我国港澳地区医疗券制度及其对内地的启示  

Medical voucher system in Hong Kong and Macao and its implications to China's Mainland

作　　者：常峰[1] 夏强[1] 路云[1] 崔鹏磊 杨莎莎[1] 

机构地区：[1]中国药科大学国际医药商学院,江苏南京211198

出　　处：《中国卫生政策研究》2015年第3期40-45,共6页Chinese Journal of Health Policy

基　　金：江苏省社会科学基金(14ZHB002);国家自然科学基金(71103033)

摘　　要：引入市场竞争机制是医疗体制改革的重点和难点。我国港澳地区的医疗券制度能够为内地推进医改体制创新、倒逼公立医院改革和合理配置医疗卫生资源提供借鉴。本文首先介绍了医疗券制度的起源和发展。然后详细阐述了港澳地区医疗券制度的实施背景、异同与政策效果,发现医疗券制度在引导需方更多使用私立医疗服务、提高居民预防保健意识、推广家庭医生制度等方面起到了积极作用。最后对医疗券制度在内地的适用性进行了分析,指出其与内地医改导向相契合,并可作为内地医保制度的有益补充和推动社会办医的有效措施,在完善内地医疗保险、医疗救助制度和发展私立医疗机构等方面具有一定的可行性。It is important and difficult to establish the market competition mechanism in the health care reform. Medical voucher system in Hong Kong and Macao can provide policy guidelines for China's Mainland to promote institutional innovation,force public hospital reform and the rational allocation of medical and health resources. This paper introduced the origin and development of medical voucher system. Based on the description of the implementation background,similarities and differences and effects of medical voucher system in Hong Kong and Macao,the paper found that medical voucher system could help encourage the demander to make more frequent use of medical services,improve their consciousness of prevention and health care and promote family doctor system. Through analyzing the applicability of medical voucher system in China's Mainland,the paper pointed out it was consistent with the reform orientation and could be served as a useful supplement to the health care system to improve medical insurance,medical assisstance system as well as an effective measure to develop private medical institutions.

关 键 词：医疗券 市场竞争机制 医疗改革 社会办医 

分 类 号：R197[医药卫生—卫生事业管理]