加拿大医疗保险中的混合供给制度及其启示

Public-Private Mixed System in Canadian Health Insurance and Its Lessons to China

医疗保险服务通常由第三方(政府或保险公司)付费,在社会医疗保险中第三方主要是指政府。针对"第三方付费"问题,加拿大全民医疗保险实行"公共融资、私人提供"的混合供给制度,即公共部门承担起融资的责任,但具体提供的任务则交给私人部门来负责。这种混合方案可以较好地解决"第三方付费"问题,对我国具有借鉴意义。

Health insurance services are usually paid by a third party （government or insurance companies）, which mainly refers to the government in the social health insurance system. In order to sovle the issue of ＂third-party payment＂, the Canadian national health insurance system implements the public-private mixed program of ＂public financing and private delivery＂. That is, the public sector is responsible for financing while the private sector provides health services. This mixed program can sovle the issue of the ＂third-party payment＂ well and has usefule lessons for China.