政府与个人的责任——中国当代医疗改革的责任伦理学剖析

The Government's and Individual Responsibility --Responsibility Ethics Ananlysis of Modern Health Reform Policy in China

卫生改革的重点必须放在政府部门 ;公共卫生、预防与初级医疗保健是人类生存的需要 ,带有鲜明的公益性和福利性 ,应由政府投资为主筹集资源 ,以国家投资为主体负担费用 ,这个层次的卫生服务产品 ,属非商品经济部分 ,并不以赢利为目的 ,不能引进市场经济。个人对健康负有重要责任 ,包括 :选择医疗保健、决定花费数额、生活方式和卫生习惯的养成、主动接受健康教育、抵抗压力、支持国家与地区的卫生保健政策 ;个人对自身健康负责是一种道德责任。健商 (healthquotient)这一重要概念 ,具有伦理价值和普遍的医学人类学意义 ;个人对健康负责是一种社会风尚。

The focus of health reform policy should be on government. The public health,prevention and primary medical care are crucial demand of living with the character of public and wealth. And the government should be responsible for their construction and offer the main expenditure. So health products in this level belongs to non-commercial products. The main purpose is not for making profit. In that sense, market economy should not be involved in.Everyone should be mainly responsible for his health.It is a moral responsibility to take charge of oneself's health. Health quotient is a very important new concept. It has universal significance of medical anthropology and broad ethics value. And to be responsible for oneself health is also a social fashion.