中国医疗服务治理机制的目标范式

Chinese Medical Service Government Mechanism Goal Pattern

保障公民健康是政府的责任。政府提供医疗卫生公共品的效率与政府的能力相关,而优化医疗服务治理机制可以支撑和强化政府能力。现代医疗服务管理和治理应当注重对医疗服务信息的控制,即动态外置(释放)诊疗信息和财务信息。医疗服务管理经历了医生自律主导、医院管理主导、第三方付费制约主导等3个发展时期,正在进入第4个发展时期——社会评价与监督主导时期。一个从医生自律、医院管理、第三方付费制约到社会评价与监督的治理结构正在形成,即“二维四圈型医疗服务机制”。社会化管理式医疗是中国医疗服务治理机制的目标范式。

Safeguards citizen＇s health is government＇s responsibility. The government provides the medical health public efficiency and government＇s ability related, but improves the medical service government mechanism to be allowed to support and to strengthen the government ability.The modern medical service service manages and governs must pay great attention to the medical service information control, namely dynamic outside sets at （release） to diagnose and treat the information and the financial information.The medical service management experience doctor the autonomy leadership, the hospital management leadership, the third party has paid expenses the restriction leadership and so on three development times, was entering the fourth development time the society appraisal and the surveillance leadership time.From doctor the autonomy, the hospital management, the third party pays expenses restricts the social appraisal and the surveillance government structure is forming, namely ＂two-dimensional four medical service government mechanism＂. The socialized management type medical service is the Chinese medical service government mechanism goal model.