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目的从医学伦理学的角度审视构建医院感染付费机制的可行性、必要性,旨在完善医院感染管理机制,突破医院感染管理的困局,提高医院感染管理绩效。方法通过检索感染管理及伦理学文献,用医学伦理学的理论对感染管理的现象进行考量及判断,理性分析及透视医院感染暴发事件的本质。结果造成医院感染现状的主要根源之一缺乏付费机制,是制约感染管理发展的主要瓶颈之一;医院感染付费机制缺乏是一种制度缺陷,违反了医学伦理学原则。结论构建医院感染付费机制是感染管理自身专业属性及发展的需要及医改深入推行及构建医院感染文化的需要。
Objective To examine the feasibility and necessity of constructing hospital infection payment mechanism from the perspective of medical ethics, aiming to improve the management mechanism of nosocomial infection, break the dilemma of nosocomial infection management and improve the performance of nosocomial infection management. Methods Through the search of infection management and ethics literature, the medical ethics theory is used to consider and judge the infection management phenomenon, to analyze rationally and to reveal the nature of nosocomial outbreaks. Results The lack of payment mechanism, one of the main causes of nosocomial infection, is one of the main bottlenecks restricting the development of infection management. The lack of hospital infection payment mechanism is a system defect and violates the principles of medical ethics. Conclusion The establishment of a hospital-based infection payment mechanism is necessary for infection management of its own professional attributes and development, as well as the need for medical reform to further promote and build a hospital infection culture.