摘要
医疗体制的公平是每个人基本权利的保证条件之一,我国经济快速平稳增长,医疗体制的公平性却不断受到质疑。在宏观形势与医疗体制自身需要的契机下,2009年中国开始了被称为"新医改"的医疗卫生体制改革。从医疗体制公平性角度,分析了改革方案中对医疗筹资、医疗支付和医疗服务机构3个方面的公平性考虑,提出加强累进性最强的税收筹资的力度,以及将财政资金更多地用于医疗需求方,即社会医疗保险的支持,以提高医疗筹资和支付的公平程度。坚持公立医院为主导,充分体现医院服务机构的公益性,也是改革方案中对公平性地体现,反映了新医改对公平性问题的高度关注。最后提出有待进一步明确的关于政府主导与市场调节的兼顾问题,农村医疗保障的完善、医疗筹资中公共资金的适度比例以及中医药的重新定位和重点发展。
The equity in health care system is one of guaranteed conditions for every body＇s right. With China＇s rapid economic growth, the equity of the health care system continues to be challenged. China＇s government began a socalled ＂new health care reform＂, health care system reform, facing macro-situation and its own demand of health care system in 2009. From the aspect of fairness of health care system, the paper analysed the consideration on equity of health care financing, payment and medical service providers in the reform action program. The author believed that tax financing should be improved, public financing should be used in the social medical insurance （demandside） in order to promote the fairness level in health care financing and payment. The public hospitals play minority roles and show the commonweal of medical service providers, which reflects the equity in the reform action program and high attention on fairness by new health care reform. Some problems were raised lastly in the paper including consideration to both government dominance and market regulation, rural medical security, proper percentage of public funds in health care financing, and location and development of Chinese medicine in this reform.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2010年第8期509-513,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
北京市"新医药学科群"资助项目(No.XK100270569)
关键词
医疗卫生体制
公平性
医疗筹资
医疗支付
health care system
equity
health care financing
health care payment
