摘要
医疗卫生系统是当前我国各类公共服务机构中公益性最不足的领域之一,而基层医疗卫生机构又是各国医疗卫生体制改革的突破口。文章基于15个发达国家的经验与教训,归纳了基层医疗卫生机构公益性运行的共同特征和一般规律:个人不承担或较少承担医疗卫生费用,政府规划和市场两种手段的严格区分与互补,以及居民的广泛参与和监督。在此基础上,文章提出了进一步降低我国居民个人的医疗费用承担比例和基于机构与医务人员公益性工作动机的基础上完善财政投入政策等建议,为我国基层医疗卫生机构,乃至整个公共服务提供机构的公益性运行提供经验借鉴和政策参考。
The health care system is one of the most obvious profit-oriented areas among the whole public services in China, and primary care is recognized as the key to the health care system reforms worldwide. Based on experiences and lessons from 15 developed countries, this paper summarized the common features and regulations of primary care in medical and public health institutions： Individuals do not assume or bear less health care costs; there should be a strict distinction between/and a coexistence of government planning and market regulation; and there should be extensive participation and supervision of residents. Furthermore, it proposed suggestions to further reduce the proportion of medical expenses borne by residents in China and to improve the financial investment policy based on the motivation of institutional and medical public welfare, providing reference for primary care in medical and health institutions and even public service providers in China.
作者
赵大海
谷书丽
ZHAO Da-hai , GU Shu-li(School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, Chin)
出处
《上海交通大学学报（哲学社会科学版）》
CSSCI
北大核心
2018年第2期16-24,共9页
Journal of Shanghai Jiao tong University(Philosophy and Social Sciences)
基金
国家社会科学基金项目"城市社区卫生服务机构的财政投入机制与政策研究"(13CGL135)
上海交通大学SMC-晨星学者计划项目(B类)
上海交通大学文理交叉专项基金项目"医患关系的影响因素与协调机制研究"(14JCY04)
上海交通大学中国城市治理研究院资助课题"上海市基层医疗卫生服务机构的财政投入政策研究"
关键词
公益性
公共服务
基层医疗
卫生系统
public-oriented
public services
primary care
health system
