| 引用本文：郭有德,梁鸿.我国实现分级有序医疗的障碍及对策[J].中国卫生政策研究,2014,7(6):6-9 |
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| 我国实现分级有序医疗的障碍及对策 |
| 投稿时间：2014-04-15 修订日期：2014-05-26 PDF全文浏览 HTML全文浏览 |
| 郭有德, 梁鸿 |
| 复旦大学社会发展与公共政策学院 上海 200433 |
| 摘要:本文简要概述了当前就医行为错位、混乱和无序的现象，说明存在卫生资源匮乏与相对富余的结构性矛盾，从政策制定与实施过程中的问题以及制度本身所固有的缺陷、市场发育和健康社会文化等方面初步分析了上述现象产生的原因，提出了理顺医疗服务价格机制、建立与恢复转诊制度、增强公众对基层医疗卫生服务的信心以及通过健康教育推动健康社会文化建设等方面的政策建议，以实现分级有序医疗，改善资源利用效率，确保我国医改预期目标的实现。 |
| 关键词:卫生资源配置 价格机制 分级有序医疗 基层医疗服务 |
| 基金项目:国家社会科学基金重大项目（09&ZD059） |
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| Obstacles and strategies on bottom-up cascading healthcare practice in China |
| GUO You-de, LIANG Hong |
| School of Social Development and Public Policy, Fudan University, Shanghai 200433, China |
| Abstract:In this paper, we describe mismatch, chaos, and disorder behavior during healthcare seeking. Such structural imbalances, scarcity and surplus make healthcare services less efficient. We give reasons for such phenomena in terms of long-term effects of health resource allocation policy-making and implementation, inherent defects within healthcare insurance, incomplete market development, and cultural issues. We then propose four policy strategies, including rational price mechanism, strict referral healthcare system, confidence in basic healthcare facilities, and proper healthcare cultures. These will restore orderly healthcare behavior and help realize expectations for the current healthcare reform in China. |
| Key words:Health resource allocation Price mechanism Bottom-up cascading medical system Primary health care |
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