中国医疗制度的现代化应该重视儒家伦理价值——兼评《当代医疗与儒家思想》中的“医疗制度”  

Confucian ethical values should be attached importance in the modernization of China’s medical system:a review of the“medical system”in Contemporary Medicine and Confucian Thought

作　　者：曹永福 CAO Yongfu(School of Basic Medical Sciences,Cheeloo College of Medicine,Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医学院基础医学院,山东济南250012

出　　处：《中国医学伦理学》2024年第12期1412-1415,共4页Chinese Medical Ethics

基　　金：山东大学校级教学改革研究一般项目“‘人民至上、生命至上’思想统领的新医学伦理学教材建设”(2023Y143)。

摘　　要：《当代医疗与儒家思想》一书认为,人们需要注意在机会平等伦理原则指导下建立的所谓的完全平等医疗制度存在着的诸多严峻问题。儒家伦理有可能破解这些问题。儒家的仁政思想支持实现人们的健康权,但不是最高水平的而是“适当的最低限度”的健康权,这符合儒家的“差等之爱”伦理思想。在此基础上,基于家庭本位和家庭友好的儒家伦理,中国应该建立“家庭医疗账户”。医疗制度的中国式现代化应该充分吸收儒家伦理思想,这契合了“全球文明倡议”,也体现出中国医疗制度的特色和个性,而且可以体现医疗制度建设的“中国自信”。Contemporary Medicine and Confucian Thought consider that people need to pay attention to the many serious problems that exist in the so-called completely equal healthcare system established under the guidance of the ethical principle of equal opportunity.Confucian ethics may potentially solve these problems.The Confucian concept of benevolent governance supports the realization of people’s right to health,but not at the highest level,rather at the“appropriate minimum”level,which aligns with the Confucian ethical idea of“differential love”.On these foundations,China should establish a“family medical account”based on Confucian ethics that are family-oriented and family-friendly.This paper believes that the Chinese path to modernization of the medical system should fully absorb Confucian ethical thought,which aligns with the“global civilization initiative”proposed by China,reflects the characteristics and personality of China’s medical system,and shows the“Chinese confidence”in the construction of the medical system.

关 键 词：完全平等 差等之爱 家庭本位 家庭医疗账户 

分 类 号：R-052[医药卫生]