“健康中国”战略下我国医疗服务综合治理研究

On the Comprehensive Treatment of Medical Service under the Healthy China Strategy

"健康中国"战略是一项旨在全面提高全民健康水平的国家卫生发展规划,但是目前我国医疗服务水平与国民健康发展的需求仍存在明显的供需矛盾。"健康中国"战略对我国的医疗服务体制改革提出了新的要求,必须建立以政府为主导的医疗服务综合治理机制。通过社会契约、激励相容、利益相关人三个理论构建综合治理机制,探讨发挥医疗保险引擎作用下的医改综合治理之路,包括综合治理目标、社会契约的体制机制、尊重医生劳动和患者健康的支付方式和评价指标,对合理构建以政府为主导的综合治理机制提供参考。

The strategy of"Healthy China"is a national plan designed to improve the health level of all Chinese people, but there is obvious imbalance between supply and demand in China. This strategy means new requirements for the medical service system reform. This paper employs the theories of social contract, incentive compatibility and stakeholder to construct a comprehensive governance mechanism, studies the methods of comprehensive governance reform with the engine of medical insurance, including the target of comprehensive management, social contract system, respect for doctors and payment and evaluation of recovered patients, to provide reference for the reasonable construction of comprehensive management mechanism dominated by the government.