社会代偿的失灵:医疗转型中的道义悖论  被引量:3

Disorder of Social Compensation:A Moral Paradox in Healthcare Transformation

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作  者:罗婧 LUO Jing

机构地区:[1]中国社会科学院社会战略发展研究院,北京100732

出  处:《学术月刊》2023年第10期125-136,共12页Academic Monthly

基  金:国家社会科学基金重大项目“完善正确处理新形势下人民内部矛盾有效机制研究”(20ZDAO78)的阶段性成果。

摘  要:医疗力量有限,生命奥义无穷。如何应对这种局限和无限之间的张力,正是医疗与社会关系形态的核心体现。中国迈向现代化的进程中,伴随中西医学相交错、碰撞,原本融于社会的医疗走向了专属领域,以往由社会应对生命无限性、向医疗予之代偿的机制随之失灵。这使得生命的无限责任逐步施加于有限的医疗资源。社会参与虽仍可见于医疗实践,却难发挥代偿作用。不仅社会对医者的道德评价模棱两可,医者也时常陷入自相矛盾。因此,唯有厘清传统与现代、中国与西方医疗背后的生命观念,基于一致的价值来浚通医疗与社会背后的道义根源,才能走出道义悸论,守护医者的崇高、医道的温度。The power of medical treatment is limited,while the meaning of life is infinite.Calibrating the balance between limitation and infinity is the core embodiment of the relationship between medicine and society.In the process of China's modernization,with the intersection and collision between Chinese and Western medicine,the medical care that was originally integrated into the society has moved into its exclusive purview.The previous social mechanism of coping with the infinity of life and compensating for medical treatment has also failed accordingly.This makes the infinite responsibility of life gradually imposed upon medical care.Although stil observable in medical practice,social participation can hardly play a compensatory role.Not only is society's moral evaluation of doctors ambiguous,but doctors themselves also often fall into contradictions.Therefore,only by clarifying the concept of life behind moderm and traditional,Chinese and Western medical care,and clearing up the moral roots behind medical care and society based on consistent values,can we step out of the moral paradox and protect the honor of doctors and the warmth of medical ethics.

关 键 词:医疗 医患 转型 道义悖论 社会代偿 

分 类 号:C912[经济管理]

 

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