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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。
In recent years, major natural disasters such as earthquakes, debris flows and floods have inflicted enormous losses on China’s economic and social development. In post-disaster reconstruction, the health system plays a decisive role, at the core of which is the reallocation of health resources. The level and effect of health resource allocation directly affect the reconstruction effect and health service level. Efficiency and Fairness are the two criteria for the allocation of health resources. How to ensure fair allocation efficiency, adhere to fair value orientation and ethical appeal, and achieve fairness goals including health rights, resource distribution and system guarantee, Ethical perspectives.