基本医药卫生服务提供模式比较及其政策演变  

The Delivery Model and Its Policy Process of Basic Medical Health Service

作　　者：赵云 ZHAO Yun(The Chinese Health Service Management)

机构地区：[1]右江民族医学院公共卫生与管理学院,广西百色533000

出　　处：《中国卫生事业管理》2018年第11期801-803,826,共4页Chinese Health Service Management

基　　金：国家自然科学基金项目"基层医疗体制机制与医疗保险付费方式的适配性研究"(71463060)

摘　　要：进入"新时代",医改的重心是医药卫生供给侧改革。医药卫生供给侧改革是一个包括模式改革、体制改革、结构改革三个方面的系统工程。模式改革是医药卫生供给侧改革的基础,主要涉及基本医药卫生服务是政府举办服务还是政府购买服务的问题。文章从公共产品属性出发,提出提供基本医药卫生服务是政府的责任;进而依据公共管理理论,将基本医药卫生服务提供分成政府购买服务和政府举办服务两种模式;然后从医疗公平和效率均衡的角度比较政府购买服务和政府举办服务,并提出政府举办服务是基本医药卫生服务的最佳供给模式;最后梳理我国政府购买基本医药卫生服务的相关政策,分析政府购买基本医药卫生服务在意义、内容、对象、本质的扩展和升级过程,为我国基本医药卫生服务供给侧改革提供理论参考。Entering the ＂new era＂, the focus of health reform is the supply - side reform of medicine and health. The supply - side reform of medicine and health is a systematic project which includes three aspects ： model reform, system reform and structural reform. The model reform is the foundation of the medicine and health supply - side reform, which mainly involves the government sponsoring service or the government procuring service. Based on the public product attributes, it is the responsibility of the government to provide basic medical and health services. Then, according to the theory of public administration, the basic medical and health services are divided into two modes： government sponsoring services, government procuring services. Then, according to the Angle of medical equity and efficiency balance, the government sponsoring services and government procuring services are compared, and the government sponsoring services is the best supply mode of basic medical and health service. Finally combing our country government related policy on the government procuring services, analyzing the expansion and upgrading of government procure basic medical and health services in terms of meaning, content, object and essence, to provide theoretical reference for the basic medical health service supply - side reform.

关 键 词：供给侧改革 基本医药卫生服务 政府举办服务 政府购买服务 政策过程 

分 类 号：R197[医药卫生—卫生事业管理]