英国医疗管制模式的改革与重构及其启示

Enlightenment of model reconstruction of government medical-care regulation in England

通过考察英国医疗管制改革与重构的具体路径及其发展趋势,不难发现,英国医疗管制模式改革与重构的过程,实际上是一种管制方式的转换和管制机制的重新设计与优化组合过程。改革管制体制,重构管制机构,放松行政性的直接经济管制以引入竞争机制;建立公共合同制度,引入内部市场,以优化间接经济性管制;改革医疗服务守门人制度、建立健全医疗服务信息传递与医疗质量评估与监督机制,以强化社会性医疗管制,是英国医疗管制模式重构的核心内容。其改革的总体目标是"有管制的竞争"模式。这种改革趋势,无疑对各国医疗管制改革具有重要的启发意义。

By analyzing the reform reasons and reconstruction methods of English regulation model in medical - care market, the article indicates that the medical - care regulation model reform and reconstruction is a process of regulation mode reselecting and regulation mechanism reorganization. The development trend of English medical regulation reform is to release direct economy regulation and strengthen indirect and social regulation, to combine the power of the ＇visible hand＇ and ＇ invisible hand＇ effectively, to construct a regulative model which is a combination of the government regulation mechanism and market competition mechanism. This reform path provides an implicational support for the model reform way of Chinese medical - care regulation.