| 引用本文：和经纬, 李紫琳.全球最有效率的医疗卫生体系如何应对挑战？——香港特别行政区的医疗管理体制、医疗改革举措及对内地的启示[J].中国卫生政策研究,2018,11(12):68-74 |
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| 全球最有效率的医疗卫生体系如何应对挑战？——香港特别行政区的医疗管理体制、医疗改革举措及对内地的启示 |
| 投稿时间：2018-02-09 修订日期：2018-08-07 PDF全文浏览 HTML全文浏览 |
| 和经纬1, 李紫琳2 |
1. 香港教育大学亚洲及政策研究学系 中国香港;
2. 香港科技大学公共政策学部 中国香港 |
| 摘要:我国医药卫生体制改革取得了有目共睹的成绩，在深化医改的过程中，可以更多参考借鉴其他华人社会的成功经验并汲取其教训。香港特别行政区的医疗卫生体系蜚声国际，高居“全球最有效率卫生体系”之冠。本文主要评析香港特区的医疗管理体制，遇到的挑战，以及近年来的重要医改举措，并总结其对内地医改的启示。香港的医疗卫生治理结构充分实现了“管办分开”，解决了“九龙治水”问题，医管局管理体制具有较高的效率和专业性。但是香港特区医疗系统也面临诸多挑战，特区政府近年来推行了自愿医保、公私营协作计划、长者医疗券等若干医改政策，其中许多改革理念和政策工具可供内地医改借鉴。 |
| 关键词:政策启示 医疗管理体制 医改 香港特别行政区 |
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| How does the world's most efficient healthcare system respond to the challenge? Hong Kong's health governance system, healthcare system reform and implications for mainland China |
| HE Jing-wei1, LI Zi-lin2 |
1. Department of Asian and Policy Studies, The Education University of Hong Kong, Hong Kong, China;
2. Division of Public Policy, The Hong Kong University of Science and Technology, Hong Kong, China |
| Abstract:Mainland China's healthcare system reform has achieved remarkable results. As the reform progresses, more efforts could be made in policy-learning from other Chinese societies with more successful experiences. Hong Kong Special Administrative Region has an internationally renowned healthcare system, ranked at the top in the world's most efficient health systems. This paper reviews Hong Kong's health governance system, the challenges it has faced, its reform initiatives in the recent years, and discusses their implications for the mainland China. Heath governance in Hong Kong has fully realized the separation of regulationswith operation, thus overcoming major institutional barriers. The Hospital Authority of Hong Kong has demonstrated very high efficiency and managerial professionalism. However, Hong Kong's healthcare system is also facing various daunting challenges, and the government has introduced a series of reform initiatives, including the Voluntary Health Insurance Scheme, Public-Private Partnership, and Elderly Health Care Voucher. Many reform ideas and policy instruments can be of reference value for healthcare system reforms in the mainland. |
| Key words:Policy implication Health governance system Healthcare system reform Hong Kong Special Administration Region |
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