医疗服务公私伙伴关系个案分析及对中国的启示——基于巴西、南非和印度的分析

 
投稿时间: 2014-06-10  最后修改时间: 2014-11-21  摘要点击次数: 2549  全文下载次数: 3
 
引用本文:陈龙, 冯蕾, 张瑞宏,等.医疗服务公私伙伴关系个案分析及对中国的启示——基于巴西、南非和印度的分析[J].中国卫生政策研究,2014,7(12):9-14
陈龙1, 冯蕾1, 张瑞宏1, 毛勇1, 王凯2
1. 昆明医科大学 云南 昆明 650500;
2. 云南省科学技术发展研究院 云南 昆明 650001
基金项目:国家社会科学基金青年项目(13CGL140);云南省科技厅应用基础研究计划自筹项目(2013FZ073);云南省教育厅科学研究基金一般项目(2013Y266)
 
 摘要:当前,世界各国的医疗服务供给都面临严峻挑战.特别是一些发展中国家面临着基层医疗基础设施设备老化、药品短缺、医疗服务能力和效率低下的问题.越来越多的国家开始采用公私伙伴关系来实现其公共政策目标,其中,巴西、南非和印度三国在运用公私伙伴关系转变地方政府角色、提高基层医疗服务能力和效率、促进卫生公平上取得了优异的成绩.文章通过整理分析这三个国家案例来探讨其通过公私伙伴关系改善基层医疗服务供给的基本经验,为我国基层推广和使用医疗服务公私伙伴关系提供参考. 
  关键词:医疗服务|公私伙伴关系|巴西|南非|印度
 
Analysis on public-private partnerships and implications for China: Cases of Brazil, South Africa, and India
CHEN Long1, FENG Lei1, ZHANG Rui-hong1, MAO Yong1, WANG Kai2
1. Kunming Medical University, Kunming Yunnan 650500, China;
2. Yunnan Academy of Science and Technology Development, Kunming Yunnan 650001, China
 
 Abstract:Around the world, the supply of health services faces challenges, especially in developing nations that suffer from inadequate infrastructure and aging equipment, frequent shortages of medicine and supplies, and low capacity and efficiency of primary health care. At present, more and more governments adopt public-private partnerships to achieve public policy goals. Among those, Brazil, South Africa, and India have made greater achievements in changing the roles of local government, increasing the supply of primary health care and health care quality, promoting health care equality, meeting the needs of multi-level medical services, and promoting health capabilities by using public-private partnerships. This paper provides an overview of public-private partnership practices in the three countries, discusses their reform experiences, and concludes with implications which may be helpful for promoting and scaling up PPP in primary health care in China. 
 keywords:Health services|Public-private partnerships|Brazil|South Africa|India