公共卫生紧急状态下医疗资源分配的伦理反思  

Ethical Reflection on the Distribution of Medical Resources in Public Health Emergency

作　　者：铁小茜 赵昆[2] TIE Xiaoxi;ZHAO Kun(School of Marxism,Shandong University,Jinan 250100,China;School of Politics and Public Administration,Qufu Normal University,Rizhao 276826,China)

机构地区：[1]山东大学马克思主义学院,山东济南250100 [2]曲阜师范大学政治与公共管理学院,山东日照276826

出　　处：《中国医学伦理学》2022年第6期631-635,共5页Chinese Medical Ethics

基　　金：国家社会科学基金项目“‘经济学帝国主义’的伦理反思”(16BZX096)。

摘　　要：在新冠疫情等公共卫生紧急状态下,医疗资源如何做到公正分配。这一问题在传统伦理学和当代伦理学都已有成熟或较为成熟的研究:传统伦理学有着功利主义为代表的“最大幸福原则”,当代伦理学有着新兴的原则主义和医疗公正论,它们都分别提出了适合紧急状态下的医疗资源分配方法,并从不同的视角下对各自理论进行了辩护。新冠疫情暴发之时实际采取的医疗资源分配方法是传统的几种医疗分配方式,没有运用当代主流的伦理医学分配进路,其原因在于新兴的医学伦理学分配理论的局限。为了更好地对医疗卫生领域进行伦理服务,当代新兴的医疗分配理论需要引入全球生命伦理学理念,借助它的宽容和尊重,发挥新兴医疗分配理论的优势,完善其不足,以便解决医疗资源分配问题。How medical resources can be fairly distributed in a public health emergency such as COVID-19.There have been mature or comparatively mature studies on this issue in both traditional ethics and contemporary ethics:the traditional ethics has the"maximum happiness principle"represented by utilitarianism,while the contemporary ethics has the new principle doctrine and the medical justice theory,which respectively put forward the methods suitable for the distribution of emergency medical resources,and defended their respective theories from different perspectives.However,when COVID-19 broke out,the actual medical resource distribution methods were still the traditional medical resource distribution methods,but did not use the contemporary mainstream ethical medical distribution approach,which was due to the limitations of the emerging medical ethics distribution theory.Therefore,in order to better provide ethical services to the medical and health field,the contemporary emerging theory of distribution of health care needs to introduce global bioethics,with its tolerance and respect,give full play to its advantages,and improve its shortcomings,so as to solve the problem of medical resources distribution.

关 键 词：新冠疫情 医疗资源分配 功利主义 当代伦理学 

分 类 号：R-052[医药卫生]