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阿马蒂亚.森主张以自由看待发展,认为自由既是发展的首要目的,又是发展的主要手段。健康是反映社会政治、经济、文化发展的综合指标之一,促进人民健康是政府及社会的共同目标和重要责任。利用森的自由发展观理论,分析认为我国过去的卫生政策未解决体制和机制矛盾,虽然提高了医院的经济效率,但限制了人们平等获得健康权利的自由;建议政府要以社会公正为目标,加大基本医疗卫生投入,强化监管职能,降低就医负担,提高健康水平,保证人民群众基本健康权利。
Amartya Sen advocates the development of freedom, believing that freedom is both the primary goal of development and the major means of development. Health is one of the comprehensive indicators reflecting the political, economic and cultural development of the community. To promote people’s health is the common goal and the important responsibility of the government and society. Using Mori’s theory of free development, the author thinks that the unresolved conflicts of system and mechanism in our country’s past health policy have not only improved the economic efficiency of the hospital but also restricted the freedom of people to obtain the right to health equally. It is suggested that the government should take the social justice as the goal, We will increase investment in basic medical and health services, strengthen regulatory functions, reduce the burden of medical care, raise the level of health, and ensure the basic health rights of the people.