基于需求、公平导向的英国卫生资源分配方式变迁与启示  

The Evolution and Implications of Needs-Based and Equity-Oriented Approaches in Health Resource Allocation from the UK

作　　者：李赞 张立强 薛清元 

机构地区：[1]北京中医药大学管理学院,北京100029 [2]首都医科大学国家医疗保障研究院,北京100037 [3]内蒙古医科大学卫生管理学院,呼和浩特010110

出　　处：《中国医疗保险》2024年第12期111-122,共12页China Health Insurance

基　　金：国家自然科学基金项目“基于灰色建模技术的民族地区居民基本医疗保险筹资预测研究”(72064032);国家医疗保障局项目“居民医保制度运行分析梳理”。

摘　　要：准确衡量医疗服务需求,并按需在区域间进行资源分配,是保障卫生资源分配公平性的核心,也关系到医保基金的安全高效、合理使用。在有限的财政资源条件下,如何合理配置、公平分配卫生资源是全球卫生系统共同关注的问题。当前,我国卫生健康事业迈向高质量发展阶段,卫生资源配置从总量扩容转向以公平、高效为目标的结构优化,促进医疗资源均衡布局,且与基本医保基金关系密切。笔者对英国卫生资源分配方式变迁进行了梳理,其面向需求、寻求更加公平的卫生资源分配探索实践可为我国提供参考。Accurately measuring the demand for medical services and allocating resources between regions on demand is the core of ensuring fairness in the allocation of health resources,which is also related to the safe,efficient,and rational use of medical insurance funds.Under limited financial resources,how to fairly and rationally allocate health resources has been a common concern for health systems worldwide.Currently,China’s health service is moving towards a stage of high-quality development.Health resources allocation is shifting from capacity expansion to structural optimization with the goal of fairness and efficiency,and to promoting the balanced distribution of health resources,which is also closely related to basic medical insurance fund.This paper reviews the evolution of health resource allocation approach in the UK,whose practice of needs-based and more equity-oriented allocation of health resources can provide a reference for China.

关 键 词：NHS 卫生资源配置 公平导向 按需分配 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]