公立医院医德医风建设探析——基于医务人员的视角

Analysis on the Construction of Medical Ethics in Public Hospitals Based on the Perspective of Medical Personnel

医德医风关系到人民群众的身心健康,是助推健康中国战略的重要力量。从5所公立医院部分从事医、药、技、护的专业技术人员的调查分析来看,医德医风状况整体较好,但仍存在极少数违背医德医风的现象。公立医院医德医风问题的主要影响因素有三点:一是当今时代经济全球化、价值多元化背景下部分医务人员的功利化倾向;二是医学院校和公立医院中医德医风培育尚有一些不足之处;三是部分公立医院关于医德医风的领导管理监督与考评机制尚需进一步完善。对此,为进一步加强公立医院的医德医风建设,应深化以公益性为导向的公立医院改革,创新医德医风培育模式,加强党组织和各行政部门的协同分工合作,完善组织领导机制,强化监督监察机制,健全考评奖惩机制。

Medical ethics is relevant to the physical and mental health of the public and is a major force in promoting the Healthy China Action Plan.According to the research and analysis on the medical ethics of professionals engaging in medicine,pharmacy,medical technology and nursing from five public hospitals in China,the medical ethics performance is good on the whole,but there are very few phenomena of medical ethics violation.There are three main influencing factors of medical ethics problems:utilitarian tendency of some medical personnel under the background of economic globalization and value diversification,lack of medical ethics cultivation in some medical colleges and public hospitals,and unsound mechanisms of leadership management,supervision and evaluation in some public hospitals.Suggestions for enhancing the construction of medical ethics in China's public hospitals include deepening the reform of public hospitals oriented towards public welfare,innovating the cultivation of medical ethics,fostering the leadership and cooperation of the Communist Party of China organization and administrative departments,improving the organization and leadership mechanisms,strengthening the supervision and supervision mechanisms,and improving the reward and punishment mechanisms.