中国刚果(金)维和二级医院卫勤保障中的理问题及对策

摘要

The particularity and complexity of medical support in the United Nations peacekeeping operations bring various ethical problems to medical staff of the second-grade peacekeeping hospitals during their work.This paper analyzed the ethical dilemma in terms of the relevant provisions of the United Nations,the medical humanitarianism principle,lack of medical resources and the principle of fairness,emergency treatment and informed consent,cultural differences and the principle of optimal health,occupational protection requirements and respect to the human rights.In addition,it discussed the countermeasures from personnel selection,the laws and regulations,the training of medical norms and foreign customs,the concept of “patient-centered”,and the humanitarian treatment,providing a theoretical basis for solving the problems of medical support in peacekeeping operations.%联合国维和行动卫勤保障的特殊性及复杂性,导致维和二级医院医务人员在执行任务中面临各种伦理问题.对联合国相关规定与医学人道主义原则、医疗资源匮乏与公平原则、紧急治疗与知情同意、文化差异与医疗最优化原则、职业防护需求与尊重患者人权这五个方面的伦理困境进行分析,并从把好人员选拔关,加强相关法律法规、医疗规范及异国民俗的培训,坚持以“病人为中心”的理念及妥善处理人道主义救治四个方面提出了相关对策,为解决维和行动卫勤保障中的问题提供了理论依据.