| Since 1949, our medical system reform has experienced from the beginning, explore, deepen, turning to the current adjustment and rapid development stage. With the development of our national economy and the progress of the society, the health problems of citizens more and more attention of the public and the government, society and people’s welfare reform as a medical system in one of the important content, often taken for granted by the concern of the whole society, because it not only in relation to the people’s life and health security, is holding a national development and social stability of the foundation.In China’s current health care system reform carried out in, in a socialist market economic background, hard to avoid can be affected by utilitarianism conflict and multiple values collide, make its development is rapid and difficult, the future development will also in tortuous exploring and move on. This article is a brief overview of the health care system reform, existing problems and promote the development of China’s medical system reform ethical suggest three parts for a more detailed discussion and study.The first part is an overview of ethics in health care reform in China, on the one hand, described the health care reform should follow justice, charity, honesty, humanitarian and value of life, the five ethical principles; the other hand, described the ethics in medical reform important role.The second part is to our medical system reform of the main problems existing in the from the Angle of ethics and the cause analysis. Through extensive reading of books and national health services survey report to the quantitative and qualitative analysis, find out the medical system reform in existence problem, that is, the medical and health services accessibility is insufficient, fairness down; Health resource allocation imbalance and the efficiency is low; Medical institutions and medical personnel’s "no good faith" problem of existence; Public medical institutions public welfare desalination, its operational mechanism, market orientation appear, and analyzes its cause of formation.The third part of the ethics proposal for promoting China’s medical reform, on the one hand, it is clear health care reform should adhere to ethical orientation and basic principles; the other hand, clearly define the ethical responsibilities of the parties in the health care reform. Adhering to and implementing the correct ethical value orientation; clearly reflected in the basic principles of ethical spirit; as well as government, health care institutions, patients, media and other responsibilities in the health care reform. |