| 引用本文：刘晓云.泰国全民健康覆盖经验及对我国的启示[J].中国卫生政策研究,2014,7(2):11-16 |
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| 泰国全民健康覆盖经验及对我国的启示 |
| 投稿时间：2013-12-20 修订日期：2014-01-10 PDF全文浏览 HTML全文浏览 |
| 刘晓云 |
| 北京大学中国卫生发展研究中心 北京 100191 |
| 摘要:本文介绍了泰国全民健康覆盖的经验及其对中国的启示。泰国于2001年通过“30泰铢计划”实现了全民健康覆盖。泰国全民健康覆盖显著的特点表现在三个方面，分别是区域医疗联合体为基础的服务提供体系，强调基层医疗卫生服务的核心作用，以及通过按人头支付等措施合理配置卫生资源。有研究证据表明泰国实施全民健康覆盖后，卫生系统绩效得到显著改善。我国在实现全民健康覆盖的过程中，可借鉴泰国经验，加强政府的政治承诺，强化基层卫生服务体系建设，开展协调的综合改革。 |
| 关键词:全民健康覆盖 基层医疗卫生服务 按人头支付 |
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| Universal health coverage in Thailand and its implications for China |
| LIU Xiao-yun |
| China Center for Health Development Studies, Peking University, Beijing 100191, China |
| Abstract:This paper introduces the experiences and lessons of universal health coverage (UHC) in Thailand and analyzes its implications for China's health system reform. Thailand started implementing the "30 Baht Scheme" to achieve UHC in 2001. The key features of Thai UHC policy are 1) integreted district health service delivery system; 2) emphasis on primary health care; and 3) improved resource allocation through capitation. Evidence shows that the health system in Thailand has significantly improved as a result of the UHC policy. China can learn from Thailand's experiences in achieving UHC in terms of political commitment, strengthening primary health care, and improving coordination in health system reform. |
| Key words:Universal health coverage Primary health care Capitation |
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