价值工程
價值工程
개치공정
VALUE ENGINEERING
2014年
3期
325-326
,共2页
医疗保障%普遍覆盖%第三方购买者%有管理的市场化
醫療保障%普遍覆蓋%第三方購買者%有管理的市場化
의료보장%보편복개%제삼방구매자%유관리적시장화
medical insurance%universal coverage%the third party purchaser%the marketization with management
医疗服务的特殊性决定了完全由市场机制来组织与生产会产生较大的公平及效率问题，而完全由政府筹资与供给则又会导致激励不足、效率低下。中国20多年的医疗体制改革的确不成功，其根源与其说是医疗服务的市场化，不如说是在市场化过程中政府职能的缺位。因此，中国医疗体制进一步改革的战略性选择，并不是放弃市场化、甚至恢复计划经济时代的医疗体制，而是走向有管理的市场化，探寻将国家介入与市场竞争有效结合的新路。
醫療服務的特殊性決定瞭完全由市場機製來組織與生產會產生較大的公平及效率問題，而完全由政府籌資與供給則又會導緻激勵不足、效率低下。中國20多年的醫療體製改革的確不成功，其根源與其說是醫療服務的市場化，不如說是在市場化過程中政府職能的缺位。因此，中國醫療體製進一步改革的戰略性選擇，併不是放棄市場化、甚至恢複計劃經濟時代的醫療體製，而是走嚮有管理的市場化，探尋將國傢介入與市場競爭有效結閤的新路。
의료복무적특수성결정료완전유시장궤제래조직여생산회산생교대적공평급효솔문제，이완전유정부주자여공급칙우회도치격려불족、효솔저하。중국20다년적의료체제개혁적학불성공，기근원여기설시의료복무적시장화，불여설시재시장화과정중정부직능적결위。인차，중국의료체제진일보개혁적전략성선택，병불시방기시장화、심지회복계화경제시대적의료체제，이시주향유관리적시장화，탐심장국가개입여시장경쟁유효결합적신로。
The peculiarity of medical service decided that there will be fair and efficiency problems if we completely organize and produce by market mechanism, and completely finance and supply by the government will lead to low efficiency and lack of motivation. The medical system reform of China's 20 years is not successful. The source is the absence of government functions in the process of marketization. Therefore, the strategic choice of Chinese medical system reform is not to give up the marketization, and even recovering the medical system in the planned economy system era, but to make for the marketization with management, and explore the new way of effective combination of state intervention and market competition.
