摘要
2003年以来,我国基本医疗保障体系与医疗服务供给体系取得了长足发展,但当前居民的疾病经济负担并未减轻,居民健康改善有限。卫生服务体系是一个复杂的动态系统,各要素及子系统间存在结构性摩擦。我国医疗服务供给系统与医疗保障系统间存在负向摩擦,主要在于"医""保"分离,管理与目标不一致;保障体系重视个体机构的支付,轻视对服务体系的引导设计。建议在未来的保障制度设计重视对服务供给改革的引导,侧重对体系、对健康的考虑。
Since 2003, the basic： medical insurance and medical service supply system had developed well, however, the current disease economic burden of residents was not reduced and the health improvement of residents was limited. Health service system was a complicated dynamic system with structural frictions among different faetors and subsystem. There was negative frictions between medical service supply system and medical insuranee system in China, which mainly departed ＂medicine＂ and ＂insurance＂ while the management and goal was not equal; the insuranee system focused on the payment of individual institutions, ignored the leading design of service system. It suggested that the future security system design pay attention to the lead of service supply reform and the consideration on system and health.
出处
《中国卫生经济》
北大核心
2017年第1期21-23,共3页
Chinese Health Economics
基金
国家青年自然科学基金项目(71603088)
第58批博士后面上项目(2015M582231)
关键词
卫生服务体系
医疗保障体系
复杂系统
结构性摩擦
改革
health service system
medical insurance system
complex system
structural friction
reform
