《中国医学伦理学》2017年第8期953-956,共4页Chinese Medical Ethics

基　　金：北京市社会科学基金项目(项目编号:15JGB074);首都卫生管理与政策研究基地开放性课题(2017JD08)

摘　　要：基于传统熟人社会的道德关系模式在当前契约化社会发展中已然式微的现实困境,亟需通过对乡村两级道德领域的实地观察和比较研究,从道德契约的视域探讨重构乡村医务人员新型道德关系及道德行为的适宜之策。基于此,村医所处的村落熟人社会和乡镇医务人员所处的非熟人社会因其多维道德内涵的不同呈现,各自均需不同程度地适应契约化服务模式的转变要求,在道德契约的理论引导和实践应用下,重构新型的道德关系和道德行为,以促成崇德向善、医患互信之情境。Based on the practical dilemma that the moral relation model of traditional acquaintance society has already declined incurrent social development, it is urgent tocarry out the field observation and comparative study of two- level moral field in rural areas and to discuss appropriate strategies to reconstruct new ethical relations and moral behaviors among rural medical staff from the perspective of moral contract. Based on this, both the village ac- quaintance society in rural and the non -acquaintance society in towns need to adapt to the change of contractual service models to some extent because of different presentation of multidimensional moral connotation. Under the guidance of moral contract theory and practical application, moral relations and moral behaviors should be recon- structed to promote the formation of advocating moral and goodness and doctor -patient trust.

关 键 词：乡村医务人员 道德契约 道德关系 道德行为 

分 类 号：R-052[医药卫生]