市场机制下医疗决策行为的管理——基于医学伦理界域与分层的视角

Administration of Medical Decision-making in Market-oriented Mechanism——in the View of Medical Ethical Boundary and Stratification

在医疗体制改革遵循"坚持政府主导与市场机制相结合"原则的情景下,从医学伦理界域与分层的视角分析认为无论是社会还是医生自身的讨论与反省,医疗决策行为的管理均应聚焦于医疗行为与病人健康收益的关系上,并通过合理的制度来保障;现阶段医疗行为决策分层的现状决定了医学伦理分层建设有利于医疗行为逐步回归伦理价值,诊疗规范构建即为当前医疗决策的伦理选择。

In the circumstance of that the medical system reform follows to the principle of ' combination of government leading and market mechanism' and in view of medical ethics boundary and stratification,this paper pointed out that whether the discussion and introspection of society or the doctors,medical decision-making should focus on the relationship between medical behavior and the patients’ health interests,which is ensured by reasonable system. Decided by the current situation of medical decision-making stratification,layered construction of medical ethics is beneficial to that the medical behaviors gradually regress to the ethical value,while establishment of diagnosis and treatment norms is the ethical choice of current medical decision-making.