对医疗服务商品和市场存在客观性和必然性的理性思考-曹永福.PDFVIP

医学与哲学 2005 年 10 月第 26 卷第 10 期总第 294 期 对“医疗服务商品和市场” 存在客观性和必然性的理性思考 ———兼评《对中国医疗卫生体制改革的评价与建议》 ① ① ① 曹永福 　陈晓阳 　王云岭 摘要 :针对国务院发展研究中心课题组发表的《对中国医疗卫生体制改革的评价与建议》提出的卫生改革带来“问题的根源 在于商业化、市场化的走向违背了医疗卫生事业发展的基本规律。”提出“医疗服务商品”、“医疗服务市场”的存在是客观 的 ,并通过反驳《评价与建议》提出的四对矛盾 ,提出“医疗服务商品”、“医疗服务市场”的存在也是必然的 ,最后分析了所谓 “卫生改革失败”的真正原因。 关键词 :医疗服务商品 ;医疗服务市场 ;客观性 ;必然性 ;真正原因 ( ) 中图分类号:R197 　　文献标识码 :A 　　文章编号 :1002 - 0772 2005 10 - 0023 - 04 Rational Thinking on the Objectivity and Inevitability of Medical Service Commodity and Medical Service Market :concurrently commenting on “the evaluations and advice of the reforms of the health care system in China ”　CA O Yongf u , CHEN Xiao yan g , W A N G Y unling . The Research Center of Hum anistic Medicine , the Institute of Medical Ethics of Medical School of S handong U niversity , Jinan 250012 , China Abstract :Aiming at the viewpoint that health care reform brings “the question roots that the tendency of commerce and market vi olates the basic discipline of the development of medical care ”, put forward in the report “the evaluations and advice of the reforms of the health care system in China ”published by the Research and Development Center of State Souncil. The author holds the idea that the existence of medical service commodity and medical service market is objective. Through refuting the four pairs of contra diction proposed by “the evaluations and advice ”, the author also points out that the existence of medical service commodity and medical service market is inevitable , and analyzes the real reasons of the failure of the health care system reform finally. Ke