基于补偿公平与效率的城市基本医疗服务供给层次论

Level-division of Urban Basic Medical Service Considering Compensation both of Fairness and Efficiency

公平与效率在作为新医改重点和难点的医疗服务补偿机制改革中既对立又统一。正确处理基本医疗服务补偿中二者的关系,事关城市基本医疗服务供给体系的科学构建和城市基本医疗服务供给优化目标的实现。在新医改政策背景下,基于对补偿公平与效率的全新理解,对城市基本医疗服务供给层次划分依据、各层次间相互关系、互动机制,以及运作机理进行探索研究,对优化服务供给,有效缓解"看病贵、看病难"矛盾,解决制约城市医疗改革取得突破的基本医疗服务问题具有现实意义。

Fairness and efficiency as the key points and hot spots of the new reform of China＇s medical system are not only opposite but also unified in the service/compensation mechanism. To deal with the relation between the fairness and efficiency properly is of significance to urban basic medical system especially to its organizational framework and optimizational objective. Based on a brand-new grasping of the relation, an exploration is made in-depth under the guidance of new reform policies to provide the reference for the level division of urban medical system, the interrelation/interaction between different levels and their operational mechanism. It is meaningful to making medical service better, i.e. , settling the public complaint ＂so different and expensive to go to a doctor＂, thus breaking through the constraint on the new reform of basic medical system.