| 引用本文：郑大喜.从阿马蒂亚·森的自由发展观看政府保障居民健康权利的责任[J].中国卫生政策研究,2010,3(2):53-59 |
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| 从阿马蒂亚·森的自由发展观看政府保障居民健康权利的责任 |
| 投稿时间：2009-11-21 修订日期：2009-12-13 PDF全文浏览 HTML全文浏览 |
| 郑大喜 |
| 华中科技大学同济医学院附属同济医院 |
| 摘要:阿马蒂亚·森主张以自由看待发展，认为自由既是发展的首要目的，又是发展的主要手段。健康是反映社会政治、经济、文化发展的综合指标之一，促进人民健康是政府及社会的共同目标和重要责任。利用森的自由发展观理论，分析认为我国过去的卫生政策未解决体制和机制矛盾，虽然提高了医院的经济效率，但限制了人们平等获得健康权利的自由；建议政府要以社会公正为目标，加大基本医疗卫生投入，强化监管职能，降低就医负担，提高健康水平，保证人民群众基本健康权利。 |
| 关键词:自由发展观 实质自由 健康权利 政府责任 基本卫生保健 |
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| ZHENG Da-xi |
| Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology |
| Abstract:Amartya Sen defines freedom as the feasible capability. He insists on taking freedom as development, and believes that freedom is not only the premier purposed development, but also the main approach of development. Peoples health is one of the most important indexes of the development of the society. Its the government and the societys responsibility to promote peoples health. In the past, Chinas health policies could not solve the issues of the management and operation system. Some health system reform measures increased the technical efficiency of public hospitals, but can not guarantee people have equal access to obtain health right. This paper recommended that the government should equally improve the input of essential healthcare services and the supervision to public hospitals, reduce medical cost and patients economic burden, and promote peoples health and basic health right. |
| Key words:Free development opinion Substantive freedom Health rights Government responsibility Primary health care |
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