| 引用本文：陈瑶,谢宇,马晓静.俄罗斯公立医院改革的主要做法与特点[J].中国卫生政策研究,2012,5(8):14-17 |
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| 俄罗斯公立医院改革的主要做法与特点 |
| 投稿时间：2012-06-23 修订日期：2012-07-27 PDF全文浏览 HTML全文浏览 |
| 陈瑶1, 谢宇1, 马晓静1 |
| 中国医学科学院卫生政策与管理研究中心 |
| 摘要:俄罗斯公立医院体系是由全国统一建立，但受经济转型的影响，早期的改革重点是管理体制上向地方分权、积极拓宽筹资渠道、加强机构之间的竞争。但这些改革并未达到预期的效果，所以当前改革的重点在于优化结构布局、集合管理职权、实施医药分开和加大对地区级公立医院的投入。改革的主要特点是受政治经济体制改革的影响较大，重视政府干预与市场机制相结合，并与医疗保险改革相互促进，通过加强立法为改革提供支持和保障。这种在服务体系方面优化资源配置、在公立医院管理上加强了政府的干预作用的改革策略可为我国公立医院改革提供借鉴。 |
| 关键词:俄罗斯 公立医院 改革 做法 特点 |
| 基金项目:卫生部医疗服务监管司委托课题《公立医院改革与管理国际经验研究》 |
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| The main practices and features of public hospital reform in Russia |
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| Abstract:Russia’s public hospital system was centrally established by the State. Under the influence of economic transition, the early reform focused on decentralization of management system, extending the financing sources, enhancing competition between institutions. However, the reform had not achieved the desired effect. Thus, the reform now focused on optimization of structure and layout, unified management authority, the implementation of medicine separation, increasing government investment in primary public hospital. The main reform features are that the management system experienced the developing process form decentralization to centralization which is affected by political and economic transition, the reforms of public hospitals and medical insurance are improved each other, and the public hospitals reform is supported and protected by strengthening legislation. The reform strategies of optimizing the allocation of resources and strengthening government intervention provide good references for the public hospital reform in China. |
| Key words:Russia Public hospital Reform Practices Features |
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