摘要
医疗服务公平是"新医改"的价值追求之一。当前,医疗服务不公平的主要原因是医疗资源供给不足、医疗资源配置效率低和价值取向存在问题。因此,要提升医疗服务的公平性,必须以增加医疗资源供给为前提,促使政府履行有限责任,并加快发展社会办医;以提升医疗资源配置效率为关键,理顺医疗服务价格特别是医生收入,并引入竞争机制,如增加医疗机构间的竞争和大力推进医生自由执业;从制度层面建立起符合充足原则、平等原则、多元原则和退出原则的政策机制。
Equity in health care is one of the values pursued in the New Medical Reform.The primary causes of the current inequity in health care include insufficient supply of the medical resources,low allocation efficiency of medical resources and deficiency of value orientation.Therefore,in order to improve the equity in health care,the precondition is to increase the supply of the medical resources,promote the government to fulfill the limited liability,and accelerate the development of the private care.The key is to improve the allocation efficiency of the medical resources,to rationalize the price of the health care,especially the income of doctors,and to introduce competition mechanism,such as increasing the competition between medical institutions and promoting the physician practice.A policy mechanism should be established in line with the principle of sufficiency,equality,pluralism and withdrawal at the institutional level.
出处
《中国人民大学学报》
CSSCI
北大核心
2016年第2期93-100,共8页
Journal of Renmin University of China
基金
国家自然科学基金面上项目"基于交易费用理论的我国医药卫生体制协同改革模式研究"(71473284)
关键词
医疗服务公平
前提
关键
原则
equity in health care
precondition
key
principle