关于社区卫生服务制度伦理建设的思考

On Community Health Service System Ethics Construction

制度伦理建设对社区卫生服务的发展起着基础性和根本性的作用。从当前社区卫生服务的伦理现状入手,剖析了产生伦理问题的深层次原因,即政府主导功能错位、医疗功利化趋向明显和缺乏完善医疗保障制度支撑。在此基础上,对社区卫生服务制度伦理建设提出相应对策:政府履行职责,实现卫生正义公平;维护健康权益,构建完善保障体系;形成制度伦理,将伦理道德规范化。

System ethics construction plays a basic and fundamental role for the development of community health services. This paper analyzed the deep level reasons for ethical problems, namely the dislocation of the government leading function, the medical utilitarian tendency and lack of perfect medical insurance system, based on the current community health service ethics situation. The authors put forward corresponding countermeasures： fulfilling government＇s duties, realizing health justice fair; maintaining health rights and interests, building and perfecting security system＇s forming system ethics, standardizating ethics and morality.