在社会主义市场经济条件下,医院既是一个公益性的社会福利事业单位,又是一个经济实体。试行综合目标责任制管理,树立成本效益观念,按价格和价值规律办事,医疗质量会不会下降?医德医风会不会滑坡?本人认为,只要更新观念,强化管理,正确处理好几个方面关系,上述担心是可以消除的。 1 医德医风教育要适应社会主义市场经济 医德是一种社会意识,它并随着一定的经济关系变化而变化。在计划经济条件下形成的医德规范,只注重福利职能,强调服务的义务和责任,而忽视了医疗劳动的价值、功利和公益。这样的医德规范和现实的医疗服务实践及医务人员的思想情况是不相适应的。笔者 Under the conditions of a socialist market economy, hospitals are both a public welfare social welfare institution and an economic entity. Try to comprehensively manage the target responsibility system, establish a cost-effectiveness concept, and act according to the price and value laws, will the quality of medical care be reduced? Will medical ethics be declining? I believe that as long as the concept is updated, management is strengthened, and several aspects are properly dealt with The above concerns can be eliminated. 1 Medical ethics education should adapt to the socialist market economy Medical ethics is a kind of social consciousness, and it changes with changes in certain economic relations. The medical ethics norms formed under the conditions of the planned economy only focus on welfare functions, emphasizing service obligations and responsibilities, and neglecting the value, utility, and public welfare of medical labor. This kind of medical ethics is incompatible with the actual medical service practice and the medical staff’s ideological situation. author