论医务伦理的纠正

Analysis on Redressing of Medical Ethics

医患关系紧张,而医务伦理却不能对医患关系作出调节,说明医患伦理不适合现实的要求,应该对医务伦理对现实的错位进行纠正。伦理存在理想层面的伦理和实际层面的伦理,理想层面的伦理与实际层面的伦理错位时,会导致人们的实际决策和心理要求不一致,而使得人们之间的关系紧张。医务伦理正是陷入了这样的境况。理想层面的医务伦理主张"病人利益第一、尊重病人、公正"。现实中,人们对"病人利益第一、尊重病人、公正"的理解是有很大的差异。在存在医患沟通障碍、医疗风险、医疗成本制约、所服务的医疗机构的制度约束,以及缺乏伦理制度保护的境况下,医务人员要做到人们所理解的"病人利益第一、尊重病人、公正",存在现实的矛盾。医务伦理兴举要充分考虑实现的条件,提出最低的医务伦理要求,指导人们的实际决策,同时提出医务职业的最高境界,鼓励人们精神境界的提升。还要在医务伦理的在职教育和社会宣传,强调医务伦理立法,建立患者选择医生、评价医生的制度,提供医务人员避免医疗风险的制度安排,实现医务伦理的纠正,达到和谐医患关系的目的。

Doctor-Patient relationship is tending to be more tensional and more tensional. But medical ethics couldn＇t make adjustment to the problem,. That means that medical ethics couldn＇t fit to reality, which should be redressed. There are two lays of ethics, perfect ethics and real ethics. When the two ethics are not corresponded, relation of people will be strained. Perfect medical ethics affirm patient＇s interests first, esteem to patients and impartiality. In fact, people give different understanding to the affirmation. Under restrictions in communication between doctors and patients, risks in medical treatment, medical costs, regulation of medical organization, and lack of protection from ethics system, doctors can not offer satisfaction to meet the perfect medical ethics. So author call on that basal ethics would be brought forward to direct people make decisions, and perfect ethics is advocated to encourage people to elevate ideals. Medical ethics education should be done within and without medical organizations. Medical ethics legislation should be placed on the agenda. Mechanism on estimating doctor＇ s medical ethics should be constituted. Mechanism to help doctor withstanding risks in medical treatment should be established.