| 引用本文：金春林, 王贤吉, 何达, 施莉莉, 谢春艳, 王瑾.我国社会办医政策回顾与分析[J].中国卫生政策研究,2014,7(4):1-7 |
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| 我国社会办医政策回顾与分析 |
| 投稿时间：2014-03-14 修订日期：2014-04-08 PDF全文浏览 HTML全文浏览 |
| 金春林1,2, 王贤吉1, 何达1, 施莉莉3, 谢春艳1, 王瑾1 |
1. 上海市卫生发展研究中心 上海 200040;
2. 上海市人口与发展研究中心 上海 201199;
3. 上海交通大学公共卫生学院 上海 200025 |
| 摘要:我国社会办医政策经历了很长时间的演变过程,目前已经建立了较为全面的政策体系。本文回顾了我国社会办医政策的历史沿革，从规划、准入、财政投入、监管、扶持和优惠政策等方面系统梳理了现行政策要点，从三个层面分析了当前面临的政策障碍：政策观念层面，各地对社会办医地位和作用方面的认识尚未达成一致，影响到相应的政策制定和落实；政策设计层面，社会办医发展仍面临多方面的政策瓶颈，存在政策灵活性不够、衔接不畅、标准含糊等问题；政策执行层面, 社会办医相关规划政策和同等待遇未得到落实，存在大量隐形障碍。建议加强对发展社会办医重要性的认识，合理选择社会办医模式，拓宽社会办医发展空间，完善医疗机构分类管理政策，并强化社会办医政策执行的督导和考核评估。 |
| 关键词:社会办医 政策回顾 政策分析 政策建议 |
| 基金项目:国家卫生和计划生育委员会规划与信息司委托课题 |
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| Private medical institutions in China： Policy review and analysis |
| JIN Chun-lin1,2, WANG Xian-ji1, HE Da1, SHI Li-li3, XIE Chun-yan1, WANG Jin1 |
1. Shanghai Health Development Research Center, Shanghai 201199, China;
2. Shanghai Population and Development Research Center, Shanghai 200040, China;
3. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China |
| Abstract:The evolution of Chinas policy on private medical institutions has been ongoing, and a comprehensive policy system has been established. In this paper, we review the development history and summarize the main policy points in terms of planning, approval, financial input, supervision and administration, support and incentives. We analyze current policy barriers from three levels: 1) policy ideas, consensus on the function and role of private medical institutions have not reached, which may influence the corresponding policy making and implementation; (2) policy design, multiple policy bottlenecks still exist, such as lack of flexibility, poor convergence, vague standards and other aspects; 3) policy implementation, the health planning polices and equal treatment polices havent been carried out, and there are many hidden obstacles. To solve these problems, we recommend that further attention be paid to the importance of private medical institutions; the running mode should be chosen properly; the development space should be expanded; the classified management policy should be improved; and the supervision and examination of policy implementation on local governments should be intensified. |
| Key words:Private medical institutions Policy review Policy analysis Policy recommendation |
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