论德国社会办医中患者参与医疗决策机制及启示

On the medical decision making mechanism and the enlightenment of the German social medical treatment

社会办医需要公众的广泛参与,德国社会办医国家干预性强,公众参与广泛,通过国家主导建立广覆盖、强制性社会医疗保险制度,对于民众生命健康是重要保障。德国社会办医包括筹资、支付、监管等运行机制,建立患者参与机制,患者参与卫生医疗政策的咨询决策,政府与社会建立独立机构提供患者医疗咨询,注重医患共同决策,以法律保障患者的权利,对我国医改具有借鉴意义。

Social medical treatment needs public extensive participation, German social medical treatment has strong state intervention and public extensive participation. Mandatory social health insurance system with wide coverage is established by the state, which is an important guarantee for people＇s life and health. German social medical treatment including financing, payment, supervision mechanism, the system of patient participation, patient involvement in health policy decision-making consultation. Government and society establish independent institutions for medical consultation, focus on doctor-patient joint decision-making, and protect the right of patients by law. The social medical treatment system in German has valuable reference to medical reform in China.