中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2013年
10期
19-21
,共3页
管理式医疗%临床治理%医疗行业自律
管理式醫療%臨床治理%醫療行業自律
관리식의료%림상치리%의료행업자률
managed care%clinical governance%self-regulation in medical industry
医学进步促使医疗功能扩张，但医疗行业自律日益弱化。经济人假设是市场经济的基本假设，医生不会例外。医疗费用升高，居民与国家难以承受。发达国家提出了“管理式医疗”，既管理医疗质量，又控制医疗费用，是政府多部门、内行与外行的协作管理，有助于构建大医疗服务体系。不过，要防止医疗管理行政化，“管理式医疗”需要时间的考验。
醫學進步促使醫療功能擴張，但醫療行業自律日益弱化。經濟人假設是市場經濟的基本假設，醫生不會例外。醫療費用升高，居民與國傢難以承受。髮達國傢提齣瞭“管理式醫療”，既管理醫療質量，又控製醫療費用，是政府多部門、內行與外行的協作管理，有助于構建大醫療服務體繫。不過，要防止醫療管理行政化，“管理式醫療”需要時間的攷驗。
의학진보촉사의료공능확장，단의료행업자률일익약화。경제인가설시시장경제적기본가설，의생불회예외。의료비용승고，거민여국가난이승수。발체국가제출료“관리식의료”，기관리의료질량，우공제의료비용，시정부다부문、내행여외행적협작관리，유조우구건대의료복무체계。불과，요방지의료관리행정화，“관리식의료”수요시간적고험。
The technical progress in medicine helps medical capacity expansion, but the self regulation is dwindling. The hypothesis of economic man is the basic hypothesis in market economy and doctor is also not the exceptant. Facing with the oppressive increasing medical expense, managed care which can manage medical quality and reduce medical expense at the same time was presented in developed countries. Managed care is a coordinated management mode which can smoothly coordinate government departments, the professionals and nonprofessionals and can help building medical service system. It needs to avoid the administrativization of medical management and the impact of managed care should be tested by implementation.
