| 引用本文：刘国恩,官海静,高晨.中国社会办医的现状分析[J].中国卫生政策研究,2013,6(9):41-46 |
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| 中国社会办医的现状分析 |
| 投稿时间：2013-01-11 修订日期：2013-07-25 PDF全文浏览 HTML全文浏览 |
| 刘国恩1,2, 官海静2, 高晨2 |
1. 北京大学光华管理学院 北京 100871;
2. 北京大学中国卫生经济研究中心 北京 100871 |
| 摘要:通过系统分析中国社会办医的现状,为进一步促进社会办医提出政策建议。根据国内外文献,社会办医疗机构和公立医疗机构在医疗费用和服务质量方面并没有显著差异,并且由于社会办医促进市场开放与公平竞争,公立医院和整个医疗卫生服务市场的绩效也因此有所提高(正向溢出效应)。尽管如此,由于中国长期计划经济自上而下的资源配置与行政干预,社会办医长期未能得到健康发展,主要政策障碍包括准入方面存在隐形限制、经营方面缺乏税收鼓励、用人方面缺少优质医师资源。因此,建议调整区域卫生规划的功能从“封顶”向“兜底”过渡,尽快制定有利于社会办医的土地政策和人才政策,进一步完善相关配套措施,促进社会办医在中国的健康发展。 |
| 关键词:社会办医 民营医院 卫生体制改革 |
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| Analysis on status quo of private care in China |
| LIU Gordon1,2, GUAN Hai-jing2, GAO Chen2 |
1. Guanghua School of Management, Peking University, Beijing 100871, China;
2. China Center for Health Economic Research, Peking University, Beijing 100871, China |
| Abstract:This paper systematically analyze the development and challenges of private health care in China in order to provide policy recommendations. Consistent findings from China and abroad indicate private healthcare providers have comparable or better outcomes than public healthcare providers in terms of cost and quality. There is also a spill-over effect on public hospitals and the health delivery system from private providers. However, the existing policy environment does not support the roles of private providers, including poorer invisible barriers in market access, heavier taxes, limited high-quality human resources, and inequitable regulations. These all hinder the development of private providers in China. We recommend that efforts be made to implement relevant health reform policies, including optimizing regional health planning, promoting multisite doctor practice, and improving supporting policy interventions, contributing to improvement in the capacity and efficiency of health service delivery system development of private care in China. |
| Key words:Private care Private providers Health system reform |
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