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就镇江、九江试行医疗保险制度所引发的医院经济利益和伦理道德关系的变化等问题作了理论与实践的探索。指出经济状况对伦理观的影响与伦理观对经济行为的作用,是同一因果链的两个侧面。因此,医疗保险制度是经济与伦理因素互为运动的产物,它能较好地协调好医院经济利益与伦理道德的关系,体现出医疗服务的公平、公正的经济与伦理原则及产生的正副效应。客观提出了新的医疗制度的优越性和出现的一些新问题。据此,提出建立与医疗保险制度相适应的激励机制,为医务人员创造适应医疗保险险制度的工作环境,发挥政府宏观调控作用,完善医院补偿机制,开展倡导性的医德教育等方面的设想。
The theoretical and practical explorations were made on the economic benefits of hospitals and changes in ethical and moral relationships triggered by the trial medical insurance system in Zhenjiang and Jiujiang. It points out that the influence of economic conditions on ethics and the role of ethics in economic behavior are two aspects of the same cause and effect chain. Therefore, the medical insurance system is a product of the mutual movement of economic and ethical factors. It can better coordinate the relationship between the hospital’s economic interests and ethics, and reflect the fair and just economic and ethical principles of medical services and the positive and negative effects produced. . Objectively proposed the superiority of the new medical system and some emerging problems. Based on this, it proposes to establish incentive mechanisms that are compatible with the medical insurance system, create working conditions for medical personnel to adapt to the medical insurance system, give play to the role of the government’s macro-control, improve the hospital’s compensation mechanism, and carry out advocacy medical ethics education.