英国政府规制及卫生改革的特点与经验

Lessons from British Public Utilities’ Reform and References to Health Care Sector

从英国公共部门政府规制改革的实践看,成功规制的前提条件主要是引入市场竞争机制,同时,有效地设计规制契约与价格控制范围。卫生部门在体制与市场,以及权力结构等方面与一般公共部门具有相同特点,但在市场失灵、契约失灵等方面较为复杂,卫生部门规制的主要内容是关注医疗服务的质量、可及性和公平性。

Lessons that from British public utilitiesregulation reform.The co ndition of successful regulation include:the design of competition initiatives ,the design of contracts and the application of the regulation of prices.Natio nal health systems have institutional market and power construction characterist ics similar to public utilities.However,Health sector in the market failures a nd contractual failures in more sophisticated than public utilities,more attent ion to quality,accessibility and equity.