Clinician "Medical Ethics" Medical Ethics in the Distribution and Use of Health Resources

I. Ethics in Health Resource Allocation

(A) Overview of Health Resource Allocation

1. Meaning of Health Resource Allocation

Health resource allocation refers to the allocation of health resources related to human health by health administrative departments or decision makers from the state and local governments to various levels and types of health institutions and related health undertakings according to the needs and possibilities in a certain proportion. The management activities of health organizations and related health undertakings.

Health resources refers to the social resources used by human beings to carry out all health activities, and is an objective indicator of the comprehensive investment in the health sector by the state, society and individuals under certain socio-economic conditions. Including health human resources, health financial resources, health material resources, health information resources, health technology resources and other aspects. It is the sum of financial resources, material resources, human resources, information and technology invested in the health sector of a country.

The rational allocation of health resources refers to the efficient allocation of health resources, and conversely, the irrational allocation refers to the inefficient allocation of health resources.

2, the type of health resource allocation health resource allocation has two forms: one is the macro-allocation (Macro-Allocation); the second is the micro-allocation (Micro-Allocation).

(1) Macro-allocation of health resources. Macro-allocation of health resources refers to the allocation decisions made by authorities at all levels. The questions it addresses are:

First, what proportion of a country's total resources should be devoted to health care.

Second, how those resources that society provides for health care are allocated within the health service.

First, the combination of treatment and prevention should be adhered to, with prevention as the main focus.

Second, the combination of basic and applied should be adhered to, with application as the main focus.

Again, it should adhere to the combination of high technology and medium and low technology, with medium and low technology as the main focus.

(2) Micro-allocation of health resources

Micro-allocation of health resources refers to the allocation of special health resources decided by the medical staff, i.e., to allocate it to a particular patient.

(2) Evaluation of the current situation of the distribution of health resources

1. Sharp rise in health costs and overburdening of individual residents

China's health costs increased from 13.2 billion yuan in 1980 to 225.8 billion yuan in 1995, a 17-fold increase, and per capita costs increased from 13.4 yuan in 1980 to 190.6 yuan in 1995, a 17-fold increase The per capita cost increased from 13.4 yuan in 1980 to 190.6 yuan in 1995, a 17-fold increase. The people changed from not being able to see the disease to not being able to afford to see the disease.

2, the shortage of health resources and the phenomenon of excess co-exist

In our country, on the one hand, manifested in a serious shortage of health resources, on the other hand, a serious surplus of medical resources. It is mainly manifested in the shortage and surplus of health technicians, the shortage and surplus of medical equipment, and the shortage and surplus of medical institutions.

3, the social medical security system is not sound

At present, China's social medical security system is the fact that there is a serious injustice. First, about 75% of the exam website collection of people can not enjoy the basic medical insurance, resulting in a serious low capacity to pay, especially in poor areas. This part of the population is unable to enjoy the benefits brought about by the development of the social system, the economy and health. Secondly, the relative minority of people enjoying the existing security system, the actual occupation and consumption of excessive health resources, bringing a heavy burden on the state and enterprises.