新医科语境下医学伦理的实践挑战与理论突围

Practice Challenges and Theoretical Breakthroughs in Medical Ethics in the Context of New Medical Science

在全球范围和中国语境下开启的新医科范畴,推进了医学伦理的纵深发展并打开新的向度。医学伦理作为动态平衡且不断发展的概念,伴随医学使命而生。在新医科语境下,医学伦理面临来自以利益为主线、以知识权力和专业技术两翼构成的三维挑战。这种挑战植根于医学能力的提升,社会资本的介入,医生的专业权力以及生物科技融合发展带来的专业话语。实践挑战的本质是理论困境,解决实践难题根本上需要理论突围。需要建构基于责任伦理为关键词、以公共伦理融合个体道德、以专业伦理深化常识道德的医学伦理体系。

The emergence of the new medical science category on a global scale and within the Chinese context has propelled the in-depth development of medical ethics,opening new dimensions.Medical ethics,as a dynamically balanced and constantly evolving concept,is born alongside the mission of medicine.In the context of the new medical science,medical ethics faces three-dimensional challenges stemming from a focus on interests,with knowledge power and professional technology constituting the two wings.This challenge is rooted in the improvement of medical capabilities,the intervention of social capital,the professional power of doctors,and the professional discourse brought about by the integration of biotechnology.The essence of practice challenges lies in theoretical dilemmas,and solving practical problems fundamentally requires theoretical breakthroughs.It is necessary to construct a medical ethics system based on responsibility ethics as the keyword,integrating individual ethics with public ethics,and deepening common-sense morality through professional ethics.