Ethical Dilemmas and Countermeasures of China's Primary Medical System under the Background of New Healthcare Reform
10.12026/j.issn.1001-8565.2018.07.21
- VernacularTitle:新医改背景下我国基层医疗体制存在的伦理困境及其对策
- Author:
Guoqiang WANG
1
;
Kewei LYU
Author Information
1. 中国科协创新战略研究院
- Keywords:
New Healthcare Reform;
Primary Medical Reform;
Ethical Dilemma
- From:
Chinese Medical Ethics
2018;31(7):905-908
- CountryChina
- Language:Chinese
-
Abstract:
Since the implementation of the new healthcare reform,it has achieved some success.However,many problems still exist in the process of primary medical reform,and there are many ethical dilemmas.The un-balanced allocation of medical resources reflects the relationship between government and market,the difficult pro-motion of " three medicine" reflects the sectoral conflicts of interest,the difficult implementation of the grading di-agnosis and treatment system reflects the different demands of stakeholders in health care system.As a result,the whole function of China's medical and health system has not been fully played.Based on the ethical perspective,this paper put forward that taking the scientific definition of government and market responsibility as a framework,it should construct an investment system of health resource allocation taking equity as a value orientation; taking ethi-cal responsibility as the framework,it should promote the cooperation consensus of the linkage reform of medical treatment,medical insurance and medical departments; and taking ethical community as the constraint,it should balance the interests of all parties and promote the implementation of the policy of grading treatment system.
