关于医学伦理学的基本原则  

On the Basic Principles of Medical Ethics

作　　者：杜治政[1] DU Zhizheng(The Press of Journal of Medicine and Philosophy,Dalian 116044,China)

机构地区：[1]医学与哲学杂志社,辽宁大连116044

出　　处：《医学与哲学》2024年第19期1-6,共6页Medicine and Philosophy

摘　　要：医学伦理学与生命伦理学既有相同之处也有诸多差异,它的基本原则和生命伦理学应有所不同。将病人利益置于首位、自主、不伤害、公正、友善五原则可视为医学伦理学的基本原则。病人利益主要是指病人生命和健康利益,是由医生根据医学科学允许度、医生的经验和病人实情决定的;将病人利益置于首位原则的落实,首先需要医生和医院对此有真切的认识,同时也需要有制度的保障和国家的财政支持;将目前实际上已经被倒置的医患利益关系纠正过来,是既艰难又十分迫切的,需要做多方面的工作。假以时日,这一目标是应当而且能够实现的。While medical ethics and bioethics share similarities,there are significant differences between them,particularly regarding their core principles.The five basic principles of medical ethics can be considered as:principle of putting patient's interests first,autonomy,nonmaleficence,justice,and beneficence.The interests of patients mainly refer to their life and health,which are determined by doctors based on the scope of medical science,the experience of doctors and the specific condition of patients.The implementation of the principle of prioritizing the patient's interests requires both a genuine understanding from doctors and hospitals,as well as institutional safeguards and financial support from the state.Correcting the currently inverted doctor-patient interest relationship is a challenging and extremely urgent task,requiring efforts on multiple fronts.Given time,this goal is both necessary and achievable.

关 键 词：医学伦理学的基本原则 生命和健康利益 道德堤坝 医生的价值观和财富观 

分 类 号：R-05[医药卫生]