从伦理学角度看灾后重建过程中卫生资源的公平性配置

近年来,地震、泥石流、洪水等重大自然灾害的侵袭,给我国经济和社会发展造成了巨大的损失。在灾后重建工作中,卫生系统占有举足轻重的地位,其核心是卫生资源的重新配置。卫生资源配置的水平和效果直接影响着重建效果和卫生服务水平。效率与公平是卫生资源配置的2个准则,如何在保证配置效率最大化的同时,坚持公平的价值取向和伦理诉求,实现包括健康权利、资源分布和制度保障等方面的公平性目标,需要从伦理学的角度进行深入思考。

Equitable allocation of health resources from the view of ethics in post-calamity reconstruction

In recent years,natural calamities such as earthquakes,debris flows and floods have caused great loss to the development of economy and society.In post-calamity reconstruction,the health system plays an extremely important role,particularly in the reallocation of health resources.The rationality and effectiveness of health resource allocation are directly associated with the efficiency of reconstruction and quality of medical services.Efficiency and equity are the two principles of health resource allocation.Further thoughts are deserved from the view of ethics concerning how to keep the value and ethical orientation of equity while maximizing the efficiency of health resource allocation and how to realize the equity goals in health rights,resource distribution and institutional guarantee.