| 引用本文：陈瑶,韦潇,谢宇.南非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):18-21 |
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| 南非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, 韦潇1, 谢宇1 |
| 中国医学科学院卫生政策与管理研究中心 |
| 摘要:南非公立医院改革的主要做法与特点 |
| 关键词:南非 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 South Africa |
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| Abstract:Because of the growing contradiction between limited health care resources and health needs, one of the health policy research focus in recent years is through the setting resources priorities to help policy makers allocate health resources in an effective and equitable way. From the late 1990s, Accountability for Reasonableness（A4R） has become the dominant paradigm of procedural justice in the health allocation priority setting. Through the framework of A4R and based on the case study of health reform plan making process to evaluate the fairness of health policy making. The preliminary evaluation of “Relevance” and “Revisions/Appeals” conditions were far from fair, while the “Publicity” and ”Enforcement” conditions were more fair in appearance but not satisfactory in more detailed substance and essentials.The suggestion is to strengthen the decision making process more transparent to enable the stakeholders participation with empowerment; improve government decision making capacity to fulfill the political commitment; the further proposal is on the construction of fair procedural through four paths. |
| Key words:South Africa Public hospital Reform Practices Features |
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