社会保障研究
社會保障研究
사회보장연구
Social Security Studies
2014年
1期
3~13
,共null页
公立医院 改革 公共政策 评估
公立醫院 改革 公共政策 評估
공립의원 개혁 공공정책 평고
public hospitals, reform, public policy, assessment
20世纪60年代,中国曾被看作世界上拥有最全面医疗保障的国家。但随着社会主义市场经济的深入,劳保医疗制度、公费医疗制度为主的医疗保障体系逐渐瓦解,政府逐渐减少了在医疗卫生方面的投入,公立医院由原来的政府主导逐渐转变为＂自负盈亏＂,造成公立医疗机构公益性的逐渐缺失。本文以公共政策分析理论和方法为分析视角,对新中国成立以来中国公立医院改革的主要政策及其改革历程进行梳理、总结,对涉及的主要公共政策的演变趋势和实施效果进行了综合性评估,以期对新医改进程中的问题提供借鉴。
20世紀60年代,中國曾被看作世界上擁有最全麵醫療保障的國傢。但隨著社會主義市場經濟的深入,勞保醫療製度、公費醫療製度為主的醫療保障體繫逐漸瓦解,政府逐漸減少瞭在醫療衛生方麵的投入,公立醫院由原來的政府主導逐漸轉變為＂自負盈虧＂,造成公立醫療機構公益性的逐漸缺失。本文以公共政策分析理論和方法為分析視角,對新中國成立以來中國公立醫院改革的主要政策及其改革歷程進行梳理、總結,對涉及的主要公共政策的縯變趨勢和實施效果進行瞭綜閤性評估,以期對新醫改進程中的問題提供藉鑒。
20세기60년대,중국증피간작세계상옹유최전면의료보장적국가。단수착사회주의시장경제적심입,로보의료제도、공비의료제도위주적의료보장체계축점와해,정부축점감소료재의료위생방면적투입,공립의원유원래적정부주도축점전변위＂자부영우＂,조성공립의료궤구공익성적축점결실。본문이공공정책분석이론화방법위분석시각,대신중국성립이래중국공립의원개혁적주요정책급기개혁역정진행소리、총결,대섭급적주요공공정책적연변추세화실시효과진행료종합성평고,이기대신의개진정중적문제제공차감。
In the 1960 s, China has been regarded as the country with the most comprehensive health care in the world. But with the deepening of the socialist market economy, the labor insurance system and publicly funded health care system gradually disintegrated. The government gradually reduced investment in the health care and public hospitals are transformed into ＂self- financing＂ from the original government -led gradually, which makes the public welfare of public hospitals decreasing. Based on the perspective of public policy analysis theory, this paper review, summarize the process and main reform policies and evaluate trend of public policy and effects comprehensively in order to provide reference to the solving of problems in the new reform process.
