卫生事业性质与卫生改革有关问题探讨

A Discussion On the Nature of Health Service and Healthcare Reform

医疗卫生服务是构成卫生事业的基本要素,具有商品性的自然属性和公益性的社会属性。卫生事业是医疗卫生服务社会,属性与政府功能不断扩大和发展相结合的产物,本质上是一项政府职能,具有福利性和公益性的基本特征。卫生事业和医疗卫生服务是两个不同的概念,具有不同的属性和特点。卫生体制改革应当遵循卫生事业和医疗卫生服务的自身发展规律,在明确卫生事业发展中的政府责任,通过不断增加政府投入、完善医疗保险制度、加强监督管理职能和卫生立法等手段,保证卫生事业福利性和公益性实现的前提下,要充分利用市场机制作用,促进医疗卫生服务公平与效率的和谐统一。

Medical service is an essential factor of health service, which has double characters of natural attribute of commodities and social attribute of public good. The health service is a product of service to the society by medical means in combination with the increasing expansion and development of government＇ s functions. It is, in essence, one of the government＇ s func- tions with the basic character of welfare and public good. The healthcare service and medical service are different in concept from each other. The healthcare reform should be based upon its own law in the development of healthcare service and medical service, while the government responsibilities are clearly defined in the development of heahhcare, to ensure the realization of the healthcare~ characters of welfare and public good by means of increasing governmentg in- put, establishing and improving health insurance system, intensifying monitoring and surveil- lance functions, and health legislation. On that premise, the role of market mechanism is given full play so as to promote the harmonious unity of justice and efficiency for the medical and health services.