生命道德哲学视域下的中国医疗体制改革——评《医疗卫生体制改革进程与前景的生命道德思考》  

Chinese Medical System Reform from the Perspective of Life Moral Philosophy:Review of Thoughts on Life Moral in the Process and Prospects of Medical System Reform

作　　者：陈春生[1] CHEN Chunsheng(Party School of CPC Hebei Provincial Committee,Shijiazhuang 050061,China)

机构地区：[1]中共河北省委党校,河北石家庄050061

出　　处：《中国医学伦理学》2020年第3期355-357,共3页Chinese Medical Ethics

摘　　要：与生命伦理学以医疗卫生保健制度为研究对象的认识层次不同,生命道德哲学视角对医改的思考属于哲学层面的认识。医疗卫生体制作为社会特定制度和政策及其运行体系,其经济特性和作为社会公共管理体系构成部分,所蕴含的卫生经济伦理问题可以在生命伦理学和生命道德哲学这两个层面加以认识,生命伦理学主要为体制的公平性提供参照的原则和规范,而生命道德哲学要对为什么这样确立公平性的标准给出道德合理性的理由和证明。中国深化医药卫生体制改革已逾10年,成绩斐然,但改革仍需进一步向纵深推进,对其进行生命道德哲学意义上的反思十分必要,是具有理论和实践价值的研究。Different from the level of cognition when bioethics takes the medical and health care system as the research object,the thinking of medical reform from the perspective of life moral philosophy belongs to the philosophical level.As a specific social system and policy and its operating system,the medical and health care system has its economic characteristics and is an integral part of the social public management system.The ethical issues of health economy contained in the medical and health system can be recognized from the perspectives of bioethics and life moral philosophy.Bioethics mainly provides the principle and norm of reference for the fairness of the system,while the life moral philosophy should give reasons and justifications for why moral standards are so established.The deep reform of the medical and health care system in China has been for more than 10 years.The achievements have been impressive,but the reform still needs to be further advanced.It is necessary to conduct reflection in the sense of lifemoral philosophy,which is of theoretical and practical value.

关 键 词：医疗卫生体制改革 生命道德 哲学思考 

分 类 号：R19[医药卫生—卫生事业管理]