论医疗卫生事业的公益性与公益度

Study on public-interest nature of health and its magnitude

坚持公共医疗卫生的公益性是我国新一轮深化医药卫生体制改革与发展的基本原则,而公益度的测量评估是落实公益性原则的重要手段。本文阐明了公益性、公益度等紧密相关的若干概念,论述了我国医疗卫生事业为什么是公益性,提出了通过制度安排来确保医疗卫生事业的公益性发展方向,并提出通过建立公益度的测量与评估方法和相应制度,来评估医改和卫生事业发展成效。

Insisting on public-interest nature of health is the basic principle of new-round health reforms and development in China. The evaluation of its magnitude is an important means to carry out public-interest development. This paper clarifies the meaning of the public-interest nature of health and its magnitude and other related concepts and discusses why the health system has the attribute of public-interest,points out related systematic arrangements that should be designed to ensure the direction of public-interest in health reform. The paper also suggests that a system of measuring the realized magnitude of this nature in health reform be established to evaluate the performance and provide reference for evidence-based policies.