我国医改现阶段价值伦理审视与未来价值取向前瞻

Prospects on the Value Ethics Survey and Future Value Orientation at the Current Stage of Medical Reform in China

基于价值和价值伦理理论,认为我国医药卫生体制改革现阶段存在注重住院服务数量而非医疗服务质量、以医院为中心而非各类卫生机构密切配合、激励机制不当等三方面的问题。我国下一步医改应努力同时实现三个价值目标:提高人民健康水平、提供优质的医疗服务和服务体验和医疗卫生费用可负担。为实现上述三个价值目标,文章从提供"一体化服务"、转变医院功能定位、改变激励机制、持续改进医疗服务质量和增强公众参与五个方面提出了建议。

Based on the theory of value and value ethics, there were 3 aspects problems as following at the present stage of the health care system reform： paying more attention on the quantity of inpatient services rather than the quality of medical services, taking hospital as the center instead of the close cooperation of various sanitary institutions and inappropriate incentive meehanism. It con-sidered that the next step of the health care system reform of China should make efforts to achieve 3 value goals： to improve people＇s health level, provide high-quality medical services and service experience and affordable health care costs. To achieve these value goals, it proposed suggestions from five aspects： providing integration services, transforming the functional localization of hospitals, changing the incentive mechanism, improving the medical service quality continually and enhancing the participation of the public.